COLOSTOMY:
- A colostomy is a surgical procedure that brings one end of the large intestine out through the abdominal wall. During this procedure, one end of the colon is diverted through an incision in the abdominal wall to create a stoma.
- A stoma is the opening in the skin where a pouch for collecting feces is attached.
- People with temporary or long-term colostomies have pouches attached to their sides where feces collect and can be easily disposed.
ILEOSTOMY:
Colostomy and ileostomy are surgically created openings in the abdominal wall that alter the normal route for elimination of feces (bowel diversion surgery). An opening (stoma) is created in the abdominal wall. The intestine (colon or ileum) is brought to the stoma to create an artificial outlet for the gastrointestinal tract.
PROSTATECTOMY:
- A prostatectomy is surgery to remove all or part of the prostate.
- The prostate is a walnut-sized gland that’s located between a man’s bladder and penis.
Types of Prostatectomy:
There are two main types of prostatectomy:
A radical prostatectomy, and
An open simple prostatectomy.
- In a radical prostatectomy, removal of the entire prostate gland along with surrounding tissue, including lymph nodes.
- This procedure is commonly done in men with prostate cancer.
- In an open simple prostatectomy, removal of the problematic part of the prostate, not the entire gland.
- This procedure is usually recommended for men who suffer from an enlarged prostate.
ULCER:
- Stomach ulcers are painful sores that can be found in the stomach lining or small intestine. Stomach ulcers are the most visible sign of peptic ulcer disease. They occur when the thick layer of mucus that protects your stomach from digestive juices is reduced. Stomach ulcers are easily cured, but they can become severe without proper treatment.
POSITIONING IN BURNS:
BODY PART |
DESIRED POSITION | TECHNIQUES TO
ACHEIEVE DESIRED POSITION |
HEAD | If facial or inhalation injury
has been sustained, elevate the head of bed up to 30 degrees for the first 48 hours to minimize facial edema
|
Elevate head of bed |
NECK | Slight extension, and
neutral rotation. Avoid hyperextension which creates difficulty with coughing, breathing and swallowing
|
No pillow, Neck conforme |
EARS/FACE
|
Prevent pressure
|
No pillow, ear cups
|
CHEST/ABDOMEN
|
Trunk extension, shoulder
retraction |
Towel roll lower spine,
Clavicle/Shoulder strap
|
SHOULDERS | Shoulder abduction 90
degrees. In sidelying, flex shoulders to 90 degrees to prevent pull on brachial plexus
|
Foam wedges, airplane
splints, bedside table when sitting, pillows
|
ELBOWS/FOREARM
|
Elbow extension, forearm
supination: antecubital burns, otherwise alternate. NEVER hyperextend |
Pillows, splints, bedside table
|
WRIST AND HANDS
|
Wrist extension 30
degrees, MCP flexion 75 degrees, IP flexion 0-5 degrees, thumb abduction
|
Splints, foam rolls, hand
cones, dressings
|
HIPS
|
Hips abducted, neutral
rotation, and neutral extension |
Foam wedges or pillows
between knees, trochanter rolls
|
KNEES .
|
Knee extension, neutral
rotation to prevent pull on peroneal nerve Slight flexion for anterior burn
|
Splints, casts, elevation
|
ANKLES |
Neutral to 5 degrees
dorsiflexion, neutral inversion/eversion
|
Splints, pillows, foam
wedges
|
CATHERINE SHALINI RAJA
M.P.T.,MIAP.,PGDYN
CARDIO RESPIRATORY PHYSCIAL THERAPIST
FITNESS & SPORTS REHABILITATION SPECIALIST.
THANK YOU MAM……. Super keep going…..
THANK YOU ABI