Colostomy management

Question 1

Differences in output and management issues for pt with ascending vs transverse vs descending/sigmoid colostomy

Answer 1

x

Question 2

Differences in construction and implications for mgmt for pt with double barrel vs AP resection and end colostomy vs Hartman’s pouch and end colostomy

Answer 2

x

Question 3

Understand purpose of support device under loop colostomy and guidelines/time frame for removal

Answer 3

5-7 days

skin level and stoma suture line healing

Question 4

Explain dietary guidelines for pt with colostomy

Answer 4

x

Question 5

Understand criteria/contraindications for colostomy irrigation- guidelines for procedure (how much water, what temperature, what to do if water doesn’t come back, rationale for use of cone tip recognition and mgmt vasovagal reaction, etc; also benefits of irrigation

Answer 5

x

Question 6

Options for mgmt of pt with longterm complications (eg. pt who has irrigated successfully but is now having problems with irrigation or who is unable to irrigate due to physical problem)

Answer 6

x

Question 7

Explain how to recognize and manage constipation and diarrhea

Answer 7

x

Question 8

Options for control of gas and odour and implications for pt teaching

Answer 8

x

Question 9

Suggest a bowel prep given a specific situation

Answer 9

x