Module 1: Introduction to Stomas

• Definition and purpose of a stoma: surgically created opening for waste elimination

• Types of stomas: colostomy, ileostomy, urostomy

• Indications for stoma surgery (e.g., colorectal cancer, inflammatory bowel disease, bladder conditions)

• Anatomy and physiology of stoma surgery

• Surgical techniques used to create stomas

• Physiological changes after surgery affecting digestion, elimination, and urinary function

Module 2: Stoma Function and Output Management

• Understanding normal vs. abnormal stoma output (consistency, color, volume)

• Monitoring for complications: blockage, dehydration, infection

• Characteristics of colostomy, ileostomy, and urostomy output

• Differences in output and impact on care (ileostomy vs. colostomy)

• Managing output: frequency and consistency monitoring

Module 3: Stoma Care and Maintenance

• Proper cleaning and hygiene techniques to prevent irritation and infection

• Skin protection around the stoma to avoid maceration and breakdown

• Stoma pouching systems: types and features (closed, drainable, urostomy bags)

• Step-by-step application and changing of stoma bags

• Best practices to secure pouches and minimize leaks

• Use of barrier creams, pastes, and skin protection products

• Preventing skin irritation and pressure sores

• Choosing appropriate adhesives and products

Module 4: Preventing and Managing Stoma Complications

• Common complications: prolapse, retraction, stenosis (causes, symptoms, interventions)

• Managing leakage and odor control (products and techniques)

• Identifying and managing infections with timely treatment

• Bowel obstructions in ileostomy patients: prevention, symptoms, emergency measures

• When to seek medical advice for complications

Module 5: Psychological and Emotional Support for Stoma Patients

• Psychological impact of living with a stoma: body image, anxiety, social challenges

• Emotional reactions: frustration, self-consciousness, depression, adjustment issues

• Building rapport and providing reassurance

• Supporting patients and families through adjustment

• Referring to support groups and counseling services

Module 6: Nutrition and Lifestyle Adaptations for Stoma Care

• Dietary recommendations: foods to avoid and those promoting healthy stoma function

• Managing dehydration in ileostomy patients: fluid and electrolyte balance

• Preventing constipation or diarrhea depending on stoma type

• Adapting exercise and daily activities post-surgery

• Lifestyle adjustments: clothing, travel, maintaining routines

• Addressing sexual health and intimacy after stoma surgery

• Managing stoma care during travel or special events

Module 7: Stoma Care Products and Equipment

• Types of stoma care products: bags/pouches, filters, odor control products

• Accessories: belt supports, seals, skin protectants, adhesive removers

• Assessing and selecting products based on patient needs (skin type, stoma location, output)

• Importance of custom-fit products and role of stoma care nurses

• Managing product-related issues such as discomfort and leakage

Module 8: Multidisciplinary Care and Collaboration

• Role of healthcare providers: stoma care nurses, surgeons, dietitians, mental health professionals

• Coordinating ongoing care with primary healthcare providers

• Patient education on self-care, self-management, and monitoring

• Promoting patient independence and confidence

• Providing written and visual educational materials

• Importance of regular follow-up visits for monitoring and addressing challenges

Module 9: Case Studies and Best Practices in Stoma Care

• Analyzing real-life case studies for best practices and practical solutions

• Discussing complex stoma-related cases

• Encouraging sharing of experiences and insights among participants

• Innovative approaches and successful management strategies

• Common pitfalls and lessons learned from experienced professionals