a surgically created opening in the abdomen for the discharge of wastes.
What is a stoma?
the actual end of the ureter or small/large bowel that has been brought through the abdominal wall.
What is effluent?
the drainage or output from the stoma.
What are the three types of Ostomies?
what is an Ileostomy?
an opening from the small bowel, to allow feces to leave the body without passing through the large bowel.
What is a Colostomy?
an opening from the large bowel, allows feces to leave the body without passing through the anus.
What is an Urostomy?
an opening from the ureters, to allow urine to leave the body without passing through the bladder.
What are reasons for an Ileostomy?
Disease or injury to large intestine
Diseased or injured colon
Where is an Ileostomy located and what type of effluent?
located in the ileum of small bowel. Drains frequent watery to thick liquid. Needs to increase fluid intake.
What are reasons for a colostomy?
Inoperable tumors of colon, rectum, or pelvis
Where is a colostomy located and what type of effluent?
located in the large bowel either ascending, transverse, descending,or sigmoid. Drains semi-liquid, soft to formed stool depending on location. Need to increase fluid intake based on location. Sigmoid portion doesnt need lots of fluid.
What part of the large bowel will have small amounts of stool and gas?
Descending and sigmoid
What are the different types of colostomies?
Sigmoid/Descending (most common)
Transverse (Double barrel or loop)
What is a double barrel colostomy?
Bowel completely transected. 2 stomas the proximal end drains stool and the distal end drains mucus.
What is a loop colostomy?
Bowel is partially transected. Brought through abdomen and held in place by a rod such that one stoma drains stool (proximal) and mucus (distal)
What are reasons for a urostomy?
What is the location and drainage of a urostomy?
location depends on surgical procedure. Can be continent using portion of bowel. Can be incontinent. Drains urine.
What are the types of urostomy?
Ileal conduit= small piece of bowel and ureters attached to look like a stoma
Ureterostomy=brings ureters out to abdominal wall
How does a continent urinary diversion work?
With a Kock Pouch
When should you change an ostomy?
-every 3-7 days and depends on contours of abdomen, condition of peristomal skin, and preference of client.
-before breakfast or 2-4 hours after a meal when bowel is least active
-after a shower
-anytime client complains of burning or itching
What do you assess for with the ostomy?
-observe existing skin barrier and pouch for leakage