Stoma Care: Essential Nursing Knowledge
Open this deck in Kuraplan
Sign in to view all 10 slides, customise, present or download.
Slide preview
First 10 of 10 slides
Stoma Care: Essential Nursing Knowledge
Professional Development Session Basic Care and Management Caitlin Auckram, CNS Stomaltherapy Hutt Valley DHB 2026
What is a Stoma?
A surgically created opening where bowel or urinary tract is brought through the abdominal wall Patients have no voluntary control over output Created for various medical conditions requiring bowel or bladder diversion Requires specialized nursing care and patient education
Common Indications for Stoma Creation
{"left":"Rectal or colon cancer\nDiverticulitis complications\nInflammatory bowel disease (Crohn's, UC)\nBladder cancer or pelvic malignancies","right":"Trauma or emergency situations\nCongenital conditions\nPalliative care management\nFailed previous surgical repairs"}
Identifying Healthy Stoma Characteristics
Look at the stoma images provided Identify normal vs concerning features Pink and moist appearance = healthy Slight bleeding when wiped = normal Can be spouted (raised) or flat No nerve endings = no pain sensation
Ileostomy Care Essentials
Located in right lower abdomen Output: liquid to porridge consistency from small bowel Highly acidic and corrosive to skin Empties 4-6 times daily Uses drainable bags - empty when 1/3 full Change bag twice weekly or if leaking
Colostomy Care Essentials
Located in left lower abdomen Output from large bowel - firmer consistency Less frequent output than ileostomy Bag changed 1-2 times daily Usually flat or slightly raised stoma More predictable output patterns possible
Urostomy Care Essentials
Continuous urine drainage Requires night drainage system Risk of urinary tract infections Stents may be present initially Different pouching system needed Monitor for kidney function changes
Critical Thinking: Skin Protection
A patient with a new ileostomy develops red, irritated skin around the stoma What factors might be contributing? What immediate actions would you take? How would you prevent this in future?
Patient-Centered Care
"Living with a stoma involves significant physical and emotional adjustment. Support with empathy and prioritize dignity."
Key Nursing Responsibilities
Assess stoma and peristomal skin regularly Educate patients on proper care techniques Recognize complications early Provide emotional support and resources Coordinate with stomal therapy specialists Document care and patient progress Advocate for patient needs and dignity