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HomeGrown Solution: Stooling Stoma

Title

Stooling Stoma

Submitted By

Pam Smyth, Lenna Westerkamp

HomeGrown Solution Number

380

Identification of the Problem

When students are learning to take care of an ostomy, they often fail to recognize that an ostomy will generate stool during care. They are not prepared for this to happen in real life.

Unique Idea

We modified the stoma on a manikin abdomen by inserting a levin NG tube through an opening in the abdominal cavity, exiting into the stoma. We then attached to NG tube to a syringe filled with thinned out chocolate pudding. While ostomy care is being performed, a participant acts as a caregiver or family member and depresses the syringe to make the simulated stool exit the stoma.

Objectives

Students will:

  • Implement ostomy care on a realistic stoma producing stool.
  • Demonstrate the ability to manage stooling when providing ostomy care.

Supplies/Ingredients

  • manikin with ostomy on removable abdomen
  • levin NG tube
  • catheter tip syringe
  • 1 package instant chocolate pudding
  • water (use in place of milk to follow recipe on instant pudding packaging)
  • scissors
  • forceps (optional)
  • ostomy wafer and bag (2; one on the manikin and one for students to replace)
  • ostomy cleaning supplies
  • disposable underpad

Steps to Creating the Solution

  1. Make the pudding according to the package directions, substituting water for milk. Set aside.
  2. Cut distal end of levin tube to remove the holes at the end of the tube.
  3. Place a disposable underpad underneath the manikin. Remove the stoma from the manikin.
  4. Insert tube through the inside of the abdominal plate and out the hole where the stoma is inserted. Use forceps if needed.
  5. Thread tube into the stoma and secure the stoma in the hole in the abdomen.
  6. Fill catheter tip syringe with prepared pudding.
  7. Attach the catheter tip syringe to the end of the levin tube and prime with chocolate pudding until it is observed at the stoma.
  8. Apply ostomy wafer and bag.
  9. Hide tubing under the manikin leg.
  10. During ostomy care demonstration, a participant acting as a caregiver or family member will depress the syringe to simulate stooling coming of the stoma during ostomy care.

Images

educator cutting distal end of levin NG tube to remove the holes at the end of the tube educator holding an NG tube connected to a syringe filled with simulated stool Educator holding a manikin abdominal plate to expose the underside of the plate. Plate has a hole with tubing running through it containing simulated stool. tubing with simulated stool exiting the manikin under the genitalia insert and going under the manikin leg educator holding a stoma attached to tubing containing simulated stool

Video

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