Aklan State University

School of Arts and Sciences

Bachelor of Science in Nursing
Banga, Aklan

In Partial Fulfillment of the Requirements

in

NCM 109 (SKILLS)

COLOSTOMY CARE

Presented by:
Ma. Crizel Mae Z. Gadiano
BSN 2-1

Submitted to:
Carol Silverio, RN
Clinical Instructor
What Is a Colostomy?

A colostomy is a surgical procedure that brings one end of the large intestine out through the
abdominal wall. During this procedure, one end of the colon is diverted through an incision in the
abdominal wall to create a stoma. A stoma is the opening in the skin where a pouch for collecting
feces is attached. People with temporary or long-term colostomies have pouches attached to their
sides where feces collect and can be easily disposed of.

What is colostomy care?

It is an artificial anus created surgically in the colon designed for patient

unable to expel feces through rectum.

Why a Colostomy Is Performed

Colostomies are performed because of problems with the lower bowel. Some problems can be
corrected by temporarily diverting stool away from the bowel. This is when temporary colostomies are
used to keep stool out of the colon.

If the colon becomes diseased, as in the case of colon cancer, permanent colostomies are performed
and the colon may be removed completely.

Conditions in which you may need a permanent colostomy include:

 a blockage
 an injury
 Crohn’s disease, which is an autoimmune form of inflammatory bowel disease
 colorectal cancer
 colonic polyps, which is extra tissue growing inside the colon that may be cancer or may turn
into cancer
 diverticulitis, which occurs when small pouches in your digestive system, called diverticula,
become infected or inflamed
 imperforate anus or other birth defects
 irritable bowel syndrome, which is a condition affecting the colon that causes diarrhea,
bloating, constipation, and pain in the abdominal area
 ulcerative colitis, which is an inflammatory bowel disease that causes the long-term
inflammation of the digestive tract
Colostomy Care

Purposes:

 Maintains the skin integrity of the stoma (opening).

 Prevents lesion, ulceration and other skin breakdown caused by fatal contaminants.
 Promotes general comfort.

Equipment:

 Clean Gloves
 Bed Pan
 Linen Saver
 Asepto Syringe
 Water, Tissue Paper
1. Cleaning the skin
 2. A guide for measuring the stoma

3. The nurse is making a

stoma opening on a diposable one piece pouch

4. Centering the skin barrier over the stoma

 5. Pressing the skin barrier of a disposable one piece
pouch for 30 seconds to activate the adhesives in the skin
barrier.