STOMA care..... Ppt x .....................

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1. STOMA CARE

2. STOMA CARE A stoma is surgically created opening in the body between the skin and hollow viscus Stoma has the greek meaning of mouth There are 3 common stoma types COLOSTOMY ILEOSTOMY UROSTOMY

3. COLOSTOMY SITES

4. ILEOSTOMY SITES

5. ILEAL CONDUIT

6. INDICATIONS FOR STOMA TRAUMA CANCER OBSTRUCTION DIVERTICULAR DISEASE CROHN’S DISEASE ULCERATIVE COLITIS

7. CHARACTERISTICS OF FAECES ACCORDING TO THE SITE OF COLOSTOMY 1. Ileostomy: produces liquid and frequent, contain digestive enzymes which damage the skin, and must be pouched at all time.

2. Ascending colostomy: is similar to an ileostomy but odor is a problem

requiring control.

3. Transverse colostomy: it produces mal odor, mushy (thicker) drainage

because some of the liquid has been reabsorbed. 4. Descending colostomy: produces increasingly solid drainage.

5. Sigmoid colostomy emits stool almost identical to that normally passed

through the rectum.

8. APPLICATION OF STOMA DEVICES

9. WARNING SIGNS BLEEDING FROM STOMA CHANGE IN THE BOWEL PATTERN CHANGE IN STOMA SIZE FEVER

10. COMPLICATIONS SKIN EXCORIATIONS MUCOSAL PROLAPSE INFECTION DIARRHEA LEAKAGE DUE TO IMPROPER FITTING STOMA RETRACTION PERISTOMAL HERNIA

11. IDEAL STOMA APPLIANCES SHOULD BE LEAK PROOF SHOULD NOT DAMAGE STOMA AND SURROUNDINGSKIN SHOULD PREVENT ODOUR SHOULD BE EASILY AVAILABLE EASIER TO USE

12. DIET FOR OSTOMATES

13. DIET AND NUTRITION ENCOURAGE THE PATIENT TO AVOID FIBRE RICH DIET DRINK PLENTY OF WATER AND AVOID GULPING. AVOID FOOD WHICH FORM GAS AND ODOUR AVOID SKIPPING MEALS AND SIPPING WITH STRAWS CHEW WELL BEFORE SWALLOWING ENSURE PROPER FOOD SELECTION( TRIAL & ERROR) SMALL FREQUENT MEALS MAINTAIN A BALANCE DIET

14. PSYCHOSOCIAL REHABILITATION HELP TO COPE UP WITH NEW NORMAL ACCEPTING THE STOMA COMMUNICATION IS THE KEY: LISTEN TO PATIENT AND FAMILY EDUCATE AND SUPPORT THE FAMILY SEXUAL ISSUES ALSO TO BE ADDRESSED

15. GENERAL INSTRUCTIONS Clean the skin around the stoma with warm water Use skin protection products if u have irritated skin around the stoma Empty the pouch when it is 1/3 rd to ½ full Check the stoma regularly, the colour should be dark pink to red and moist Avoid heavy lifting Observe the output for amount, colour and consistency Control odour by a clean odour free well fitting appliances, regular change of bag, use of deodrant