Pre-Postoperative for Ostomy Patients

MNS.,ET., APN
.







801

(United State of America Ostomy Association)
1.
2.
3.
4.

5.
6.
7.
8.
9.
10.

(Best Praciice) 2
-
-
- Skin Complication
-
-







1. 3

2
2 3
2. 1
Colyte, Nifec, Swiff
Electrolyte Solution
Polyethylene glycol




1.

2.

3.

4.

-
-
-
-
-
-
-

-
-
5.

6.
7.

1,371

1,667
33.33 33.35 .. 2553 ..

2554 /

/

3

Rectus muscle

/
4-6

1. 2

rectus
2. rectus land mark

3.
3.1 2 2
1
3.3
3.3
4. marker pen
5.

Rectus Muscle

1. Stoma (Type)
Ileostomy, Transverse Colostomy, Sigmoid Colostomy
2. Stoma (Construction)
- End
- Loop 2 proximal distal
- Double barrel
3. , (Visibility, Colour)
,
4. , (Size, Shape)

Stoma guide
5. (Height)
2 - 2.5 .
Moderate
Protruding Mild Protruding Flush Stoma

Retraction Stoma
Prolapsed Stoma
6. Stoma (Opening of Lumen)
Apex
(Left lateral, Right lateral)
7. Stoma (Mucocutaneous Suture Line)
Mucocutaneous Suture Line Intact
Mucocutaneous Suture Line Separation
2-3
8. (Peristomal Skin)
, Peristomal Skin Intact
(Excoriation)

,
(Maceration)
9. (Effluent)
,
, ,

(
)
-

-

1-2
4

Alison

5,6
1.

2. / (Skin protectant or Moisture

barrier)8-12

cream, liquid wipes, liquid spray
cream
3. 1/3

4.

(Hamton & Bryant, 1992)

-

5.



6



1/3


deodorant, room deodorants, oral deodorizing agent

6.



6-8

 13-15

1. (peristomal irritation) /





(skin barrier powder, paste)
(corrosive enzyme)
2.

3. 72

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2. Erwin-Toth, P. Ostomy pearls: A concise guide to stoma siting, pouching systems, patient
education and more. Adv Skin Wound Care,2003 16 (3),pp 146-52.
3. Julie Rust. Complications arising from poor stoma siting. Gastrointestinal Nursing, Vol. 9, Iss. 5,
16 Jun 2011, pp 17 22.

4.Crooks, S. Foresight that leads to improved outcome: Stoma care nurses role in siting stomas.
Professional Nurse.1994.
5. ASCRS www.fascrs.org/physicians/position_statements/stoma_siting
6. Barr. OWM http://www.o-wm.com/article/3021
7. Adisio, R..A., Filiberti, A., Geraghty, J.G. Personalized surgery for rectal tumors : The patients
opinion counts. Support Care Cancer, (1997). 5(1), pp 17-21.
8. Gray M, Beeckman D, Bliss DZ, et al. Incontinence-Associated Dermatitis: A comprehensive
review and update. J Wound Ostomy Continence Nurs. 2012; 39(1):61-74.
9. Doughty D, Junkin J, Kurz P, et al. Incontinence associated dermatitis : Consensus statement,
Evidence-Based guidelines for prevention, treatment, and current challenges. J Wound
Ostomy Continence Nurs. 2012; 39(3):303-315.
10. Beeckman D, Defloor T, Verhaeghe S, et al. What is the most effective method of preventing
and treating incontinence associated dermatitis? Nursing time.net 2010; 106: 38.
11. Langemo D, Hanson D, Hunter S, Thompson P, Oh IE. Incontinence and incontinenceassociated dermatitis. J Advace Skin Wound Care. 2011;24(3): 126-140.
12. Cooper P. Skin care: managing the skin of the incontinent patient. Wound Essential. 2011; 6: 6974.
13. Rolstad, B. Erwin-Toth, P. (2004). Peristomal Skin Complications: Prevention and Management.
Ostomy Wound Management; 50 (9): 68-77.
14.Erwin-Toth, P. (2003). Ostomy pearls: A concise guide to stoma siting, pouching systems, patient
education and more. Adv Skin Wound Care 16 (3): 146-52.
15. Paula Erwin-Toth, Linda J. Stricker Lia van Rijswijk. Successful treatment can mean a successful
ostomy. AJN, American Journal of Nursing February 2010 Volume 110 Number 2
Pages 43 48.