COLOSTOMY CARE

CONTENTS

1.Definition
2.Types of colostomy
3.Indication of colostomy
4.Articles required for
colostomy
5.Procedure
6.Complication
INTRODUCTION
 DEFINITION
Colostomy is an opening,
called a stoma in the
large intestine brought
to the surface of the
abdomen for the
purpose of evacuation
of bowel.
TYPES OF COLOSTOMY

ACCORDING TO DURATION

•Permanent Colostomy
•Temporary Colostomy
ACCORDING TO STOMA SITE

•Ascending Colostomy
•Transverse Colostomy
•Descending Colostomy
 ACCORDING TO STOMA NUMBER & TYPE

• Single – Barrel Colostomy

• Double – Barrel Colostomy
• Loop Colostomy
 INDICATION FOR COLOSTOMY

1.Colon Cancer
2.Hirschprung’s Disease
3.Ulcerative Colitis
4.Polyps in Intestine
PURPOSE OF COLOSTOMY CARE

1.Skin protection & care

2.Receptacle for drainage
3.Patient acceptance & self care
ARTICLES REQUIRED
A clean tray
containing
• Mackintosh with draw • Gauze pad/tissue
sheet paper
• Kidney tray/paper bag
• Skin barrier
• Pair of clean gloves
• Stoma measuring
• Colostomy bag
guide
• NS/Basin with warm
tap water • Pen or pencils &
• Gauze pieces scissors
• Bed pan
 PROCEDURE
RATIONALE

1. Gather equipment. 1. Ensure that

everything is there
2. Encourage clients to to render the care.
look at the stoma. 2. It encourages
participation in the
3. Explain the procedure stoma care.
3. To gain confidence of
to the patient. the patient.
4. Provide privacy. 4. For smooth
performance of
5. Perform hand hygiene procedure.
& wear gloves. 5. To prevent infection.
 PROCEDURE RATIONALE

• Spread mackintosh & • To protect linen.

draw sheet. • Reduces trauma,
• Remove used pouch & jerking, irritates skin
skin barrier gently by & can cause tear.
pushing the skin away • To minimize the
from the barrier.
odour & growth of
• Remove clamp and empty microbes.
the content into bed pan.
Rinse the pouch with
tepid water/NS.
• Discard the disposable
pouch in paper bag.
 PROCEDURE
• Observe stoma for colour,
swelling, trauma & healing.
Stoma should be moist &
pink.
• Cover the stoma with a
gauze piece.
• Clean peristomal region
gently with warm tap
water using gauze pad.
Don't scrub the skin, dry
by patting the skin.
• Remove gauze & clean
stoma with gauze
RATIONALE
• To find out complications.
• To prevent the faecal
matter from contacting
with skin.
• Stoma surface is highly
vascular. Skin barrier does
not adhere to wet skin.
• -do-
 PROCEDURE RATIONALE

• Measure the stoma using • Ensure accuracy in determining

measuring guide. correct pouch size needed.
• Trace same circle behind the skin • -do-
barrier, using scissors, cut an • To prevent irritation to skin.
opening 1/16 to 1/8 inch larger than
stoma before removing the wrapper
over adhesive part.
• Put skin barrier & pouch over the
stoma, & gently press on to the
skin, for 1-2 min.
 PROCEDURE

• Use the pouch if it is drainable

using a clamp or clip.
• Remove gloves and wash
hands.
• Make the patient comfortable.
• Clean the area and replace all
articles.
DOCUMENTATION

Record the procedure with following

details:
• Date/Time
• Amount
• Colour
• Consistency of faecal matter
• Sign of any infection
 COMPLICATION
•Necrosis of Stoma
•Retraction of Stoma
•Prolapsed of stoma
•Stenosis or Narrowing
•Parastomal hernia
CLIENT & FAMILY EDUCATION

Balanced diet
• Yoghurt or buttermilk to reduce gas formation
• Drink 6-8 glasses of fluids daily.
Education for self care like Applying & Emptying Of
pouch.
Bathing
Wearing of pouch
Reducing odour
SUMMARIZATION