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
 HOW OFTEN DO YOU DO
COLOSTOMY CARE?

- A colostomy bag is used to

collect feces. How often it needs
to be changed depends on which
type of bag you use. Closed bags
may need changing 1 to 3 times a
day. There are also drainable bags
that need to be replaced every 2
or 3 days.
ARTICLES REQUIRED
A clean tray
containing
• Mackintosh with • Gauze
draw sheet pad/tissue
• Kidney tray/paper paper
bag • Skin barrier
• Pair of clean gloves• Stoma
• Colostomy bag measuring guide
• Basin with warm • Pen or pencils &
tap water scissors
• Bed pan
Mackintosh Sheet Colostomy Bag
• Stoma measuring guide Stoma skin barrier
 PROCEDURE
PROCEDURE RATIONALE
1. Gather equipment. 1. Ensure that everything
is there to render the
2. Encourage clients to
care.
look at the stoma.
2. It encourages
3. Explain the participation in the
procedure to the stoma care.
patient. 3. To gain confidence of
4. Provide privacy. the patient.
4. For smooth
5. Perform hand performance of
hygiene & wear procedure.
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 microbes.
empty the content into
bed pan. Rinse the
pouch with tepid
water/NS.
• Discard the disposable
pouch in paper bag.
 PROCEDURE RATIONALE
• Observe stoma for • To find out
colour, swelling, trauma complications.
& healing. Stoma should • To prevent the faecal
be moist & pink. matter from contacting
• Cover the stoma with a with skin.
gauze piece. • Stoma surface is highly
• Clean peristomal region vascular. Skin barrier
gently with warm tap does not adhere to wet
water using gauze pad. skin.
Don't scrub the skin, • -do-
dry by patting the skin.
• Remove gauze & clean
stoma with gauze
 PROCEDURE RATIONALE
• Measure the stoma • Ensure accuracy in
using measuring guide. determining correct
• Trace same circle pouch size needed.
behind the skin barrier, • -do-
using scissors, cut an • To prevent irritation to
opening 1/16 to 1/8 skin.
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