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Ostomy Care

Ostomy Care

Introduction
An ostomy is a surgical procedure that creates an artificial opening from the intestines to the outside of the body, allowing for the rerouting of effluent. This opening is known as a stoma. A stoma usually protrudes above the skin surface, appearing pink or red, moist, and round, and it lacks nerve sensations.
There are different types of ostomies, including colostomies, ileostomies, and urostomies:

Tracheostomy Care I: Pre-procedural Steps

Tracheostomy Care I: Pre-procedural Steps

A tracheostomy is a surgical technique that involves making an incision in the neck to provide access to the trachea. It is frequently used in medical conditions such as airway obstruction and prolonged mechanical ventilation. Effective nursing management is crucial for the long-term success of a tracheostomy.
Required Equipment
The equipment necessary for tracheostomy care includes:

Tracheostomy Care II: Procedure

Tracheostomy Care II: Procedure

Tracheostomy care is an essential nursing skill that involves cleaning and maintaining a tracheostomy tube to prevent infection and other complications. Here's a step-by-step guide explaining each procedure with its rationale. Note that disposable gloves are to be worn at all times and changed as often as needed to maintain a sterile work environment, and to protect both patient and healthcare worker.
Step 1: Perform hand hygiene, and put on personal protective equipment: gown, gloves, mask and...

Staphylococcal Skin Infections

Staphylococcal Skin Infections

Staphylococcus aureus is a Gram-positive coccus that resides harmlessly on the skin and mucous membranes of healthy individuals. When the skin barrier is breached, it can shift from a commensal to an opportunistic pathogen. This transition is facilitated by surface adhesins, such as clumping factor B and S. aureus surface protein G (SasG), which bind to structural proteins, including loricrin and cytokeratin, in the damaged epidermis. Protein A, another key factor, binds the Fc region of...

Assessment of the Gastrointestinal System II: Health Perception Pattern

Assessment of the Gastrointestinal System II: Health Perception Pattern

Assessing the gastrointestinal (GI) system is a complex process that begins with collecting subjective data. This data, collected through patient interviews, provides crucial insights into the patient's health history, perception patterns, and lifestyle habits, all contributing significantly to GI health.
Health Perception Patterns
Health perception patterns offer valuable insights into a patient's lifestyle habits and how they may impact their GI health. These patterns include:

Assessment of the Gastrointestinal System I: Subjective Data

Assessment of the Gastrointestinal System I: Subjective Data

Assessing the gastrointestinal (GI) system is a complex process that begins with collecting subjective data. This data, collected through patient interviews, provides crucial insights into the patient's health history, perception patterns, and lifestyle habits, all contributing significantly to GI health.
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Related Experiment Video

Updated: Jun 8, 2026

A Standardized Procedure of Dressing Management for Toxic Epidermal Necrolysis

A Standardized Procedure of Dressing Management for Toxic Epidermal Necrolysis

Published on: March 14, 2025

Evaluating skin care problems in people with stomas.

Julia Williams¹, Brandon Gwillam, Norma Sutherland

¹Burdett Institute of Gastrointestinal Nursing in partnership with King's College London and St Mark's Hospital, Harrow.

British Journal of Nursing (Mark Allen Publishing)

|September 28, 2010

Summary

Peristomal skin problems are common in ostomates, with many unaware of their condition. Regular stoma nurse follow-up and education are crucial for managing skin health and appliance fit.

Related Experiment Videos

Last Updated: Jun 8, 2026

A Standardized Procedure of Dressing Management for Toxic Epidermal Necrolysis

A Standardized Procedure of Dressing Management for Toxic Epidermal Necrolysis

Published on: March 14, 2025

Area of Science:

Stoma care and wound management
Dermatology in ostomy patients
Patient-reported outcomes in stoma care

Background:

Maintaining peristomal skin integrity is fundamental for effective stoma management.
Patients with stomas frequently encounter peristomal skin issues, necessitating clinical advice.
Limited data exists on the prevalence, clinical course, and self-management of peristomal skin problems.

Purpose of the Study:

To identify and categorize actual and potential peristomal skin problems in ostomates.
To assess the impact of different stoma appliances and accessories on peristomal skin health.
To compare ostomates' self-reported skin condition with assessments by stoma care nurse specialists.

Main Methods:

A multi-centered descriptive study involving 80 ostomates over 13 months.
Data collection via structured questionnaires and interviews conducted by stoma care nurse specialists.
Objective assessment of peristomal skin using digital photography and the Stoma Care Ostomy Research index scoring system.

Main Results:

68% of ostomates exhibited peristomal skin problems upon observation, including irritation (44%), ulceration (12%), allergies (9%), and maceration/erosion (3%).
21% had ill-fitting appliances, and 50% had parastomal hernias, though only 24% reported hernias.
Significant discrepancies were found between ostomates' perceived and observed peristomal skin conditions.

Conclusions:

Peristomal skin issues are highly prevalent among ostomates.
Disparities in perception highlight educational needs for ostomates regarding skin condition and appliance management.
Regular follow-up and education by stoma care nurse specialists are essential for optimal patient outcomes.