1. |
Understand the governance of stoma care in Wales. |
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1.1 | Summarise the current legislation national guidelines, policies, protocols and good practice for undertaking stoma care in Wales.
| 1.2 |
Explain own responsibilities and accountability in relation to current legislation, national guidelines, organisational policies and protocols which affect work practice when carrying out stoma care. |
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2. |
Understand the anatomy and physiology for conditions requiring stoma care. |
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2.1 |
Explain the reasons why stomas are fashioned.
| 2.2 |
Describe the structure and function of:
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colostomies
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ileostomies
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ileal conduits
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nephrostomy.
| 2.3 |
Explain the potential consequences of contamination of stoma drainage systems.
| 2.4 |
Explain the effects of diet and mobility on stoma function. |
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3. |
Be able to prepare individuals for stoma care. |
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3.1 |
Confirm the individual’s identity and gain valid consent.
| 3.2 |
Communicate information in a way that is sensitive to the personal beliefs and preferences of the individual.
| 3.3 |
Carry out preparatory checks against the individual’s care plan.
| 3.4 |
Use standard precautions for infection prevention and control.
| 3.5 |
Apply health and safety measures relevant to the procedure and environment.
| 3.6 |
Prepare equipment and materials for stoma care as prescribed/detailed in the individual’s plan of care. |
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4. |
Be able to carry out stoma care with an individual. |
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4.1 |
Describe the factors which will affect the level of assistance required when working with an individual with a stoma.
| 4.2 |
Agree the level of support required with an individual.
| 4.3 |
Carry out stoma care in line with local policies and protocols.
| 4.4 |
Explain the action to take if the prepared stoma care equipment is inappropriate or unsuitable.
| 4.5 |
Assist individuals to select and consume food and drink.
| 4.6 |
Support individuals to dispose of their own used stoma care equipment.
| 4.7 |
Support individuals to maintain personal hygiene with a stoma.
| 4.8 |
Support individuals to manage their own stoma.
| 4.9 |
Dispose of equipment and soiled linen in line with local policy and protocol. |
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5. |
Be able to monitor and check an individual’s condition following stoma care. |
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5.1 | Monitor an individual’s condition following the stoma care to include:
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checking for adverse effects and complications
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monitoring and recording an individual’s pattern of stoma function, consistency of body waste
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monitoring changes in the stoma
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reporting findings to colleagues in line with local policy and protocol.
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