Scribd
Upload
17 views17 pages

Colostomy Care and Patient Support

Colostomy is a surgical procedure that creates a stoma for waste to bypass damaged parts of the colon, with types classified as temporary or permanent based on duration and by location in the abdomen. Indications for colostomy include colorectal cancer, inflammatory bowel disease, and bowel obstruction, among others. Proper stoma care, patient education, and emotional support are essential for improving the quality of life for patients post-surgery.

Uploaded by

Ezibai Stephen
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PPTX, PDF, TXT or read online on Scribd
17 views17 pages

Colostomy Care and Patient Support

Colostomy is a surgical procedure that creates a stoma for waste to bypass damaged parts of the colon, with types classified as temporary or permanent based on duration and by location in the abdomen. Indications for colostomy include colorectal cancer, inflammatory bowel disease, and bowel obstruction, among others. Proper stoma care, patient education, and emotional support are essential for improving the quality of life for patients post-surgery.

Uploaded by

Ezibai Stephen
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PPTX, PDF, TXT or read online on Scribd

COLOSTOMY

Definition

Colostomy is a surgical procedure


where a portion of the colon is brought
through the abdominal wall to create a
stoma. Allows waste to bypass
damaged/diseased part of colon.
Types by Duration

1. Temporary Colostomy:
Used to allow bowel healing.
Often reversible.
2. Permanent Colostomy:
Done when colon/rectum is removed or
permanently non-functional.
Types by Location

• Ascending: Right side, liquid output.


• Transverse: Upper abdomen, semi-
formed.
• Descending: Left side, more solid.
• Sigmoid: Lower left, formed/normal
stool.
Indications

• Colorectal cancer
• Inflammatory bowel disease
• Bowel obstruction
• Trauma
• Congenital anomalies
• Abscess or fistula
Surgical Procedure Overview

• Diseased colon is bypassed or


removed.
• Healthy colon pulled through
abdomen.
• Sutured to skin forming a stoma.
• Waste exits through stoma into a
pouch.
Stoma Characteristics

• Pink/red and moist


• Slightly protruding
• No pain (no nerves)
• Pale or dark stoma may signal
compromised blood flow.
Nursing Assessment

• Monitor stoma appearance


• Assess output: amount, consistency,
color
• Inspect surrounding skin
Stoma Care

• Clean with warm water


• Pat dry
• Use barrier cream or stoma powder
• Ensure proper appliance fit
Changing Appliance

• Empty at 1/3 to 1/2 full


• Change every 3-5 days
• Avoid leaks or adhesive wrinkles
• Keep peristomal skin dry
Nutrition

• Encourage fluids
• Avoid gas-forming foods
• Chew food well
• Introduce foods slowly
Complications

• Skin irritation
• Prolapse/retraction
• Hernia
• Bleeding
• Stoma stenosis
• Psychological distress
Patient Education

• Teach colostomy care


• Promote self-care and confidence
• Dietary guidance
• Emotional support
• Community resources
Nurse’s Roles

• Educator and care provider


• Emotional supporter
• Collaborate with wound/ostomy
nurse
• Prevent complications
Psychosocial Support

• Acknowledge fears and anxiety


• Encourage positive body image
• Refer to support groups
• Discuss lifestyle and intimacy
Documentation

• Stoma appearance
• Output type and amount
• Skin condition
• Appliance used
• Patient understanding
Conclusion
• Colostomy care involves clinical
skill, education, and empathy.
• Nurses ensure safe adaptation and
enhance quality of life for colostomy
patients.

You might also like