After assessing the stoma and peristomal skin, the nurse should assess the abdomen to check for distention and check the surgical incision for bleeding, dehiscing, or any other abnormality. Drains should also be assessed for the type and amount of drainage.
How do you assess a colostomy?
PalpationGently feel around the stoma site for any tenderness.Ask the patient to cough and feel for a cough impulse for any obvious parastomal hernia.Gently digitate the stoma to assess for any stenosis and check patency.
What is a stoma assessment?
Stoma Assessment A. Collection of data that characterizes the status of the stoma and the surrounding peristomal skin.
What monitoring is required when caring for a patient with a stoma?
Observe and report oedema in the presence of colour changes e.g. pale, dark, dusky. Observe and report active bleeding at the stoma or the mucocutaneous junction. Impaired skin integrity may indicate appliance leakage and requires review. Observe and document the volume, colour and consistency of output from the stoma.
Whats the difference between an ileostomy bag and a colostomy bag?
A colostomy is an operation that connects the colon to the abdominal wall, while an ileostomy connects the last part of the small intestine (ileum) to the abdominal wall.
What is the management of colostomy?
These are some things you can do to help move things through your ostomy: Watch for swelling of the stoma and adjust the opening of the wafer as needed until the swelling goes down. Take a warm bath to relax your abdominal muscles. Fluids can be taken if there is some stool output: solid foods should be avoided.
How do you determine if a stoma is healthy?
A healthy stoma is pinkish-red and moist. Your stoma should stick out slightly from your skin. It is normal to see a little mucus. Spots of blood or a small amount of bleeding from your stoma is normal.
In a transverse colostomy, the stool leaves the colon through the stoma before reaching the descending colon. Your stoma may have one or two openings. One opening is for stool. The second possible stoma is for the mucus that the resting part of your colon normally keeps producing.
What are the complications of colostomy?
Common complications include poor stoma siting, high output, skin irritation, ischemia, retraction, parastomal hernia (PH), and prolapse. Surgeons should be cognizant of these complications before, during, and after stoma creation, and adequate measures should be taken to avoid them.
Can you get constipated if you have a colostomy?
People with ostomies may potentially develop problems like diarrhea, constipation, odour, gas and/or blockage. Most can enjoy a regular diet, but it may be necessary to make some adjustments if any of the above problems occur.