Surgical Procedures Resulting in an Ostomy

Wound Care Program – Assignment 1 – Patient and Wound Assessment Overview
Assignment 1
Surgical Procedures Resulting in an Ostomy

WOC-EP Ostomy
Management
Ostomy Care Program – Assignment 1 – Surgical Procedures Resulting in an Ostomy
PAGE 2

Assignment 1:
Surgical Procedures Resulting in an Ostomy

Overview
• In this assignment students will define and describe common surgical
procedures that result in a stoma.
• The student will develop introductory patient teaching skills.
• The student will demonstrate their understanding of common continent
urinary diversions.
Objectives
• Gain an understanding of six common surgical procedures.
• Describe each surgical procedure using patient orientated vocabulary or
layperson’s terms.
• List the indications for each of the surgical procedures.
• List the risks and complications specific to each surgery including how
the surgical procedure will effect the patient in all aspects of their life,
not just the physical aspect of having a stoma.
• Indicate the type of stoma resulting from each of the six surgical
procedures.
• Delineate the difference between an end and a loop stoma.
Ostomy Care Program – Assignment 1 – Surgical Procedures Resulting in an Ostomy
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Length and Value of Assignment
• This is an individual assignment worth 15% of your final mark.
• Limit the assignment to a total of 13 pages excluding the cover page and
the reference list.
o Assignments longer than 13 pages may be returned unmarked and
given a 0%.
• Assignments must follow the recommendations in the WOC-EP Guideline
for Preparing Assignments and use APA formatting for citations and
references.
• This assignment has specific directions for each question.
o Question #1 should be in table format and single spaced. An
example of the table layout has been provided.
o For all remaining questions (# 2-5) use a subtitle identifying the
question you are answering for example: Three Types of Continent
Urinary Diversions and write your answers in a sentence or short
paragraph as needed.
• Presentation: Grammar, spelling, length, and format, (cover page,
introduction, conclusion, citations and reference list). (5 marks)

Ostomy Care Program – Assignment 1 – Surgical Procedures Resulting in an Ostomy
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Knowledge Application

1) For the six surgical procedures listed below, briefly describe in point
form, single space, table format the following:
a) The surgical procedure: The description of the surgical procedure
should be as you would explain it to the patient when doing pre-op
teaching. (5 marks x 6 = 30 marks)
b) The indications for the surgery. (2.5 marks x 6 = 15 marks)
c) The specific risks and complications associated with the surgery.
Include how this surgery will effect the patient in all aspects of their
life not just having a stoma. (2. 5 marks x 6 =15 marks)
• (Please note: Provide surgery specific risks, not general surgical
risks such as PE, DVT, MI, stroke, or pneumonia).
d) The diversion type, type of stoma (end, loop) and location resulting
from the surgery. (1.5 marks x 6 = 9 marks)
Surgical Procedures
1. Abdominoperineal Resection
2. Low Anterior Resection
3. Proctocolectomy Total and Restorative
4. Hartmann’s Procedure
5. Cystectomy and Radical Cystectomy
6. Pelvic Exenteration (anterior, posterior, and total)
Ostomy Care Program – Assignment 1 – Surgical Procedures Resulting in an Ostomy
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Example of Table Format
Surgical Procedure:
a) Description of
surgery
Be concise but thorough. Include the details the
person needs to know about their procedure. Use
layman’s terms for this question as you would when
explaining it to a person during pre-op teaching.
b) Indications
Citations should occur with items listed, if multiple
items come from the same source you only need to
list it once after the last item.
c) Specific risks,
complications, and
the effect on the
patient’s life
Citations as above. Consider all aspects of the effect
on the patient not just the physical.
d) Type of Diversion,
Type of stoma (end or
loop) and
Location

Ostomy Care Program – Assignment 1 – Surgical Procedures Resulting in an Ostomy
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Knowledge Acquisition

2. Identify the immediate post op (initial few days) and the long-term
characteristics of the output for an ileostomy, a colostomy and an ileal
conduit. (2 marks for each (total of 4 /diversion) =12 marks)
3. Provide a short description of how a loop stoma and an end stoma are
made and why. Explain the difference between the two (Please note, do not
explain what a loop-end stoma is. Give rationale why a loop may be used
instead of an end and vice versa) (2 marks each = 4 marks)
4. Give a brief description of the following continent urinary diversions: the
Indiana pouch, the Koch (Kock) pouch and the Mitrofanoff. (2 marks each = 6
marks).
5. Identify the key points of the immediate care and long-term care of an
Indiana pouch. (4 marks)

