Podcast
Questions and Answers
What does the term 'ostomy' specifically refer to in medical terminology?
What does the term 'ostomy' specifically refer to in medical terminology?
Which ostomy is classified under digestive procedures specifically aimed at the ileum?
Which ostomy is classified under digestive procedures specifically aimed at the ileum?
What distinguishes a temporary ostomy from a permanent one?
What distinguishes a temporary ostomy from a permanent one?
Which of the following conditions is a pathological cause for an ostomy?
Which of the following conditions is a pathological cause for an ostomy?
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What main function is NOT associated with the large intestine (colon)?
What main function is NOT associated with the large intestine (colon)?
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Which type of ostomy is specifically indicated for direct feeding into the stomach?
Which type of ostomy is specifically indicated for direct feeding into the stomach?
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What alteration is commonly observed in patients with digestive ostomies?
What alteration is commonly observed in patients with digestive ostomies?
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Which type of colostomy is classified as descending?
Which type of colostomy is classified as descending?
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What is a key function of urine elimination in the body?
What is a key function of urine elimination in the body?
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What is typically true about the volume of urine produced at night compared to the day?
What is typically true about the volume of urine produced at night compared to the day?
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Which of the following suggests a problem in patients with urostomy?
Which of the following suggests a problem in patients with urostomy?
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What should a doctor advise a patient with urostomy to ensure proper hydration?
What should a doctor advise a patient with urostomy to ensure proper hydration?
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Which statement regarding stoma hygiene is true?
Which statement regarding stoma hygiene is true?
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What is one of the common fears associated with ostomy patients?
What is one of the common fears associated with ostomy patients?
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What is the recommended action if the ostomy device is half full?
What is the recommended action if the ostomy device is half full?
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Which of the following is NOT mentioned as a key function of urine?
Which of the following is NOT mentioned as a key function of urine?
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What is the primary purpose of maintaining the health of the peristomal skin?
What is the primary purpose of maintaining the health of the peristomal skin?
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Which of the following is not recommended to maintain skin health around the stoma?
Which of the following is not recommended to maintain skin health around the stoma?
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What is a significant disadvantage of using 1-piece ostomy systems?
What is a significant disadvantage of using 1-piece ostomy systems?
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Which characteristic is essential for ostomy devices to ensure patient comfort?
Which characteristic is essential for ostomy devices to ensure patient comfort?
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What distinguishes 2-piece ostomy systems from 1-piece systems?
What distinguishes 2-piece ostomy systems from 1-piece systems?
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What is a common misconception regarding the adaptation of ostomy devices?
What is a common misconception regarding the adaptation of ostomy devices?
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Which of the following describes a key feature of ostomy devices that contributes to discretion?
Which of the following describes a key feature of ostomy devices that contributes to discretion?
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In ostomy care, what is emphasized as a balance that must be maintained?
In ostomy care, what is emphasized as a balance that must be maintained?
