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Center for Curriculum and Transfer Articulation
Nursing Update: Stoma Care
Course: NCE215AC

First Term: 2002 Fall
 Lecture   0.5 Credit(s)   0.5 Period(s)   0.5 Load  
Subject Type: Occupational
Load Formula: S


Description: Care of the patient with fecal and urinary diversions. Appliance selection, stoma care, and management of potential complications. Includes nutritional, psychological, and educational aspects of care.



MCCCD Official Course Competencies
1. Compare and contrast the major types of fecal and urinary diversions. (I, II, III)
2. Explain the perioperative course for each of the major types of fecal and urinary diversions. (II, III)
3. Describe stoma assessment and ostomy care. (IV, V)
4. Identify potential complications and related management. (VI)
5. State two educational needs of the patient and family. (V, VI)
6. Identify community resources for ostomy patients and their families. (VII)
MCCCD Official Course Competencies must be coordinated with the content outline so that each major point in the outline serves one or more competencies. MCCCD faculty retains authority in determining the pedagogical approach, methodology, content sequencing, and assessment metrics for student work. Please see individual course syllabi for additional information, including specific course requirements.
 
MCCCD Official Course Outline
I. Categories of Ostomies
   A. Permanent
   B. Temporary
   C. Technical differences
II. Fecal Diversions
   A. Indications
      1. Ileostomy
      2. Colostomy
   B. Types
      1. Incontinent fecal diversions
      2. Continent fecal procedures
   C. Perioperative course
   D. Appliances Stoma Care
III. Urinary Diversions
   A. Indications
   B. Types
   C. Perioperative course
   D. Appliances
IV. Stoma Assessment
   A. Appearance
   B. Stomal length
      1. Flushing
      2. Retraction
      3. Prolapse
   C. Unusual stoma types
      1. Oval
      2. Mushroom
      3. Double barreled
      4. Peristomal hernia
      5. Stoma in/next to incision
V. Ostomy Care
   A. Changing appliances
   B. Irrigation
   C. Bowel training
VI. Management of Potential Complications
   A. Skin integrity
      1. Irritant dermatitis
      2. Pseudo epithelial hyperplasia
      3. Peristomal varices
   B. Nutrition
      1. Intake
      2. Losses
   C. Psychosocial
      1. Body image
      2. Lifestyle changes
      3. Family/individual coping
VII. Community Resources
   A. Ostomates
   B. Enterostomal (ET) nurse
   C. Support groups
 
MCCCD Governing Board Approval Date:  6/25/2002

All information published is subject to change without notice. Every effort has been made to ensure the accuracy of information presented, but based on the dynamic nature of the curricular process, course and program information is subject to change in order to reflect the most current information available.