Professional Documents
Culture Documents
• Size:
Round - measure using stoma measuring guide
Oval - measure length and width
• Colour:
Red - adequate blood supply
Pale - low haemoglobin
Dark red/purplish tint - indicates bruising
Grey to black - no blood supply
Other - Appearance healthy - Shiny & moist
Assessment - Peristomal skin
• Colour
Healthy - no difference from adjacent skin surface
Erythema - red
Bruised - purplish to yellowish colour
• Integrity
Intact - no breakdown in skin
Macerated - white friable skin, too much moisture
Erosion - superficial skin damage
Rash - an outbreak of lesions on the skin
Ulceration - a wound through the dermis layer
Other - Turgor normal (soft, good elasticity)
Flaccid - weak flabby, firm - hard
Assessment- Stoma
• Stoma Colour:
Normal - Pink/red/warm to touch
Abnormal - black/dusky/pale/sloughy
• Skin:
Normal - In the post-operative period the stoma can be
quite swollen. It may reduce in size for about 6 weeks
after surgery.
Abnormal - Any sudden or unexplained swelling of the
stoma
• Bleeding Stoma:
Normal - A slight smear of blood on the wipe when
washing or drying the stoma.
Abnormal - Excessive bleeding when cleaning the
stoma/blood in the pouch/bleeding from inside the
Pre- procedure preparation