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Troubleshooting-Workshop
Skin Problems <ul><li>Reaction to appliance </li></ul><ul><li>Bacterial or fungal infection </li></ul><ul><li>Folliculitis...
Hyperkeratonic Encrustations
Faecal Excoriation
Pyoderma Gangrenosum
Folliculitis
Pre-existing Skin Condition
Reaction
Parastomal Hernia
Prolapsed Stoma
Bleeding from stoma <ul><li>Bleeding from surface of stoma </li></ul><ul><li>Bleeding from lumen of stoma </li></ul>
Granuloma <ul><li>Excess granulation tissue caused by friction from appliance or a foreign body. Eg. A stitch </li></ul>
Pancacking <ul><li>Faeces remains stuck around the stoma and does not drop into the bag </li></ul>
Rectal Discharge <ul><li>This can be normal after surgery when the rectum or rectal stump has not been removed </li></ul>
Mucocutaneous Separation
Stenosis <ul><li>When the lumen of the bowel becomes narrow.  May be a complication of muco-cutaneous separation  </li></u...
Scenario 1 A 62 year old man asks to see you for some advice about a sore, red area around his stoma. He had surgery 3 mon...
Scenario 2 A 42 year old lady asks for some advice about sore skin she has around her colostomy.
Scenario 3 <ul><li>A 75year old lady visits clinic complaining of appliances not sticking and leakage. Also complaining of...
Scenario 4 <ul><li>A man of 33 years attended clinic complaining of emptying his pouch frequently. He has an ileostomy for...
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Stoma modules troubleshooting workshop

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Presenter: Stoma Nurses
Date: 04/11/2007
Target Audience: All

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Transcript of "Stoma modules troubleshooting workshop"

  1. 1. Troubleshooting-Workshop
  2. 2. Skin Problems <ul><li>Reaction to appliance </li></ul><ul><li>Bacterial or fungal infection </li></ul><ul><li>Folliculitis </li></ul><ul><li>Pre-existing skin conditions. Eg. Psoriasis, eczema </li></ul><ul><li>Pyoderma gangrenosum </li></ul><ul><li>Hyperkeratonic Encrustations </li></ul>
  3. 3. Hyperkeratonic Encrustations
  4. 4. Faecal Excoriation
  5. 5. Pyoderma Gangrenosum
  6. 6. Folliculitis
  7. 7. Pre-existing Skin Condition
  8. 8. Reaction
  9. 9. Parastomal Hernia
  10. 10. Prolapsed Stoma
  11. 11. Bleeding from stoma <ul><li>Bleeding from surface of stoma </li></ul><ul><li>Bleeding from lumen of stoma </li></ul>
  12. 12. Granuloma <ul><li>Excess granulation tissue caused by friction from appliance or a foreign body. Eg. A stitch </li></ul>
  13. 13. Pancacking <ul><li>Faeces remains stuck around the stoma and does not drop into the bag </li></ul>
  14. 14. Rectal Discharge <ul><li>This can be normal after surgery when the rectum or rectal stump has not been removed </li></ul>
  15. 15. Mucocutaneous Separation
  16. 16. Stenosis <ul><li>When the lumen of the bowel becomes narrow. May be a complication of muco-cutaneous separation </li></ul><ul><li>Dilation </li></ul><ul><li>Diet to keep stool soft </li></ul>
  17. 17. Scenario 1 A 62 year old man asks to see you for some advice about a sore, red area around his stoma. He had surgery 3 months ago and has an ileostomy.
  18. 18. Scenario 2 A 42 year old lady asks for some advice about sore skin she has around her colostomy.
  19. 19. Scenario 3 <ul><li>A 75year old lady visits clinic complaining of appliances not sticking and leakage. Also complaining of a ‘swelling under stoma’ She has had a colostomy for 2years for a rectal cancer </li></ul>
  20. 20. Scenario 4 <ul><li>A man of 33 years attended clinic complaining of emptying his pouch frequently. He has an ileostomy for Ulcerative colitis 6 months ago. </li></ul>
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