Lecture 1 - DME & Ostomy Flashcards
Ostomy Definiton
surgical procedure that creates an opening in the GI or urinary tract of the purpose of eliminating waste.
part of GI or urinary tract is placed through abdominal wall
The farther down the intestine an ostomy is preformed, the more….
water will be naturally absorbed, and less in poop (more solid)
Stoma
Part of GI or urinary tract that extends beyond the abdominal wall
Types of stoma
End - distal stoma, more often permanent,
Loop - just outer wall of intestine is cut, temporary
Double barrel - two stomas
Types of Ostomy Pouching systems
1 or 2 piece collection systems
Skin barrier = goes around stoma to collect/protect
Bag = collects shit
Ways to protect skin around stoma
strips
powders
creams
which patients can control colon?
those with ostomy in descending or sigmoid colon
which drugs can be problematic for patients with Ostomy?
Enteric coated
Sustained actions
Those acting in intestine
Which pts can absorb medications normal?
Descending or sigmoid ostomy
higher up GI tract = issues
Cane designed to…
transfer weight from weaker to stronger side
want to make sure elbow is at 25 angle
How to get correct height of cane
elbow is at 25 degree angle
top of cane comes to crease of the wrist
quad cane used for….
patients with balance issues
purpose of crutch
if patient shouldn’t have any weight on injured leg
proper sizing of crutch
top should be about 1 inch under arm, and hand grips so elbow is at 25 degree angle
Hemi walker used for….
patients who can only use one side, possibly due to stroke,etc
