The document discusses stomal therapy, explaining various types of stomas like colostomy, ileostomy, urostomy, gastrostomy, and jejunostomy, which are openings created to allow the passage of stool or urine. It outlines indications for ostomy surgery, the selection of stoma pouches, and potential complications, noting that such surgeries can be temporary or permanent. The document concludes with a list of references related to medical and surgical nursing.

1. STOMAL THERAPY
PRESENTED BY- MR. HARSH RASTOGI
M.SC.NURSING STUDENT

2. Stoma------mouthlikeopening
 Colon + stoma= colostomy
 Ileum + stoma= ileostomy
 UrinaryTract + Stoma= Urostomy
 GastricOrgan + Stoma= Gastrostomy
 Jejunum+Stoma = Jejunostomy
INTRODUCTION

3. A stoma is an opening that is created to
allow stool or urine to pass out of the
body.
DEFINITION

4.  Imperforate anus
 Hirschsprungs disease
 Inflammatory bowel disease
 Neonatal necrotising enterocolitis
 Spina bifida
INDICATIONS FOR OSTOMY

5.  ILEOSTOMY
SITES OF STOMA

6.  UROSTOMY

7. COLOSTOMY

8. GASTROSTOMY

9. JEJUNOSTOMY

10. SELECTION OF APPROPRIATE
STOMA POUCH

11. STEPS TO CHANGE POUCH

13. IRRIGATION

14. COMPLICATIONS

17. Although more common in adults, it is not unusual
for a child to have ostomy surgery. For some the
stoma is carried out as a temporary measure, to
allow the gut a period of rest and recovery, whilst
for others it may be permanent, having been carried
out as a life-saving measure.
CONCLUSION

18.  Bare G brenda, Smeltzer C Suzanne, “ Textbook Of
Medical Surgical Nursing”, 10th edition(2004), published
by Lippincott Williams & Wilkins.
 Long Phipps, Cassmeyer, “ Medical Surgical Nursing”, 3rd
edition(1996), published by Mosby.
 Black M Joyce, Hawks Hokanson jane, “Textbook Of
Medical Surgical Nursing”, 7th edition(2005), published by
Elsiever.
 I clement. Basic concept of nursing procedure. Jaypee
brothers(P) ltd. Second edition.2013. page no. 58
REFERENCES