Ostomy Care Program – Assignment 1 – Surgical Procedures Resulting in an Ostomy
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WOC-EP Ostomy: Assignment 1 Rubric
Student: Academic Advisor:

Criteria
0-59%
Very Poor to Poor
60-74%
Below Average
75-89%
Satisfactory to Very
Good
90-100%
Excellent
AA
Rating
1.a)
Describes the
surgical
procedure

(5 marks per
surgery= 30
marks)
Describe less than 6
of the surgical
procedures.
Description does not
describe procedures
in detail, does not
demonstrate
understanding of the
procedures, does
not include
information that a
patient needs to
know about their
procedure and is not
written in
laypersons’ terms.
Describes 6 surgical
procedures using
either medical
terminology or overly
simplistic language.
Demonstrates
limited
understanding of the
surgeries.
Information is not
thorough or concise.
Includes some
information that the
patient needs to
know about their
procedure.
Describes all 6
surgical
procedures using
language
consistent with
patient education.
Demonstrates
moderate
understanding of
the surgeries.
Information lacks
clarity and is not
complete.
Includes some but
not all details a
patient needs to
know about their
procedure.
Describes all 6
surgeries in detail
using language
consistent with
patient education.
Demonstrates indepth
understanding of
the surgeries.
Is concise and
inclusive.
Includes details the
patient needs to
know about their
procedure.
/30
Ostomy Care Program – Assignment 1 – Surgical Procedures Resulting in an Ostomy
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Criteria
0-59%
Very Poor to Poor
60-74%
Below Average
75-89%
Satisfactory to Very
Good
90-100%
Excellent
AA
Rating
1.b) Gives the
indications for
the surgery. (2.5
marks x 6
= 15 marks)
Does not describe
indications for all 6
surgical procedures.
Information is
incomplete and
lacks detail.
Describes
indications for 6 of
the surgical
procedures but is
incomplete.
Demonstrates
moderate
understanding of
all 6 of the
surgical
procedures and
the indication for
each. Information
lacks clarity and is
not complete.
Demonstrates indepth knowledge
and understanding
of the indications
for each of the 6
surgical
procedures.
Information is
clear, concise, and
complete.
/15
1.c) Identifies
the specific risks,
complications
and effects on
patients
associated with
each surgery. (2.
5
marks x 6 =15
marks)
Identifies some risks
for the surgical
procedures.
Risks are not
specific to the
surgical procedure
and includes general
surgical risks or
complications.
Does not mention
complications or
effects on the
patient.
Identifies some
specific risks,
complications, or
effects on the
patient for each
surgical procedure.
Does not
demonstrate
understanding of the
unique risks or
complications or
effects on the
patient for each
surgical procedure.
Demonstrates
moderate
understanding of
some of the
specific risks,
complication and
effects associated
with each of the 6
surgical
procedures.
Demonstrates indepth
understanding of
specific risks,
complications, and
the effects for each
of the 6 surgical
procedures. Is
concise and
complete.
/15
Ostomy Care Program – Assignment 1 – Surgical Procedures Resulting in an Ostomy
PAGE 9
Criteria
0-59%
Very Poor to Poor
60-74%
Below Average
75-89%
Satisfactory to Very
Good
90-100%
Excellent
AA
Rating
1.d) Identifies
the diversion
type (colostomy,
ileostomy or
urostomy),
type of stoma
(end, loop) and
location for all
six surgeries.
(1.5 marks x 6=
9 marks)
Does not Identify the
type of diversion or
type of stoma or
stoma location for
all 6 of the surgical
procedures or
information is
inaccurate in 3 or
more surgeries.
Identifies the type of
diversion, type of
stoma & stoma
location. Some
information lacking
or is incorrect for 2
or more surgeries
Demonstrates
moderate
knowledge of
each type of
diversion, or type
of stoma or stoma
location resulting
from each of the 6
surgical
procedures.
Demonstrates indepth knowledge
and understanding
of the type of
diversion, type of
stoma and stoma
location resulting
from each of the 6
surgical procedures
without any errors.
/9
2. Identifies the
immediate post
op (initial few
days) and the
long-term
characteristics of
the output for an
ileostomy, a
colostomy and
an ileal conduit.
(2 marks for
each (total of 4
/diversion) =12
marks)
Information about
output for a
colostomy, an
ileostomy and ileal
conduit is inaccurate
for the postoperative period and
long term
Description is
incomplete.
Provides minimal
information about
the output for an
ileostomy, colostomy
and ileal conduit
immediately post
operatively and long
term.
Demonstrates
moderate
knowledge about
characteristics of
output of an
ileostomy,
colostomy and
ileal conduit
expected
immediately post
operatively and
long term.
Demonstrates indepth knowledge
and understanding
of characteristics of
output for an
ileostomy,
colostomy, and
ileal conduit during
the immediate and
long term.
/12
Ostomy Care Program – Assignment 1 – Surgical Procedures Resulting in an Ostomy
PAGE 10
Criteria
0-59%
Very Poor to Poor
60-74%
Below Average
75-89%
Satisfactory to Very
Good
90-100%
Excellent
AA
Rating
3. Provide a
short description
of how a loop
stoma and an
end stoma are
made and why.
(Do not explain a
loop-end stoma.)

