OSTOMY CARE IN

HOME HEALTH
RONGNA SUN, BSN, RN, CWON
U N I V E R S I T Y O F T E X A S AT T Y L E R
OBJECTIVES

At the completion of this lesson, the learner will be able to:

Verbalize ostomy types and differences

Understand stoma and peristomal skin characteristics
Choose ostomy appliances and accessories
Use patient education package
STOMA CLASSIFICATION

Length of time Construction type Anatomical

location
Temporary End Fecal Urinary
Permanent Loop Colon Conduit + bowel
segment used
Loop-end Ileum Ileum
Continent Jejunum Sigmoid colon
Duodenum Jejunum
Continent diversion
COLOSTOMY

Ascending colostomy
Transverse colostomy
Descending colostomy
Sigmoid colostomy
ILEOSTOMY

Loop ileostomy
End ileostomy
UROSTOMY

Continent diversion
Ileo-conduit
STOMA

ldeal
LOOP ILEOSTOMY WITH BRIDGE
UROSTOMY WITH STENTS
PERISTOMAL SKIN
PERISTOMAL SKIN
PERISTOMAL SKIN
PERISTOMAL SKIN
OUTPUT
output colostomy ileostomy urostomy
normal depend on where the small intestine the urine draining
your stoma is sited: gradually adapts out of your stoma
the further along stoma output will be bloodstained
the colon, the should thicken up mucus in your
thicker the feces to around 400- urostomy bag
coming out of the 800ml per 24 hours Clear yellow urine
stoma will be.
usually fairly firm
abnormal Diarrhea High output: 1.5- Cloudy, foul
Constipation 2L/24hr smelling, bloody,
Sodium and water
depletion
Hypomagnesemia

13-16% of
ileostomy
PRODUCT SELECTION PRINCIPLES

When you select an appliance or accessories, you would like to:

Build an even surface to peristomal skin
Keep peristomal skin dry and clean
Keep stoma budded
Maintain a good seal
Ease gas escape
Make it as simple as possible
APPLIANCES
ONE-PIECE VS TWO-PIECE
CLIP VS VELCRO CLOSURE
FLAT VS CONVEX
DRAINABLE VS CLOSED END
PRE-CUT VS CUT-TO-FIT
TRANSPARENT VS OPAQUE
FILTERED
MOLDABLE/SHAPEABLE
ACCESSORIES

crusting technique
ACCESSORIES
ACCESSORIES
ACCESSORIES
ACCESSORIES
TEACHING
-DIET
TEACHING
-CLOTHING
TEACHING
-ACTIVITIES
TEACHING
-INTIMACY
TEACHING
-ORDERING OSTOMY SUPPLIES
TEACHING
-ORDERING OSTOMY SUPPLIES
TEACHING
-ORDERING OSTOMY SUPPLIES
TEACHING
- COMMUNITY RESOURCES
REFERENCES
Byram Healthcare. https://www.edgepark.com/ostomy/c/L1-3
Cancaster, B. (2016). Choosing an ostomy bag. Retrieved from: http://www.vitalitymedical.com/blog/choosing-an-ostomy-bag.html
Carmel, J., Colwell, J., & Goldberg, M. T. (2016). Ostomy Management. Wound, Ostomy and Continence Nurses Society core curriculum. Philadelphia, PA: Wolters Kluwer.
ConvaTec. www.convatec.com
Coloplast. www.coloplast.com
CliniMed. (2014). What is the normal output for a stoma?. Retrieved from: http://www.clinimed.co.uk/Stoma-Care/FAQs/What-is-the-normal-output-for-a-stoma.aspx
Edgepark. (2017). Ostomy. Retrieved at https://www.edgepark.com/ostomy/c/L1-3
Gabe. S. (n.d.). Fluid management in short bowel and intestinal failure. Retrieved from:
http://www.stmarksacademicinstitute.org.uk/content/uploads/2015/12/09.35-Fluid-management-Gabe2015.pdf
Hollister. www.hollister.com
MayoClinic. (2014). Ostomy: Adapting to life after colostomy, ileostomy or urostomy. Retrieved from
http://www.mayoclinic.org/diseases-conditions/colon-cancer/in-depth/ostomy/art-20045825
Nurse Key. (n.d.). Peristomal skin conditions. Retrieved from: http://nursekey.com/peristomal-skin-conditions/
Ostomates Food Reference Chart. Retrieved from http://www.ccfa.org/assets/pdfs/food_ref_card.pdf
Ostomy outdoors. https://ostomyoutdoors.com/
Ostomysecrites. https://www.ostomysecrets.com/
SaltsHealthcare. http://salts.co.uk/United-Kingdom/Urostomy/Before-your-operation.aspx#ostomy21
ShieldHealthcare. https://www.shieldhealthcare.com/products/ostomy/
Turnbull, G. (2009). Intimacy after ostomy surgery. Retrieved from
http://www.landspitali.is/library/Sameiginlegar-skrar/Gagnasafn/Fraedsla/Kynlif-og-veikindi/Ostomy_and_sexuality_enska.pdf
United Ostomy Associations of America, Inc. www.ostomy.org
Wound, Ostomy and Continence Nurses Society. (n.d.). The WOCN image library [Image database]. Retrieved November 1, 2015, from
http://www.wocn.org/page/ImageLibrary
Thank you for your
participation!