Ostomy Care

Course Objectives:

Upon completion, participants will be able to:

•  Gain an understanding of the anatomy and physiology of the different systems directly involved with the ostomy

•  Describe the different types of ostomy systems and their applications

•  Differentiate between a normal and pathologic stoma

•  Discuss implications for rehabilitation in the person undergoing ostomy surgery.

•  Determine potential early and late complications of ostomy surgery and corresponding treatment options

•  Develop a plan for managing the care of a person with a tube, drain or fistula.

Overview/Description

Whether because of cancer, Crohn’s disease, diverticulitis or neurogenic bladder disease, ostomy surgery is a life-altering event giving people with debilitating illnesses a new lease on life. According to the United Ostomy Associations of America, more than 750,000 people in the United States live with an ostomy. Ostomies require proper care and cleaning to prevent irritation and infections. Ostomy Care will provide an overview of why ostomies are necessary, how people get them, and the types of ostomies.

Attendees will…

•  Learn how to properly take care of and manage an ostomy

•  Learn the different types of ostomy systems and their applications

•  Identify potential early and late complications of ostomy surgery and corresponding latest treatment options

•  Learn the physical and psychological impact of ostomy


Content Outline

  • Enhance knowledge on ostomies
    • Why are they necessary?
    • How do you get them?
    • What happens after the placement of an ostomy?
    • What and how is the condition or disease process impacting the patient
      • Life-saving and life-changing
  • Types of ostomies and their indications
    • Ileostomy
    • Urostomy
    • Colostomy
      • Transverse colostomy
      • Ascending colostomy
      • Descending colostomy
    • Tracheostomy
  • Ostomy care
    • Preoperative
      • Preoperative history-taking, physical and psychosocial assessment for developing a comprehensive plan of care
      • Functional assessment
    • Postoperative
      • Complete assessment of the ostomy site
      • Identify and choose a pouching system
      • Identify and manage a normal stoma versus an abnormal one
      • What is the correct way to care for an ostomy site?
      • Lifestyle modification
        • Activities and diet
      • How do you help patients cope?
        • Understanding patient’s emotions and perspective of life with an ostomy
        • Catering to their specific needs
        • Identification of available support network from family, friends and/or community resources
      • Common stomal complications
        • Retraction
        • Hernia
        • Prolapse
        • Necrosis
        • Skin problems/ dermatoses
  • Review and practice
  • Q&A

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