Download - Stoma modules troubleshooting workshop
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Troubleshooting-Workshop
![Page 2: Stoma modules troubleshooting workshop](https://reader036.vdocument.in/reader036/viewer/2022070313/554b231eb4c90562098b5679/html5/thumbnails/2.jpg)
Skin Problems
• Reaction to appliance
• Bacterial or fungal infection
• Folliculitis
• Pre-existing skin conditions. Eg. Psoriasis, eczema
• Pyoderma gangrenosum
• Hyperkeratonic Encrustations
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Hyperkeratonic Encrustations
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Faecal Excoriation
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Pyoderma Gangrenosum
![Page 6: Stoma modules troubleshooting workshop](https://reader036.vdocument.in/reader036/viewer/2022070313/554b231eb4c90562098b5679/html5/thumbnails/6.jpg)
Folliculitis
![Page 7: Stoma modules troubleshooting workshop](https://reader036.vdocument.in/reader036/viewer/2022070313/554b231eb4c90562098b5679/html5/thumbnails/7.jpg)
Pre-existing Skin Condition
![Page 8: Stoma modules troubleshooting workshop](https://reader036.vdocument.in/reader036/viewer/2022070313/554b231eb4c90562098b5679/html5/thumbnails/8.jpg)
Reaction
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Parastomal Hernia
![Page 10: Stoma modules troubleshooting workshop](https://reader036.vdocument.in/reader036/viewer/2022070313/554b231eb4c90562098b5679/html5/thumbnails/10.jpg)
Prolapsed Stoma
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Bleeding from stoma
• Bleeding from surface of stoma
• Bleeding from lumen of stoma
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Granuloma
• Excess granulation tissue caused by friction from appliance or a foreign body. Eg. A stitch
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Pancacking
• Faeces remains stuck around the stoma and does not drop into the bag
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Rectal Discharge
• This can be normal after surgery when the rectum or rectal stump has not been removed
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Mucocutaneous Separation
![Page 16: Stoma modules troubleshooting workshop](https://reader036.vdocument.in/reader036/viewer/2022070313/554b231eb4c90562098b5679/html5/thumbnails/16.jpg)
Stenosis
• When the lumen of the bowel becomes narrow. May be a complication of muco-cutaneous separation
• Dilation
• Diet to keep stool soft
![Page 17: Stoma modules troubleshooting workshop](https://reader036.vdocument.in/reader036/viewer/2022070313/554b231eb4c90562098b5679/html5/thumbnails/17.jpg)
Scenario 1
A 62 year old man asks to see you for some advice about a sore, red area around his stoma. He had surgery 3 months ago and has an ileostomy.
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Scenario 2
A 42 year old lady asks for some advice about sore skin she has
around her colostomy.
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Scenario 3
• A 75year old lady visits clinic complaining of appliances not sticking and leakage. Also complaining of a ‘swelling under stoma’ She has had a colostomy for 2years for a rectal cancer
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Scenario 4
• A man of 33 years attended clinic complaining of emptying his pouch frequently. He has an ileostomy for Ulcerative colitis 6 months ago.