Stoma - Ex + Complx

Question 1

Examination of a stoma;
Ask the patient if they have any ?, or have had any ? with it.
Gently ? the ? for any ? or tenderness.
Ask the patient to ? whilst observing for any parastomal ?.
Observe the ? ? quality for any signs of ?.

Answer 1

pain
issues
palpate
abdomen
distension
cough
hernia
surrounding skin
infection

Question 2

Ex of a stoma
Determine the ‘?’ of stoma you are dealing with, describing this to the
examiner in terms of ?, ? and ?.
Observe specifically for any signs of ?, ? or ?.
? for bowel ? below the ?.
State that you would like to view the patient’s ? ? ?.

Answer 2

type
spouting
site
contents
infarction
prolapse
retraction
listen
sounds
umbilicus
fluid balance chart

Question 3

Stoma Complications;
Early;
o ?/ Necrosis.
o ?.
o ? output from the stoma leading to severe ?.

Answer 3

infarction
infection
high
dehydration

Question 4

Stoma Complications;
Late;
o Parastomal ?: ? ? at the stoma site.
o Stoma ?: underlying bowel protrudes the orifice.

Answer 4

hernia
incisional hernia
prolapse

Question 5

Stoma Complications;
Late;
0 Stoma ?: the stoma is drawn/ pulled ? skin level.
0 ?: ? of the stomal opening.

Many of these late complications may eventually require further ?
intervention.

Answer 5

retraction
below
stenosis
narrowing
surgical