ileostomy care

8/13/2019 Ileostomy Care

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Ileostomy post-operative CareOleh:

Arsil Radiansyah

Imaduddin Akmal

Muhammad Kadavi

Indriazel Syaputri

Cut Dwi

Pembimbing : dr. Muntadhar, Sp.B, Sp.BA


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Definition

An ileostomy is anopening in the belly(abdominal wall) thatis made during

surgery.The end of the ileum(the lowest part of thesmall intestine) is

brought through thisopening to form astoma, usual ly on thelower r ight s ide of the

abdomen.
http://www.altavista.com/r?ck_sm=24270063&mmid=69017849&ci=&rpos=13&ref=200090096&r=http%3A%2F%2Fostomy.healingwell.com%2Fstomapics%2Fjacstoma.htm


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The most frequent reason for having ileostomy

surgery

Chrons desease

Ulcerative colitis

Birth defects Familial polyposis

Injury

Cancer


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Type of ileostomies

Standard or Brooke Ileostomy

Continent ileostomy (abdominal pouch)

Ileo-anal reservoir (j-pouch or pelvicpouch)


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Standard or Brooke ileostomy

Reasons for the surgery:

Ulcerative colitis

Crohns disease

Familial polyposis Cancer-related problems

Management:

Skin protection is needed;

use an open-ended

pouch that can be emptied


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Continent ileostomy (abdominal pouch)

Reasons for surgery:

Ulcerative colitis

Familial polyposis

Cancer-related problems

Management:

Drain fairly often with a

small tube (catheter) and

use a stoma cover


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Ileo-anal reservoir (J-puoch or pelvic pouch)

Reasons for surgery:

Ulcerative colitis

Familial polyposis

Management:

Natural bowel

movements

take place, but you needto

protect the skin around

the

anus


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Ileostomy management

The length of the stoma

Abdominal firmness and

shape

The location of stoma

Scar and folds near the

stoma

Eight and weight

A good pouching system

should be:

Secure

Odor resistant

Protective of the skin

around the stoma

Nearly invisible when

covered with clothing Easy to put on and take

off


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Good stoma Bad stoma
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Types of pouching systems

1. One-piece pouches are attached to the

skin barrier

2. Two-piece systems are made up of a skin

barrier and a pouch that can be taken off

and put back on the barrier


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One and two piece units


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Helpful hints

Protecting the skin

around the stoma

Patch testing

Spots of blood on thestoma

Shaving hair under

the pouch Bathing

Gas

Odor

Medicines


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Ileostomy problems

Severe skin problem

Blockage

Diarrhea

Electlrolyte balance

Phantom rectum

Short bowel syndrome


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Patient must call the doctor Cramps lasting more than 2 or 3 hours

Continuous nausea and vomiting No ileostomy output for 4 to 6 hours with cramping and nausea

Severe watery discharge lasting more than 5 or 6 hours

Bad odor lasting more than a week (This may be a sign of infection.)

A deep cut in or injury to the stoma

Bad skin irritation or deep ulcers (sores) A lot of bleeding from the stoma opening (or a moderate amount in the

pouch that

you notice several times when emptying it) (NOTE: Eating beets will cause

some red

discoloration.)

Continuous bleeding where the stoma meets the skin

Unusual change in your stoma size and color

Anything unusual going on with your ostomy


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THANKS

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