Colostomies project


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  • During an end colostomy, the end of the colon is brought through the abdominal wall, where it may be turned under, like a cuff. The edges of the colon are then stitched to the skin of the abdominal wall to form an opening called a stoma. Stool drains from the stoma into a bag or pouch attached to the abdomen. In a temporary "loop colostomy," a hole is cut in the side of the colon and stitched to a corresponding hole in the abdominal wall. This can be more easily reversed later by simply detaching the colon from the abdominal wall and closing the holes to reestablish the flow of stool through the colon.
  • Colostomies project

    1. 1. Miguel Otero Adalberto Toledo Yessica Melendez Alexis Veloz-Torrez
    2. 2. Miguel Otero Adalberto Toledo
    3. 3. Colostomy  Colostomy is a surgical procedure that brings one end of the large intestine out through an opening (stoma) made in the abdominal wall. Stools moving through the intestine drain through the stoma into a bag attached to the abdomen.  A colostomy is an operation that creates an opening for the colon, or large intestine, through the abdomen.
    4. 4. Why is the colostomy done? Colostomy surgery may be needed to treat several different diseases and conditions. These include:  Birth defect, such as a blocked or missing anal opening, called an       imperforate anus Serious infection, such as diverticulitis, inflammation of little sacs on the colon Inflammatory bowel disease Injury to the colon or rectum Partial or complete intestinal or bowel blockage Rectal or colon cancer Wounds or fistulas in the perineum. A fistula is an abnormal connection between internal parts of the body, or between an internal organ and the skin. A woman's perineum is the area between her anus and vulva; a man's lies between his anus and scrotum.
    5. 5. Are they permanent or temporary?  A colostomy may be temporary or permanent. It is usually performed after bowel surgery or injury. Most permanent colostomies are "end colostomies," while many temporary colostomies bring the side of the colon up to an opening in the abdomen.  For example, some infections or injuries require giving the bowel a temporary rest, then reattaching it. A permanent colostomy may be required for a more serious or incurable problem, such as cancer that requires removal of the rectum, or a failure of the muscles that control elimination.
    6. 6. Different Colors of Stomas Supplies The system color combination is meant to help select each support piece. Each box has a label color code which will help to select the right cutaneous barrier.
    7. 7. What are the different stoma names?  Colostomy - A colostomy can be made at almost any point along the large bowel (colon). Where the colostomy is created will depend on the medical reason, but generally they are located on the lower left hand side of the abdomen. The output may be almost fully formed stool and wind is common.  Ileostomy - An ileostomy is made from the small intestine (ileum); usually it will be located on the lower right hand side of the abdomen. The output is generally liquid to paste-like stool and can often be corrosive due to the presence of digestive enzymes.  Urostomy - A urostomy is a diversion which drains urine and is made using the small bowel. It is generally located on the abdomen on the lower right hand side. The output is urine although you may find some mucous is secreted due to the nature of the surgical operation.
    8. 8. Kinds of products A One-Piece System Two-piece Systems  is designed to be disposable  means that the wafer and the (this does not mean that they can be flushed down the toilet - most toilets react very badly to having plastic bags flushed down them!). bag are separate and are joined together by what is commonly referred to as a "tupperware-type ring" on the wafer.  Two piece bags can either be disposable or reusable.
    9. 9. Why is a mirror used? The mirror is used to check the Stoma during self-cleaning and maintenance.  Check the stoma and the skin around it each time you change your pouch. Stand in front of a mirror, or use a hand mirror so that you can see all the way around the stoma. It should look shiny, moist, and dark pink or red. The skin around it should be smooth, with no red or broken spots.
    10. 10. Quick Guide For Cleaning Your Stoma 1. 2. 3. 4. 5. 6. 7. 8. Prepare new appliance and flange before removal of soiled appliance. Remove peel away soiled pouch and flange. Clean skin around stoma, followed by stoma itself using wipes and warm water. Pat dry with wipes. Shave area if necessary and wipe with damp cloth once finished. Apply skin lotions, cream and pastes if necessary Carefully stick on new appliances, be sure the fit is wrinkle free. Wrap soiled appliances in disposal bag or newspaper. Wash hands.
    11. 11. How culture can influence patients with colostomies. There can be a number of cultural issues that can affect a stoma patient, which include clothing, religion and food.  Religious - A patient that follows the Muslim faith traditionally uses their left hand for cleansing and their right hand for eating.  Food - Many people of the Hindu, Jewish, Islamic, or Rastafarian faith require that a religious follower go through a period of fasting. This can cause difficulties with stoma management and dehydration.
    12. 12. Are there any associations for patients with colostomies? The United Ostomy Associations of America, Inc. (UOAA) is a national network for bowel and urinary diversion support groups in the United States. Its goal is to provide a nonprofit association that will serve to unify and strengthen its member support groups, which are organized for the benefit of people who have, or will have intestinal or urinary diversions and their caregivers.  UOAA is an association of affiliated, nonprofit, support groups who are committed to the improvement of the quality of life of people who have, or will have, an intestinal or urinary diversion.  It is dedicated to the provision of information, advocacy and service to, and for, its affiliated support groups, their members and the intestinal/urinary diversion community at large.
    13. 13. Questions?