Colostomy Care

1. COLOSTOMY CARE

2. CONTENTS
1.Definition
2.Types of colostomy
3.Indication of colostomy
4.Articles required for colostomy
5.Procedure
6.Complication

3. INTRODUCTION

4. 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.

5. TYPES OF COLOSTOMY
ACCORDING TO DURATION
• Permanent Colostomy
• Temporary Colostomy

6. ACCORDING TO STOMA SITE
• Ascending Colostomy
• Transverse Colostomy
• Descending Colostomy

7. ACCORDING TO STOMA NUMBER &
TYPE
• Single – Barrel Colostomy
• Double – Barrel Colostomy
• Loop Colostomy

8. INDICATIONFOR COLOSTOMY
1.Colon Cancer
2.Hirschprung’s Disease
3.Ulcerative Colitis
4.Polyps in Intestine

9. PURPOSE OF COLOSTOMY
CARE
1.Skin protection & care
2.Receptacle for drainage
3.Patient acceptance & self care

10. ARTICLES REQUIRED

11. A clean tray
containing
• Mackintosh with
draw sheet
• Kidney tray/paper
bag
• Pair of clean gloves
• Colostomy bag
• NS/Basin with
warm tap water
• Gauze pieces
• Gauze
pad/tissue
paper
• Skin barrier
• Stoma
measuring guide
• Pen or pencils &
scissors
• Bed pan

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

13. PROCEDURE
• Spread mackintosh &
draw sheet.
• Remove used pouch &
skin barrier gently by
pushing the skin away
from the barrier.
• Remove clamp and
empty the content into
bed pan. Rinse the
pouch with tepid
water/NS.
• Discard the disposable
pouch in paper bag.
RATIONALE
• To protect linen.
• Reduces trauma,
jerking, irritates skin
& can cause tear.
• To minimize the
odour & growth of
microbes.

14. 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-

15. PROCEDURE
• Measure the stoma
using measuring guide.
• Trace same circle
behind the skin barrier,
using scissors, cut an
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.
RATIONALE
• Ensure accuracy in
determining correct
pouch size needed.
• -do-
• To prevent irritation to
skin.

16. 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.

17. DOCUMENTATION
Record the procedure with following
details:
• Date/Time
• Amount
• Colour
• Consistency of faecal matter
• Sign of any infection

19. COMPLICATION
• Necrosis of Stoma
• Retraction of Stoma
• Prolapsed of stoma
• Stenosis or Narrowing
• Parastomal hernia

20. 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

22. SUMMARIZATION