Ostomy Care Flashcards
surgically created opening into the colon through the abdomen
colostomy
purpose of colostomy
Its purpose is to allow the stool to bypass a diseased or damaged part of the colon.
where can a colostomy be made
may be made at almost any point along the length of the colon.
how long do colostomies last
may be temporary or permanent, depending on the medical reason for the surgery
what kind of patients may need a colostomy
people with chronic, non-healing wounds or those needing bowel management.
surgically created opening into the small intestine through the abdomen
ileostomy
what is removed in an ileostomy
section of the small intestine and the colon have been removed or bypassed.
how are ileostomies constructeed
the surgeon brings part of the small intestine (ileum) through the abdominal wall to create a stoma.
surgically created opening usually on the abdomen.
urostomy or urinary diversion
allows urine to flow out of the body after the bladder has been removed or bypassed
urostomy
how are ileal conduits made
the surgeon removes a short segment of the small intestine (ileum). This short segment of intestine will be used as a conduit for urine to flow out of the body.
what is a healthy looking stoma
red and moist
should stomas be painful
no
what foods increase flatus
Asparagus, broccoli, cauliflower, cabbage, fish, eggs, garlic, onions, certain spices
what foods should be avoided if have stoma
foods that increase gas
stoma patient education
Eat a balanced diet
Eat slowly and chew food well
Drink plenty of fluids (water) to prevent dehydration
what should stoma patients do if experiencing diarrhea
continue to hydrate and try eating these foods to thicken stool: applesauce, bananas, cheese, creamy peanut butter, pretzels, white rice, white toast, and yogurt
what meds should stoma patients check with their provider about
enteric-coated or sustained release as they may not absorb the same if the patient no longer has a colon.
when should pouches be changed or emptied
Empty pouch when it is half-full
Change pouch if any leaking is noted
Measure stoma size and ensure pouch is flush with stoma
typical wear for a pouch
3-7 days
the patient needs to see the provider or Wound Ostomy Nurse when..
the pouch is leaking daily or there is peri-stomal breakdown
what is possible with a stoma
Exercise and activity with an ostomy is possible
Swimming is possible
Sex is possible!
