Stoma

Question 1

What is a stoma

Answer 1

= diversion of the bowl or bladder contents to external abdomen due to

• diverticular cancer
• bowel cancer or obstruction
• irvadiation damage
• bowel ischemia
• incontinence
• trauma or spinal surgery

Question 2

Assessing a stoma

Answer 2

• any pain in abdomen or stoma?
• Colostomy → located left iliac fossa, flusher with skin,
  → Output thick 3 Slugy (normal faeces)
• Ileostomy → located right iliac fossa. Spouted so contents
  don’t touch skin
  → Small bowel contents (output watery 3 green)

Inspection

• Should be red 3 moist
• Pallor cyanosis = poor blood supply (black: necrosis)
• will be odema to begin
• a cess skin around → redness, infection

palpation

• gently feel around site for tenderness
• ask pt to cough 3 feel for hernia