Skip to main content

Nursing Care Plan for Colostomy


Colostomy is an operation to form an artificial relationship between the colon with the surface of the skin in the abdominal wall. This relationship can be temporary or permanent forever. (Science of Surgery, Thiodorer Schrock, MD, 1983).

Colostomy may be cecostomy, transverse colostomy, sigmoid colostomy, while ascending and descending colon very rarely used to create a colostomy.

Colostomy in infants and children is almost always an emergency action, while in adults is a pathological condition. Colostomy in infants and children is usually temporary.

Indications permanent colostomy
In malignant bowel disease such as carcinoma of the intestine . Certain infectious conditions in the colon .



Which need to be assessed in patients with colostomy :

Stoma circumstances :
  • Stoma color (normal reddish color).
  • Signs of bleeding (bleeding wound surgery).
  • Signs of inflammation (tumor, rubor, color, dolor, functio laesa).
  • Stoma position.
Is there changes in fecal elimination :
  • Consistency, smell, color stool ?
  • Constipation / diarrhea ?
  • Feces accommodated well ?
  • The patient can take care of their own feces ?
Is there pain disorders :
  • Complaints of pain there or not ?
  • The things that cause pain ?
  • Quality of pain ?
  • When does pain occur ( continuous / repetitive ) ?
  • Is the patient restless or not ?
Is rest and sleep needs are met ?
  • Sleep well / not ?
  • Stoma disrupt sleep / no ?
  • Environmental factors that make it difficult to sleep ?
  • Psychological factors make it difficult to sleep ?
How does the concept of the patient ?
  • How patient perception to : self- identity , self-esteem , ideal self , self-image and role ?
Is there any nutritional deficiencies ?
  • How the patient's appetite ?
  • Normal weight or not ?
  • How the patient's eating habits ?
  • Foods that cause diarrhea ?
  • Foods that cause constipation ?
How openness the patient ?
  • Will the patient revealed the problem ?
  • Can the patient to adapt with the environment ?
Assess the needs of the patient's sexual needs ?
  • Ask the patient's problem sexual needs.
  • Wife / husband to understand the state of the client.


Priority treatment addressed to :
  • Assessment of psychological adjustment.
  • Prevention of complications.
  • Provision of support for self- care.
  • Providing information.
Criteria for success :
  • A sense of the actual adjustment.
  • Complications can be prevented.
  • Clients meet their own needs.
  • There is support for the implementation of the treatment, knowing the potential for complications.
Labels:

Popular posts from this blog

NCP for Rhinitis - 4 Nursing Diagnosis and Interventions

Nursing Care Plan for for Rhinitis Rhinitis is an inflammation of the mucous membranes of the nose. (Dorland, 2002) Rhinitis is the term for inflammation of the mucosa. By their nature can be divided into two: Acute rhinitis (coryza, commond cold) is an inflammation of the mucous membrane of the nose and sinuses accessories caused by a virus and bacteria. This disease may affect almost every person at a time and often occurs in the winter with the highest incidence in the early rainy season and spring. Chronic rhinitis is a chronic inflammation of the mucous membranes caused by recurrent infections, due to allergies, or as vasomotor rhinitis. 1. Ineffective Airway Clearance related to obstruction / presence of thickened secretions. Purpose: The airway effective after the secret was issued. Expected outcomes: Clients no longer breathe through the mouth. Airway back to normal, especially the nose. Intervention Assess the existing accumulation of secretions. Obser...
Read more

Imperforate Anus - 3 Nursing Diagnosis and Treatment

Imperforate anus of anorectal malformations (ARMs) is congenital defect in which the opening to the anus is missing or blocked. The cause of anorectal malformations is unknown, the genetic basis of these anomalies is very complex because of their anatomical variability, in an 8% of patients genetic factors are clearly associated with ARMs. Imperforate anus occurs in about one of every 5,000 newborns. It is somewhat more common in boys than girls. If the anus is missing, there is no outlet to release stool after birth. The intestine ends in a blind pouch, so your infant's stool, called meconium, remains in the intestine. Treatmentof Imperforate Anus Imperforate anus usually requires immediate surgery to open a passage for feces unless a fistula can be relied on until corrective surgery takes place. Depending on the severity of the imperforate, it is treated either with a perineal anoplasty or with a colostomy. The infant is allowed to develop for several months before mo...
2 comments
Read more

Nursing Care Plan for Osteomalacia (Diagnosis and Interventions)

Definition of Osteomalacia Osteomalacia is a metabolic bone disease characterized by a lack of bone mineral (resembles a disease that strikes children, called rickets) in adults, osteomalacia include chronic and skeletal deformities, there was not as severe as that affects children as in adults bone growth is complete. Etiology of Osteomalacia The cause is characterized by a state of vitamin D deficiency (calcitrol), where an increase in the absorption of calcium from the digestive system and the provision of bone mineral. provision of calcium and phosphate in the extra cellular fluid slowly. Without inadequate vitamin D, calcium and phosphate will not occur in the formation of calcium in the bones. Signs and Symptoms of Osteomalacia a. Bone pain. b. Deformity may arise on the back and pelvis, legs, ribs, and the presence of areas where there pseudofracture. c. Muscle weakness when serum calcium is very low, but may rarely occur. Pathophysiology of Osteomalacia The...
3 comments
Read more