Lesson 1Peristomal skin assessment: irritant vs allergic dermatitis, contact dermatitis, candidiasis, maceration, excoriationLooks at careful check of skin around stoma, telling apart skin rash from irritants and allergies, spotting contact rash, yeast infection, wet skin damage, and raw skin, and connecting signs to reasons, stopping it, 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 considerationsDeals with checking and handling too much watery waste or loose stool from stoma, picking right pouches and extras, stopping loose stools, food advice, and watching water and salts in body to stop drying out and kidney harm.
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 right note-taking and photo watching of stomas and skin around, using same words, ways to measure, getting okay from patient, keeping private, and checking changes over time to see 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 urine types, where they are, how made, what waste comes out, and how this picks pouches and risks problems.
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 disposalShows stopping infections when changing pouches, comparing clean and germ-free ways, stressing clean hands, safe waste throw away, clean places, and ways to stop spreading germs 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 separationCovers planned check after stoma surgery, like color, blood flow, swelling out, pulling in, and skin split, 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, glue removers, when to use, how to put on, if they fit, safe 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 considerationsLooks at risk check tools for ostomy folks, Braden for skin risk, lists for stoma problems, food check 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 shapeTeaches true stoma size measure and pouch pick, curved vs flat bases, one or two part systems, right size and shape for good fit, long wear, skin safe.
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
