Lesson 1Peristomal skin assessment: irritant vs allergic dermatitis, contact dermatitis, candidiasis, maceration, excoriationLooks at checking skin around the stoma step by step, telling apart irritant and allergic dermatitis, spotting contact dermatitis, yeast infections, too-wet skin, and raw skin, and connecting what you see to causes, ways to stop it, and fixes.
Baseline inspection and palpation of peristomal skinFeatures of irritant versus allergic dermatitisRecognizing contact dermatitis from adhesivesIdentifying candidiasis and moisture-associated damageAssessment of maceration, erosion, and excoriationLesson 2Managing high-output and semi-liquid effluent: pouch choice, anti-diarrheal strategies, fluid/electrolyte considerationsDeals with checking and handling lots of watery output or loose stuff, picking pouches and extras, stopping loose stools, eating right, and watching fluids and salts to avoid dry body and kidney trouble.
Defining and monitoring high-output stomasPouch and accessory choices for liquid effluentDietary and pharmacologic antidiarrheal measuresFluid, electrolyte, and renal status monitoringEscalation criteria and when to involve providersLesson 3Documentation and photographic monitoring: standardized descriptors and measurement techniquesTeaches proper writing down and photo tracking of stomas and skin around them, using standard words, measuring ways, getting permission, keeping privacy, and comparing over time to see if healing or getting worse.
Standardized terminology for stoma descriptionMeasuring stoma size, height, and locationPhotographic technique and patient consentSecure storage and privacy considerationsUsing serial photos to track progressionLesson 4Anatomy and physiology of stomas: types, location, and expected outputsGoes over stoma body parts and how they work, like gut or bladder types, where they sit, how made, and what comes out, linking to pouch picks and problem risks.
Intestinal segments used for stoma creationTypical locations for colostomy, ileostomy, urostomyStoma structure: lumen, mucosa, and spout heightExpected effluent volume and consistency by typePhysiologic changes after diversion surgeryLesson 5Infection prevention and safe technique during appliance changes: sterile vs clean technique, hand hygiene, waste disposalLooks at stopping infections when changing pouches, comparing clean vs sterile ways, stressing hand washing, safe rubbish handling, clean spaces, and tips to avoid spreading germs in different places.
Indications for sterile versus clean techniqueHand hygiene and glove use for ostomy carePreparing a clean, low-contamination work areaSafe disposal of used pouches and suppliesReducing cross-contamination between body sitesLesson 6Postoperative stoma assessment: color, perfusion, prolapse, retraction, mucocutaneous separationCovers checking new stomas after operation, like colour, blood flow, swelling out, pulling in, and edge splits, spotting poor blood early and when to send quick for help.
Immediate postoperative stoma inspection stepsAssessing color, turgor, and perfusionRecognizing prolapse and retraction changesIdentifying mucocutaneous separationUrgent findings requiring rapid escalationLesson 7Accessories and skin protection: barriers, paste, rings, strips, skin protectant films and powders, adhesive removersExplains using extras and skin guards like seals, paste, rings, strips, films, powders, and glue removers, when to use, how to put on, what fits, and safety for different stomas.
Choosing appropriate barrier products by skin statusUse of paste, rings, and strips to fill skin foldsSkin protectant films and powders: when and howSafe and gentle use of adhesive removersAvoiding product buildup and incompatibilitiesLesson 8Risk assessment tools relevant to ostomies: Braden Scale for skin risk, stoma complication checklists, nutritional screening tools (MUST/SGA) and glucose control considerationsChecks risk tools for ostomy folks, like Braden for skin danger, stoma problem lists, food checks like MUST and SGA, and sugar control effects on healing.
Using the Braden Scale in ostomy patientsStructured stoma complication checklistsApplying MUST and SGA for nutrition riskGlycemic control and wound healing outcomesIntegrating risk scores into care planningLesson 9Stoma measurement and appliance selection: convex vs flat flanges, one-piece vs two-piece systems, flange sizes and wafer shapeShows right stoma measuring and pouch picking, flat vs curved bases, one or two parts, size and shape for best fit, longer wear, and skin safety.
Measuring stoma diameter and contour safelySelecting flat versus convex flange designsChoosing one-piece versus two-piece systemsDetermining flange size and wafer shapeTrialing and reassessing fit over time
