Lesson 1Peristomal skin assessment: irritant vs allergic dermatitis, contact dermatitis, candidiasis, maceration, excoriationCover systematic peristomal skin check, pickin out irritant an allergic dermatitis, recognizin contact dermatitis, candidiasis, maceration, an excoriation, an linkin findings to causes, prevention, an treatment choice.
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 considerationsDeal wid assessment an managin high-output an semi-liquid effluent, includin pouch pick, accessory, anti-diarrheal plan, diet, an fluid an electrolyte watchin fi stop dehydration an kidney damage.
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 techniquesFocus pon accurate recordin an photo monitorin a stoma an peristomal skin, includin standard word fi describe, measure method, consent, privacy, an serial compare fi track healin or gettin 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 outputsReview stoma anatomy an physiology, includin intestinal an urinary stoma type, usual spot, buildin method, an expected effluent feature, linkin dem ting to appliance choice an complication risk.
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 disposalExplore stoppin infection durin pouch change, comparin sterile an clean technique, stressin han hygiene, safe waste hanlin, surroundin control, an plan fi reduce cross-contamination inna different care spot.
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 separationCover structure postoperative stoma check, includin colour, perfusion, swellin, bleedin, prolapse, retraction, an mucocutaneous separation, wid early spot a ischemia an urgent referral criteria.
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 removersDetail use a accessory an skin protection product, includin barrier, paste, ring, strip, film, powder, an adhesive remover, wid indication, applyin technique, compatibility, an safety fi different stoma type.
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 considerationsCheck out risk assessment tool relevant to ostomy patient, includin Braden Scale fi skin risk, stoma complication checklist, nutritional screenin tool like MUST an SGA, an glucose control impact pon healin.
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 shapeExplain accurate stoma measure an appliance pick, comparin convex an flat flange, one-piece an two-piece system, an choosin flange size an wafer shape fi optimize fit, wear time, an skin protection.
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
