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    Colostomy

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    Sukritha Vipin
    1) Colostomy is a surgically created opening in the large intestine brought to the abdomen for bowel evacuation. There are three types of colostomies depending on the location of the stoma. 2) Colostomy care involves cleaning the stomal area with warm water and dry wipes to gently clean around the stoma and change the pouch system to prevent leakage, infection, and promote comfort. 3) Nursing considerations for colostomy care include measuring fluid intake and output, educating patients to keep the stoma site dry, and observing the stoma and peri-stomal skin for issues.

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    Colostomy

    Uploaded by

    Sukritha Vipin
    2K views15 pages
    1) Colostomy is a surgically created opening in the large intestine brought to the abdomen for bowel evacuation. There are three types of colostomies depending on the location of the stoma. 2) Colostomy care involves cleaning the stomal area with warm water and dry wipes to gently clean around the stoma and change the pouch system to prevent leakage, infection, and promote comfort. 3) Nursing considerations for colostomy care include measuring fluid intake and output, educating patients to keep the stoma site dry, and observing the stoma and peri-stomal skin for issues.

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    Colostomy Ppt

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    1) Colostomy is a surgically created opening in the large intestine brought to the abdomen for bowel evacuation. There are three types of colostomies depending on the location of the stoma. 2) Colostomy care involves cleaning the stomal area with warm water and dry wipes to gently clean around the stoma and change the pouch system to prevent leakage, infection, and promote comfort. 3) Nursing considerations for colostomy care include measuring fluid intake and output, educating patients to keep the stoma site dry, and observing the stoma and peri-stomal skin for issues.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    2K views15 pages

    Colostomy

    Uploaded by

    Sukritha Vipin
    1) Colostomy is a surgically created opening in the large intestine brought to the abdomen for bowel evacuation. There are three types of colostomies depending on the location of the stoma. 2) Colostomy care involves cleaning the stomal area with warm water and dry wipes to gently clean around the stoma and change the pouch system to prevent leakage, infection, and promote comfort. 3) Nursing considerations for colostomy care include measuring fluid intake and output, educating patients to keep the stoma site dry, and observing the stoma and peri-stomal skin for issues.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    of 15

    COLOSTOMY CARE

    PRESENTED BY,
    Sukritha.s
    First year msc nursing
    Govt college of nursing
    Thrissur
    COLOSTOMY
    Colostomy is a surgically created
    opening(stoma) in the large intestine
    brought near the abdomen for
    evacuation of bowel
    TYPES OF COLOSTOMY

    According to stoma site


    *Ascending colostomy
    *Transverse colostomy
    *Descending colostomy
    COLOSTOMY CARE
    Colostomy care refers to
    cleaning of the stomal area using
    warm water and dry wipes to gently
    clean around the stoma and change
    pouch system
    PURPOSES
    *To prevent leakage
    *To prevent infection
    *To promote general comfort and positive
    self image
    *To provide clean ostomy pouch for fecal
    evacuation
    *TO reduce odor from over use of old pouch
    ARTICLES REQUIRED
    A clean tray containing :
    Mackintosh with towel
    Clean gloves
    Cotton swab and gauze piece
    Disposable colostomy bag
    Stoma measuring guide
    Skin barrier
    ARTICLES REQUIRED
    Zinc oxide ointment
    Scissors
    Bed pan with cover
    Towel
    Wash cloth
    Water in basin
    Soap in dish
    STOMA MEASURING GUIDE
    NURSNG CONSIDERATION

     Measure the patient’s fluid intake and output. Check the


    stoma appliance for quality and quantity of discharge.

     Record intake and output every 4 hours for the first 3


    days following surgery.

     Flatus may cause a pouch to balloon out. This requires


    immediate attention, if flatus is not released the pouch
    may separate from skin barrier causing seepage of fecal
    matter.
     Educate the patient and care giver to keep the stoma
    site always dry.
     Observethe stoma site for colour, swelling, trauma
    and condition of the peri-stomal skin.
     Observe the amount of effluent in the pouch and
    empty the pouch if it’s more than to ½ full.
     Return of peristalsis causes an increase in flatus.
    Advise patient that it is indicative of bowel
    functioning.
    Advice patient to avoid gas containing food
    since there is no way of voluntary control of
    flatus.

    One can also reduce gas by eating slowly


    and not using straws to drink liquids.
    PEDIATRIC CONSIDERATION:
     Ostomy pouches designed for neonates, infants and
    children are smaller and more skin sensitive adhesive
    on the barrier.

     Peri-stomal skin of a preterm infant is not fully


    developed, as a result you should not use skin sealant
    and adhesive removes because they damage the
    epithelium.
    PROCEDURE
    …

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