Lesson 1Peristomal skin assessment: irritant vs allergic dermatitis, contact dermatitis, candidiasis, maceration, excoriationDis cover step-by-step checking of skin around stoma, telling apart irritant and allergy dermatitis, spotting contact dermatitis, yeast infection, soaking, and raw skin, and connecting findings to causes, stopping dem, and treatment ways.
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 considerationsDis tackle checking and handling high-output and watery waste, including picking pouch, extras, stop-diarrhea plans, food advice, and watching fluids and salts to stop dryness and kidney wahala.
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 techniquesDis focus on correct recording and photo watching of stomas and skin around, with standard words, measuring ways, agreement, privacy, and comparing over time to track 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 outputsDis review stoma body structure and function, including gut and urine stoma kinds, usual places, building methods, and expected waste features, linking dem to pouch pick 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 disposalDis explore stopping infection when changing pouches, comparing sterile and clean methods, stressing hand washing, safe waste handling, place control, and ways to cut cross-infection in different care spots.
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 separationDis cover organized after-surgery stoma check, including color, blood flow, swelling, bleeding, bulging out, pulling in, and skin separation, with early spot of no blood flow and urgent send-off rules.
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 removersDis detail use of extras and skin protection items, like barriers, paste, rings, strips, films, powders, and glue removers, with when to use, how to put, matching, and safety for different stoma kinds.
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 considerationsDis check risk tools for ostomy people, like Braden Scale for skin risk, stoma problem lists, food screening like MUST and SGA, and sugar control effect 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 shapeDis explain correct stoma measure and appliance pick, comparing curved and flat flanges, one-piece and two-piece, and choosing flange size and wafer shape to get best fit, wear time, 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
