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Stomal Therapy

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STOMAL THERAPY

Stomal Therapy. It treats and counsels people before and after surgery that results in a temporary or
permanent stoma. A stoma is a surgically created opening within the body surface that helps with the
drainage of body products that would normally be removed from the body by the bowel or bladder.
Rehabilitation also plays a major role in this service.

A stomal therapist is a Registered Nurse who has undergone specialist training in stomal therapy and
PEG tubes.

Stomal therapists educate patients, partners or their carer's in the pre and post-operative care of their
stoma or PEG tube.

What is a stoma?

A stoma is a surgically created opening which allows the elimination of body wastes such as urine and
faeces from the body.

A stoma may be permanent or temporary.

Why do people need a stoma?

 Trauma to the bowel


 Cancer
 Radiation damage to the bowel
 Abnormalities a person is born with (congenital)
 Inflammatory bowel conditions
 To protect a join in the bowel (anastomosis)

Types of stomas

 Colostomy

A surgical opening into the large bowel (or colon)

A colostomy may be temporary or permanent

 Ileostomy

A surgical opening into the small bowel (or ileum)

An ileostomy may be temporary or permanent

 Ileal Conduit

A stoma made from a piece of small bowel to divert urine

What is a PEG tube?


A PEG tube is a tube inserted surgically into the stomach through the abdomen.

Care of the bolus extension tubing

Use warm soapy water to rinse after each feed.

Rinse out with plain water and then using 50ml syringe, flush with firm pressure to ensure all soap is
removed.

Shake dry and then towel dry.

Place in zip lock bag or plastic sealed container and store in fridge.

Take out 30mins prior to feeding to soften tube.

Services

The stomal therapy nursing service including the following services:

 Pre-operative education, counselling and siting of all patients undergoing surgery that may
potentially involve the formation of a stoma.
 Post-operative education to promote independence in stoma care.
 Ongoing outpatient support for people living with a stoma including intervention, travel advice,
revision/management of stoma supplies,
 Liaison with external/community health care providers to ensure ongoing support if required
 Consultation for management of fistulae and large wounds
 Assistance and support for patients that have long term drain tubes or fistulae

Additional services

 Colostomy irrigation education


 Assistance with management of faecal incontinence/post operative bowel dysfunction
 Stoma/wound care education for Peter Mac staff
 Support for PEG service (percutaneous endoscopic gastrostomy feeding tubes) including advice
about skin care at site, tube changes and/or removals and attendance at the multidisciplinary
PEG clinic weekly

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