Urinary & Faecal Stomas Flashcards Preview

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Flashcards in Urinary & Faecal Stomas Deck (10)
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1

Why does someone need a stoma?

1) Malignancy
2) Obstruction
3) disease process
4) neurological impairment
5) Trauma

2

Define a colostomy

Made from the colon
1.5m long large intestine
Anal canal 3cm
Internal anal sphincter is smooth muscle
External sphincter is striated skeletal muscle
-Slower mass colonic movements in the left descending colon reduces the frequency and force of faecal expulsion
- gas and odur are marked on the right ascending colon due to bacterial and enzymatic activity

3

Define ileostomy

Made from the ileum
Commonly sited in the terminal ileum
Ileum small intestine 3.6m
Most extensive area of digestion and absorption
Ileal contents alkaline

4

What are reasons for a permanent ileostomy?

Severe Chrones disease
Ulcerative colitis
Familial adenomatous polyposis

5

Define urostomy

An opening into the urinary tract with a stoma created on the abdomen

6

What are the reasons for getting a urostomy?

Malignancy of lower urinary tract
Intractable interstitial cystitis
Neurogenic disorders of the bladder
Trauma to the bladder/urethra
Intractable incontinence
Problematic suprapubic catheter
Congenital anomalies

7

What pre-op care is need for stomas?

Stoma therapy counselling
Skin care, odur, diet and activity requirements
Application options and collection
Trial of appliance
Siting of the stoma - avoiding creases, bony prominences, scars and belt lines

8

What post-op care is required for stomas?

Observation of the stoma
Skin care
Application selection and use
How to obtain appliances
Odur control and flatus
Disposal
Diet & hydration

9

What are some potential complications of a stoma?

Application leakage
Skin ulceration
Muco-cutaneous separation
Peri or para-stomal hernia
Prolapse
Retraction or flush stoma
Stenosis

10

What is a stoma?

Refers to any surgically constructed opening onto the bodies surface to facilitate a bodily function