Colestomy and Irrigation

° Coloslamy irrigation Procedure in which colostomy Flushes the Colon with water, using tube that insert into stoma Purpose! -to empty the Colon From gasifeces -to sTablish regular patter of evacuation -to preVenT ConsTiPation equipmenT -Water For imrigation andsoup -tube that insert - PlaSTiC bag - Non stenile glaules a dron procedure:- 1- explain procedure to PatienT 2 assist Patient to sit in tollet 3- fill irrigaTion bag with Soo-6000 of water 4- Flush the tube with water to empty air 5_ raise the bage 18 inches above stoma 6_ Take of the louch & dirty bag. 7 Remove any stool or doinge from stamina 8- genT y clean with soul se water 9. Place the ving and the il sation overs the stoma 10- Put the bottom of the irrigation into toilet It Atach the Cone Tip toiligation tube 12- insert the cone into stoma, if resistance met perform lubriated, Never use force te slivel 13_ open the clamp and let water Flow inover 15 min wu close the bottom of the inigation with the clamP when mosT of water come back out (to 2) min 15= instruet the patient to walk i Fable For 3amin 15. Tate off sleeve Cirrigation) wash around the sToma 17 cleen the sleeve & imigation bag with water 18 clean and replace the equipment, discard WasTenio? 919 clean & risne the stoma 19- document ProCedure. Def: Surgical crealed oPenly ofthe colon (large intestine) which result in sToma.... indiCation of colostomy:. al 1. blockage 2- inJury Godt aodlu nmote 3-cohn's disease maredies serouaan 4. Colorectal cancer comboo iscou odi 5. imitable bowel syndrom 6_ Colonic PolYps , extra Tissue growing inside the colon that may be cancer or turn into anar 7_ ulcerative colitis, an inflammatory bowel:. disease that cau seinf lammation of dia gestive Traet Type of ColosTomy L According to site 2- ACcording To Time → AçCending Colostomy → Transverse colostamy decinding Colostomy → PermanenT colostomy → TemPorary colostomy 1- Ascending colostomy lose • locaTed inthe righT side op abdomen • the discharge is very liquido 70 not Todibai • rarely used us i leostomy is abetter d sToma when the discharge is liquid 2- Trans Verse ColosTomy 209210 250d0%0 • in the upperabdomen (middle or toward right) • this Type allow stoolito exit the colon before it reach to descending Colonino/opa • the discharge is semisolid and Contain from digestive enzymes un todt sensail 3- descending colosTomy moTa0102.20998 located lower left side of abdomen A I the discharge is Firm the seg mold colostomy is the most used • doesn't Contain digestive enzyme PermanenT ColosTomy . eliminaTion when the end Part of Colon, rectum or anus is non Fanction and musT be totally remove • used for long term For long life • noT be closed at any Time TemPorary Colostomy 10 • eliminaTion when healing need to take place in case of Traume or inflammation •used For few week month, Years • may closed & normal bowel restored. TyPe of fecal a stamy Type of stoma end stoma ostoma with one open loop stoma ostoma wit double ostamy surgical procedure, creates two end stoma inclose the proximal القريبة to eliminate the stool the disital البعيبية as mucous Fistula Purpose of Colostomy 1- To Provide out left for the intestine waste to maintain integrity of stoma moTeolo to prevent UIGration and skin break down. to Prevent infection to Promote general Comfort 5- to redu@ the ador from overuse of Pouch. ProCedure preparatory Phase Put Patient in Comfort Position and provide Privacy (setting, standing) Performance Pha Ser To remove Pouching system wear gloves. push down gently on skin when lifting on the wafer discard Pauch & wafer To clean skin use toilet tissue to remove fees From Stoma clean the stoma with soup and water rinse and dry the skin 3- Apply new wafer use measuring guide to detimine stoma size Apply line of skin barrier around stama remove paper backing From wafer, Center opening of stONG Apply Tail Closure Follow up phase! dispose asks Of Plastic bag or waste material Clean the Pouch with soups water Characteristics of healthy stoma: Pink or red in color Moist Bleeds slightly when rubbed No feeling of touch Stool function is involuntary Swelling decreases gradually Complications: Mucocutaneous separation Ischemia Stricture or stenosis Stomal prolapse Hernia