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COLOSTOMY CARE.pptx

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Colostomy care
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COLOSTOMY CARE.pptx

  1. 1. COLOSTOMY CARE Alexhandra Nicole S. Miaral, RN
  2. 2. • Colostomy – surgical procedure in which the colon is shortened to remove a damaged part and the cut end diverted to an opening in the abdominal wall to create a stoma. • Colostomy Care – the pouch, stoma, and skin surrounding the stoma require care and maintenance *Stoma - an opening in the skin where a pouch is attached for collecting feces.
  3. 3. Purpose To maintain integrity of stoma and peristomal skin. To prevent infection. To promote general comfort and positive self- image. To provide clean ostomy pouch for fecal evacuation. To reduce odor from overuse of old pouch.
  4. 4. Indication of Colostomy • Birth defect • Inflammatory bowel disease. • Injury to the colon or rectum • Partial or complete intestinal or bowel blockage • Rectal or colon cancer • Wounds or fistulas in the perineum
  5. 5. Ascending Colostomy Transverse Colostomy Descending Colostomy Sigmoid Colostomy usually located in the low to middle right side of the abdomen usually located in the center of the abdomen above the navel typically located on the lower left- hand side of the abdomen located in the lower left- hand side of the abdomen output is often liquid to semiliquid, and gas is common output often is liquid to pasty, and gas is common output may be pasty to a formed consistency, and gas is common output is usually pasty to a formed consistency, and gas is common
  6. 6. Assessment - Stoma • Stoma color Normal – pink/red/warm to touch Abnormal – black/dusky/pale • Skin Normal : post – op period the stoma can be quite swollen; may reduce in size for about 6 wks after surgery Abnormal – any sudden or unexplained swelling of the stoma • Bleeding Stoma Normal – a slight smear of blood on the wipe when washing or drying the stoma Abnormal – excessive bleeding when cleaning the stoma/blood in the pouch/bleeding from inside
  7. 7. Assessment • Size Round – measure using the stoma measuring guide Oval – measure length and width • Color Red – adequate blood supply Pale – low hgb Dark red/purplish stint – indicates bruising Grey to black – no blood supply Other – appearance healthy – shiny and moist
  8. 8. Assessment - Peristomal Skin • Color Healthy – no difference from adjacent skin surface Erythema – red Bruised – purplish to yellowish color • Integrity Intact – no breakdown in skin Erosion – superficial skin damage Rash – an outbreak of lesions on the skin Ulceration – a wound through the dermis layer Other – turgor normal (soft, good elasticity)
  9. 9. Pre-procedure preparation • Detailed hx taken down; current complaint, hx of presenting illness, past medical hx (co- morbidities); surgical hx; social and environment hx • Medications and allergies documented

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