ostomy In nursing and type for colostomy

1. RCS 6080
Medical and Psychosocial Aspects
of Rehabilitation Counseling
Ostomy Surgeries

2. Ostomy Surgeries
 Numerous medical conditions, including
congenital defects, trauma, inflammatory bowel
disease (IBD),and bowel and bladder cancer,
can be treated by ostomy surgeries
 These surgeries close the normal route of
elimination of bodily wastes and create a new
opening (stoma)

3. Ostomy Surgeries
 GI Stomas
 Jejunostomy
 Ileostomy
 Cecostomy
 Colostomy

4. Colostomy
 Colostomy: A surgically created opening in
the abdominal wall through which digested
food passes.
 Temporary colostomy
 Permanent colostomy
 Reasons for surgery: Cancer, diverticultis
trauma, imperforate anus
 Vocational impact – restrict heavy lifting

5. Ileostomy
 A surgically created opening in the abdominal
wall through which digested food passes. The
Ileum (the lowest part of the small intestine) is
brought through the abdominal wall to form a
stoma. A Ileostomy is performed when a
disease or injured colon cannot be treated
successfully.
 Vocational implication – restrict heavy lifting.

6. Jejunostomy
 Can be used for either feeding or removal of
stool, depending on if the stoma is at the
beginning or end of the Jejunum.
 Feeding: A tube is placed into the jejunum versus
the stomach (gastrostomy). People with a
jejunostomy can eat and drink by mouth. The device
is an “insurance” mechanism for nutrition. It can be
temporary or permanent.
 Stool removal: in certain instances a jejunostomy is
conducted similarly to the Ileostomy. Again, this
usually temporary.

7. Cecostomy
 A tube that goes through the skin into the
beginning of the large intestine to help remove
gas or feces by injecting a solution (antegrade
enema) that flushes the gas and stool out of the
rectum.
 Can be temporary or permanent.

8. Urinary Stomas
 When a urinary stoma is created, the urine does not go to the
bladder. The urine is rerouted through an opening on the
abdomen (stoma) created by a surgeon.
 Vesicostomy:
An opening in the bladder created to connect the bladder to an
opening on the lower abdomen.
 Ureterostomy:
The ureter (or ureters) is attached to the skin’s surface through a
small opening in the abdomen.
 Ileal conduit:
A small section of the ileum (small intestine) is used to create a
passage for the urine to exit the body. This section of the small
intestine, called a conduit, is attached to the abdominal wall to
create a stoma. The urine flows from the kidneys, through the
ureters, and out the stoma

9. Psychosocial/Vocational
implications
 Vocational Implications
 Ostomy surgery itself does not present obstacles to
most vocational functioning – underlying disease
process may influence RTW
 Changes in body image
 Economic costs of living with an ostomy can be
considerable when complications from the stoma or
disease process develop
 Provide information and education to the person in a
manner that relays a message of acceptance

10. Additional Resources and
Information from the Web
 United Ostomy Association (www.uoa.org)
 International Ostomy Association (www.
ostomyinternational.org)
 World Ostomy Resource (www.powerup
.com.au/~takkenb/OstomySites.htm)
 Crohn’s Colitis Foundation of America (www.
ccfa.org)
 Oley Foundation (www.oley.org)