Ostomy

Question 1

Who is at high risk for having an ostomy?

Answer 1

Patients at risk for colorectal cancer

Question 2

What type of stool does an ileostomy produce?

Answer 2

liquid to thin paste bc doesn’t enter colon

• Patients have no control
• Have to wear pouch at all times

Question 3

What type of stool does an colostomy produce?

Answer 3

Closer to normal stool

• Can regulate
• Might not need to wear pouch all the time

Question 4

Which part of a double barrel stoma produces stool?

Answer 4

Proximal

The distal is a mucus fistula

Question 5

Postoperative care

Answer 5

Normal: pink-red, mild swelling, small amount of blood
Assess wound/drainage for inflammation/infection
Monitor for fever and WBC
Assess q4h

Question 6

What type of bag goes on an ascending or transverse colostomy?

Answer 6

Drainable pouch

Question 7

Can people with colostomy swim?

Answer 7

Yes! Bath, shower, and swimming cause no harm to the stoma

Question 8

Sexual concerns for males

Answer 8

Erection & Ejaculation

-May be temporary for 3-12 months

Question 9

Sexual concerns for females

Answer 9

Vaginal dryness & decreased sensation

-Pregnancy is possible

Question 10

Risk factors for Colorectal cancer SATA

Answer 10

Obesity 
Red meat (> 7 servings/wk)
Cigarette smoking
Alcohol (> 4 drinks/wk)
Personal hx of DM