(2 marks each =
4 marks)
Does not
demonstrate
understanding of the
procedures to
construct a loop
stoma and an end
stoma. Rationale for
the type of stoma
not included.
Demonstrates
minimal
understanding of the
procedures to
construct a loop
stoma and an end
stoma. Rationale for
type of stoma
included but does
not demonstrate
understanding.
Demonstrates
moderate
understanding of
the procedure to
construct a loop
stoma and an end
stoma. Rationales
are included for
both types of
stomas and
demonstrates
understanding of
why one type of
stoma is used
over the other.
Demonstrates indepth knowledge
and understanding
of the procedures
to construct a loop
stoma and an end
stoma including
rationale for each.
Difference between
the two well are
explained.
/4
4. Give a brief
description of
the following
continent urinary
diversions: the
Indiana pouch,
the Koch (Kock)
pouch
and the
Mitrofanoff. (2
Demonstrates
minimal knowledge
of 3 continent
urinary diversions:
the Indiana pouch,
Koch/Koch pouch
and Mitrofanoff
Descriptions are
incomplete and/or
inaccurate or very
superficial
Demonstrates some
knowledge of 2 of 3
continent urinary
diversions: the
Indiana pouch,
Koch/Kock pouch,
and Mitrofanoff.
Descriptions are not
clear and some
information
is missing.
Demonstrates
knowledge of 3
continent urinary
diversions: the
Indiana pouch,
Koch/Kock pouch,
and Mitrofanoff.
Descriptions are
not thorough.
Demonstrates indepth knowledge
and understanding
of 3 continent
urinary diversions:
the Indiana pouch,
Koch/Kock pouch,
and Mitrofanoff
Descriptions of
each are clear and
accurate.
/6
Ostomy Care Program – Assignment 1 – Surgical Procedures Resulting in an Ostomy
PAGE 11
Criteria
0-59%
Very Poor to Poor
60-74%
Below Average
75-89%
Satisfactory to Very
Good
90-100%
Excellent
AA
Rating
5. Identify the
key points of
the immediate
care and longterm care of an
Indiana pouch.
(4 marks)
Does not
demonstrate
accurate
knowledge of care
for an Indiana
pouch.
Does not mention
tubes, volumes, or
routine.
Demonstrates
minimal regarding
care of an Indiana
pouch in either the
immediate post op
period or long-term
care. Does not
explain the role of
the patient and that
of the health care
provider.
Demonstrates
some
knowledge of
immediate
and long-term
care of an
Indiana pouch.
Explains the role
of the patient and
that of the health
care provider.
Demonstrates indepth
knowledge and
understanding of
the key
points for the
immediate and
long-term care of
an Indiana pouch.
for the patient and
the health care
provider.
/4
Presentation:
Grammar,
spelling, length,
and format, (5
marks)
Writing is
incomprehensible.
Not edited. Does
not fit in the stylistic
requirements of the
assignment
regarding citations
and references.
Writing is somewhat
clear. Significant
number of mistakes
including spelling
citations and
references
Writing is clear,
concise; there are
a very few
mistakes in
spelling, citations,
and references.
Writing is clear,
concise, and
without spelling or
citation mistakes.
The reference list is
complete and
without mistakes.
/5
Ostomy Care Program – Assignment 1 – Surgical Procedures Resulting in an Ostomy
PAGE 12
Criteria
0-59%
Very Poor to Poor
60-74%
Below Average
75-89%
Satisfactory to Very
Good
90-100%
Excellent
AA
Rating

Deductions Late assignments will be deducted 5% for each calendar day, if an extension has not been preapproved.
Comments:______________________________________________________________________________
Grade
/100