Ileum is surgically brought to the surface through an opening in the right side of abdomen.

Opening in large bowel created by bringing a section of the large intestine out to the abdomen and presenting a stoma

Unpredictable bowel elimination pattern

Not intact peristomal skin related to fecal material and adhesives

Entire colon, rectum, anus removal or bypassing these structures

Dx of cancerous lesion, ulcerative inflammatory process, multiple polyposis, traumatic injury to bowel.

Changes in bowel motility

Fecal contamination of wound

Removing all or a portion of the colon, but rectum/anus remains intact.

Single stoma opening through with fecal matter pass.

Assessment of vital signs, checking dressings, monitoring NG tubes and IV infusions.

Loss of sphincter control and change in intestinal motility

Dx of Inflammatory bowel disease and cancer

Contains both proximal and distal stoma's. Proximal expel's fecal matter, distal does not pass feces.

Pink-reddish moist stoma

Decreased appetite, vomiting, increased loss of fluids and electrolytes

Discharged fecal matter/liquid feces.

Lifting a loop of bowel through opening in upper abdomen supported in place by plastic rod or bridge.

Dusky blue/black. Tight/narrow. Dull, dry and excessive bleeding in stoma.

Disturbed body image and altered bowel function