Question

Stoma Care On examination of a 4/7 post bowel resection client with a temporary stoma, you find the stoma to be dark red, hard, dry and inactive. They also exhibit abdominal distension. Based on the above answer the following questions (30 -60 word each)

9.1) What is the possible complication that Mr Jacob is having?

9.2) List symptoms, signs and symptoms that led you to your answer in the above question.

9.3) What are the main management strategies to be employed as a Nurse.

Answer 1

9.1 Rose to brick-red indicates viable stoma mucosa,and a pale colour may indicate anaemia. Blanching,dark red to purple indicates inadequate blood supply to the stoma or bowel from adhesions,low-flow state,or excessive tension on the bowel at the time of construction,and in this situation the patient is having dark red stoma.

9.2 An ostomy is a surgical procedure that allows intestinal contents to pass from the bowel through an opening in the skin on the abdomen.The opening is called a stoma.The stoma should be pink.A dusky blue stoma indicates ischaemia and a brown-black stoma indicates necrosis.There is mild to moderate swelling of the stoma the first 2 to 3 weeks after surgery The colostomy functions when peristalsis has been adequately restored.

9.3Post -operative nursing care includes assessment of the stoma and provision of an appropriate pouching system that protects the skin and contains drainage and odour.The nurse helps patient cope with the stoma and with the underlying disease that lead to stoma formation;provides information;teaches practical stoma care techniques;and helps patients address issues surrounding social interactions,employment body image and sexuality.The ET nurse is especially prepared to help the patient in these areas,but all nurses working with patients who have had ostomies should develop the knowledge and skills to help them