Stoma & Wound Care

This statement is regarding stomas

• Closure of a loop colostomy requires a full relapar-otomy or laparoscopy

• Loop colostomies require the use of a plastic“colostomy bridge” to prevent retraction, which ischanged regularly and should be maintained untilthe point of closure

• Ileostomies are formed from the most distal sectionof available healthy ileum in order to optimize theblood supply to the bowel for future closure

• Formation of an end-colostomy with an adjacentmucous fistula is an example of a double-barrelledstoma

Answer explanation

A loop stoma may be closed by mobilisation and re-anastomosis of the two ends, performed via the stomal incision. A plastic colostomy bridge is often used as a temporaryaid to prevent retraction of loop stomas, but is usuallyremoved by 5 days postoperatively. Ileostomies are fashioned from the most distal section ofavailable healthy ileum in order to maximize length forfluid and nutrient absorption.

Loop stoma is stabilized with stoma rod on the abdominal surface to prevent stoma

• hernia

• retraction

• prolapsed

• obstruction

A post stoma patient was experiencing redness, pain, foul smelling, green exudate from his laparotomy incision wound. Your nursing action should include

• perform wound assessment

• used foam dressing as outer layer dressing

• cover the inner layer dressing with hydrogel

• clean the incision wound with silver dressing

You are giving health education regarding selection of pouching system for stoma. You should inform the client, it is based on

• stoma size

• stoma types

• abdominal skin fold

• consistency of effluent

A colorectal cancer patient has just undergone bowel resection with end colostomy. During the first 24 hours, patient stoma condition  should be

• moist

• slightly swollen

• appear buffy red colour

• protrude 2.5 cm from abdomen

These are common concerns for a new patient with colostomy

• Loss of job

• Body image

• Fear of rejection

• Sexual performance