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    Ileostomy Care

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    Arsil Radiansyah
    This document provides information on ileostomy post-operative care. It begins with definitions of an ileostomy and describes the most common reasons for having ileostomy surgery as inflammatory bowel disease, birth defects, familial polyposis, injury, and cancer. It then describes the different types of ileostomies as standard brooke ileostomy, continent ileostomy, and ileo-anal reservoir. The document provides details on managing each type of ileostomy and important factors to consider like pouching systems, changing the pouch, common problems, and signs to contact a doctor.

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    Ileostomy Care

    Uploaded by

    Arsil Radiansyah
    105 views17 pages
    This document provides information on ileostomy post-operative care. It begins with definitions of an ileostomy and describes the most common reasons for having ileostomy surgery as inflammatory bowel disease, birth defects, familial polyposis, injury, and cancer. It then describes the different types of ileostomies as standard brooke ileostomy, continent ileostomy, and ileo-anal reservoir. The document provides details on managing each type of ileostomy and important factors to consider like pouching systems, changing the pouch, common problems, and signs to contact a doctor.

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    This document provides information on ileostomy post-operative care. It begins with definitions of an ileostomy and describes the most common reasons for having ileostomy surgery as inflammatory bowel disease, birth defects, familial polyposis, injury, and cancer. It then describes the different types of ileostomies as standard brooke ileostomy, continent ileostomy, and ileo-anal reservoir. The document provides details on managing each type of ileostomy and important factors to consider like pouching systems, changing the pouch, common problems, and signs to contact a doctor.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PPT, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as ppt, pdf, or txt
    105 views17 pages

    Ileostomy Care

    Uploaded by

    Arsil Radiansyah
    This document provides information on ileostomy post-operative care. It begins with definitions of an ileostomy and describes the most common reasons for having ileostomy surgery as inflammatory bowel disease, birth defects, familial polyposis, injury, and cancer. It then describes the different types of ileostomies as standard brooke ileostomy, continent ileostomy, and ileo-anal reservoir. The document provides details on managing each type of ileostomy and important factors to consider like pouching systems, changing the pouch, common problems, and signs to contact a doctor.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PPT, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as ppt, pdf, or txt
    of 17

    Ileostomy post-operative Care

    Oleh: Arsil Radiansyah Imaduddin Akmal Muhammad Kadavi Indriazel Syaputri Cut Dwi

    Pembimbing : dr. Muntadhar, Sp.B, Sp.BA

    Page 1

    Definition
    An ileostomy is an opening in the belly (abdominal wall) that is made during surgery. The end of the ileum (the lowest part of the small intestine) is brought through this opening to form a stoma, usually on the lower right side of the abdomen.

    Page 2

    Page 3

    The most frequent reason for having ileostomy surgery

    Chrons desease Ulcerative colitis Birth defects Familial polyposis Injury Cancer

    Page 4

    Type of ileostomies
    Standard or Brooke Ileostomy Continent ileostomy (abdominal pouch) Ileo-anal reservoir (j-pouch or pelvic pouch)

    Page 5

    Standard or Brooke ileostomy


    Reasons for the surgery: Ulcerative colitis Crohns disease Familial polyposis Cancer-related problems Management: Skin protection is needed; use an open-ended pouch that can be emptied

    Page 6

    Continent ileostomy (abdominal pouch)


    Reasons for surgery: Ulcerative colitis Familial polyposis Cancer-related problems Management: Drain fairly often with a small tube (catheter) and use a stoma cover

    Page 7

    Ileo-anal reservoir (J-puoch or pelvic pouch)


    Reasons for surgery: Ulcerative colitis Familial polyposis Management: Natural bowel movements take place, but you need to protect the skin around the anus

    Page 8

    Ileostomy management
    The length of the stoma Abdominal firmness and shape The location of stoma Scar and folds near the stoma Eight and weight A good pouching system should be: Secure Odor resistant Protective of the skin around the stoma Nearly invisible when covered with clothing Easy to put on and take off

    Page 9

    Good stoma

    Bad stoma

    Page 10

    Types of pouching systems


    1. One-piece pouches are attached to the skin barrier 2. Two-piece systems are made up of a skin barrier and a pouch that can be taken off and put back on the barrier

    Page 11

    One and two piece units

    Page 12

    Changing the puching system


    Sterility Factors that affect the pouching system seal (the weather, skin condition, scars, weight changes, diet, activity, body shape near the stoma, and the nature of the ileostomy output) Empty the pouch (1/3 full)

    Page 13

    Helpful hints
    Protecting the skin around the stoma Patch testing Spots of blood on the stoma Shaving hair under the pouch Bathing Gas Odor Medicines

    Page 14

    Ileostomy problems
    Severe skin problem Blockage Diarrhea Electlrolyte balance Phantom rectum Short bowel syndrome

    Page 15

    Patient must call the doctor


    Cramps lasting more than 2 or 3 hours Continuous nausea and vomiting No ileostomy output for 4 to 6 hours with cramping and nausea Severe watery discharge lasting more than 5 or 6 hours Bad odor lasting more than a week (This may be a sign of infection.) A deep cut in or injury to the stoma Bad skin irritation or deep ulcers (sores) A lot of bleeding from the stoma opening (or a moderate amount in the pouch that you notice several times when emptying it) (NOTE: Eating beets will cause some red discoloration.) Continuous bleeding where the stoma meets the skin Unusual change in your stoma size and color Anything unusual going on with your ostomy

    Page 16

    THANKS

    Page 17

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