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Study Notes
Seminar 9: Customized Patient
- Focuses on ostomized patients
- Covers academic year 2024/25
- Presented by Professor Vittoria Carrabs PhD
Ostomy
- Derived from the ancient Greek word "stoma" meaning "mouth" or "opening"
- Medical term for a surgical procedure creating an artificial opening in the body
- Surgical opening connecting an organ or duct to the exterior
- Organ name prefixed, "-ostomy" suffix
Types of Ostomies
-
Classification by organ:
- Digestive: Colostomy, Ileostomy
- Urinary: Urostomy (Ureterostomy)
- Gastrostomy: Feeding directly to the stomach
- Tracheostomy: Opening in the trachea for breathing
-
Classification by temporality:
- Temporary/palliative: Allows healing, used for short-term operations
- Permanent: When organ function cannot be restored (e.g., complete resections)
Causes of Ostomies
- Pathological: Inflammatory bowel diseases, Intestinal Occlusion, Diverticulitis, Neurogenic bladder, Bladder exstrophy, Obstructive lithiasis
- Tumor
- Traumatic
- Congenital
Main Functions of the Digestive System
- Nutrition: Ingestion, digestion, and absorption of nutrients
- Elimination: Removal of waste products
- Small Intestine: Nutrient absorption
- Large Intestine (Colon): Nutrient absorption, water absorption, ion absorption, and bowel control
Alterations in Patients with Digestive Ostomies
- Loss of control over defecation
- Absorption issues
- Hydroelectrolyte imbalance leading to dehydration
Types of Digestive Ostomies by Location
- Ileostomy (lleum)
- Transverse Colostomy (Transverse Colon)
- Descending Colostomy (Descending Colon)
- Cecostomy (Ciego)
- Ascending Colostomy (Ascending Colon)
- Sigmoid Colostomy (Sigmoid)
Main Functions of the Urinary System
- Filtration
- Maintenance of homeostasis
- Elimination
- Acid-base balance
- Blood pressure regulation
- Red blood cell production
- Regulation of phosphocalcium metabolism
Urine
- Adults typically eliminate 1.5 liters of urine daily, depending on fluid and food intake
- Nighttime urine volume is roughly half of daytime volume
- Healthy urine is sterile, containing liquids, salts, and waste products without bacteria, viruses, or fungi
- Bladder tissues are isolated from urine and toxic substances by a barrier preventing bacterial growth.
Alterations in Patients with Urostomy
- Loss of control over urination
- Recurrent Urinary Tract Infections (UTIs)
- Increased risk of leakage and peristomal irritation due to highly irritating and liquid content
Care of Ostomy Patients
- Stress: Fears related to loss of health, rejection from family and social environment, changes in habits and customs, inability to adapt to the situation, loss of independence
- Anxiety: Related to the underlying pathology
-
Medical Considerations
-Guidance on appropriate device.
-Device accessories for special situations
-Importance of device usage.
- Continuous advice on proper device maintenance
Stoma Hygiene
- Stoma is not a wound
- Wash with warm water and soap/washcloth
- Dry thoroughly with cellulose paper or cotton towel
- Perform gentle hygiene without rubbing
- Slight bleeding is normal
- Replace device when half full, leaking, or causing discomfort
- Avoid changing directly after eating due to peristaltic movements
Peristomal Skin Care
- Maintaining peristomal skin health is crucial for device sealing and leak prevention
- Proper hygiene is critical
- Avoid physical trauma to the skin
- Gently peel off adhesives
- Cutting hair instead of shaving
- Avoid chemical irritants:
- Harsh detergents, disinfectants, and alcohol
- Contact with feces
- Use specific products for skin irritation
- Adapt devices to patient needs
What is Required of Ostomy Devices
- Adhesion
- Skin Protection
- Flexibility
- Comfort
- Discretion
- Range width: balance between skin protection and adhesion, flexibility, and fit to the patient's needs
Ostomy Devices
- 1-piece systems: Integrated pouch and skin barrier
- Advantages: Slimmer profile, easier application, lightweight, lower cost
- Disadvantages: Less flexibility, shorter wear time, risk of skin irritation due to frequent changes
- 2-piece systems: Separate pouch and skin barrier through a coupling system
- Advantages: Reusable skin barrier, customizable, longer wear time, easier pouch changes
- Disadvantages: Bulkier, higher cost, requires dexterity
Clinical Case 1
- Maria, 45, with permanent ileostomy due to ulcerative colitis
- Problems: leakage of intestinal contents, redness and dermatitis around the stoma, increased stool output, difficulty maintaining hydration
Clinical Case 2
- Luigi, 60, with temporary colostomy following rectal cancer resection
- Problems: Stoma swelling, difficulty fitting the flange, reduced stool output, occasional prolapse beyond the skin
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Description
This quiz covers key concepts related to ostomized patients as discussed in Seminar 9 of the 2024/25 academic year by Professor Vittoria Carrabs PhD. It delves into the definition, types, and causes of ostomies, including both digestive and urinary classifications. Test your knowledge on surgical procedures that create artificial openings in the body.
