When to use a barrier cream in patients with a stoma
1St Marks Hospital, Harrow, UK.
Insights
Approximately 100,000 people in the UK have a stoma (ostomy). This summary details the three main types: colostomy, ileostomy, and urostomy, and their associated management needs.
Area of Science:
- Medical Science
- Surgical Nursing
Background:
- An estimated 100,000 individuals in the UK live with a stoma (ostomy).
- Stomas are surgically created openings, commonly categorized as colostomy, ileostomy, or urostomy (ileal conduit).
Purpose of the Study:
- To describe the characteristics of different stoma types.
- To outline the management requirements for individuals with stomas.
Main Methods:
- Descriptive analysis of stoma types based on physical characteristics and output.
- Review of ostomy appliance and accessory needs.
Main Results:
- Colostomies typically yield formed feces into a closed bag.
- Ileostomies and urostomies involve a protruding spout, with ileostomies passing loose, enzymatic output and urostomies passing urine and mucus into drainable bags.
- Ostomy management often requires appliances and accessories like barrier creams.
Conclusions:
- Understanding the distinct features of colostomies, ileostomies, and urostomies is crucial for effective patient care.
- Appropriate ostomy appliances and accessories are essential for managing output and protecting the skin.
Abstract:
There are about 100000 people with a stoma, also known as an ostomy, in the UK (Black, 2009). There are three main types of stoma: a colostomy, an ileostomy and a urostomy (also known as an ileal conduit). A colostomy is red and minimally raised above the surface of the skin, and will generally pass formed faeces into a closed bag. An ileostomy and a urostomy will ideally have a small spout of about 25mm protruding from the abdominal wall. An ileostomy will usually pass loose, sludge-like faeces (containing enzymes that can break down the skin if they are in prolonged contact with each other) into a drainable bag. A urostomy will pass urine and a small amount of mucus into a drainable bag that is fastened with a bung or a tap (Burch, 2008). These bags can be used alone, but many people with a stoma (ostomates), in addition to their appliance, also need a stoma accessory, such as a barrier cream.
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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.
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