by | Apr 23, 2024 | Nurse Article | 0 comments

Colostomy is a surgical procedure that allows intestinal contents to pass from bowel through opening in the skin on the ostomy site.

A surgically created opening in the abdominal wall through which digested food passes

-Indications for ascending colostomy 
-Transverse colostomy 
-sigmoid colostomy

Semi liquid stool consistency increased fluid requirements needs appliances and skin Barrie’s cannot be irrigated

Perforating diverticulitis in lower colon trauma inoperable tumors of colon rectum or pelvis, rectovagInal fistula

Semi Formed stool consistency possibly increased fluid requirement uncommon bowel regulations requires appliance and skin barrier cannot irrigate.

Formed stool consistency no Change in fluid requirements bowel regulations possible with irrigation and need for appliances for surgery

– To maintain integrity of stoma and persistent skin

-To prevent lesion ulceration

-To prevent from  infection

– To promote general comfort and positive self image

-To provide clean colostomy pouch for fecal evacuation

– Reduce odour from over use of old pouch

– Gangrenous sigmoid volvulus 
– colorectal cancer 
– penetrating abdominal injury 
– Anorecatl cancer 
– intussusception 
-perinal injury

– Incipient cardiac failure and unstable angina 
– Respiratory dysfunction
– Bleeding disorder 
-kidney disease 
-Skin infection

-Assessment of the stoma and provision of an appropriate  poaching system 
– providing  the skin care on stom site 
– protect the skin and contain drainage and order 
– educating about the stom and care to the patient and family 
-Teaching about the selecting  appropriate pouch and emptying 
– Teaching the complications about colostomy and pouch
– Emotional support to the patient 
– counselling regarding to enhance the body image 
-Demonstrating  the colostomy irrigation 
-Educating about the selecting appropriate food substance well balanced fluid intake 
-Explain the  important of follow up
– Routinely wash with warm water. Soap is used be sure to avoid ones with oils and rinse thoroughly

– prolapse