Ostomy Care Tasks Based On Stages

Front 1

What can be expected when teaching a newborn to 12 month old child/infant

Back 1

Trust vs mistrust
Cognitive level: sensorimotor
Child learns by touching, exploring his/her body.
Will begin to notice expression of caregivers.

Front 2

What must be taught to the primary caregiver of a newborn - 12 month old

Back 2

The caregiver provides total ostomy care.
Positive approach can include nuclear and extended family.

Front 3

What considerations must be taken into account for a Toddler (12month-3 year old)when teaching ostomy care

Back 3

Autonomy vs shame
Encourage the child to "help".
Hold measuring guide, peel off paper backing from appliance, play with teaching aid.
Give simple "here and now" explanations.

Front 4

What would you instruct the primary caregiver of a toddler (12 months-3 years)

Back 4

Same as for infant.
Positive approach
Process that is done with, not to, the child.
Encourage child's successes, minimize failures.

Front 5

When teaching ostomy care to a preschooler (3-5) what would you do?

Back 5

Allow to peel off papers.
Help clean peristomal skin.
Begins to learn emptying of pouch/manipulation of clamp.
Lessons should be short in duration.

Front 6

When teaching the primary caregiver of a preschooler (3-5) what would you instruct?

Back 6

CG performs work with scissors.
Completes cleansing of peristomal skin.
Oversees emptying of pouch/application and removal of clamp.
Applies ostomy system.
Channels child's curiosity in a positive manner.

Front 7

Ostomy care for a shoolchild (6-12)

Back 7

Early (6-9) Same as later preschooler period.
More adept at manipulating clamp and emptying pouch independently.
May begin to help apply ostomy system.
Uses scissors with supervision. Avid interest in teaching aids.
PREADOLESCENCE (9-12)
Child begins to assume self-care.
Uses teaching aids as tools for learning, not toys.

Front 8

Teaching ostomy care to a CG of a schoolchild (6-12)

Back 8

EARLY (6-9) Same as latter preschooler period.
Offer child patient, positive encouragement.
PREADOLESCENCE (9-12)
Joint effort with child.
Offers psychological support and encourages efforts at self-care.

Front 9

Ostomy care to an Adolescent (12-late teens, early twenties)

Back 9

EARLY TO MIDDLE (12-18)
Client generally assumes self-care
LATE (18-early 20s)
Manages self-care.
Generally responsible for obtaining own supplies and making appointments.

Front 10

Caregiver teaching of an adolescent with an ostomy

Back 10

EARLY to MIDDLE (12-18)
Instructed along with adolescent.
Monitors care, makes appointments, orders equipment.
Offers psychological support.
LATE: (18- early 20s)
Offers psychological support and encouragement.

Front 11

At what age would you expect the ostomy patient to generally assume self care?

Back 11

Adolescent- early to middle
12-18 y.o.

Front 12

At what age would you expect the ostomy patient to manage self care as well as be responsible for obtaining their own supplies and making their own appointments?

Back 12

Adolescent- Late
18-20s

Front 13

At what age would you expect the child to begin to assume self-care and use teaching aids as tools for learning, not toys?

Back 13

Schoolage- Preadolescence 9-12

Front 14

At what age would you expect the child with an ostomy to be more adept at manipulating the clamp and emptying the pouch independently?

Back 14

Schoolage- Early 6-9

Front 15

At what age would you expect the child with an ostomy to peel off papers, help clean the peristomal skin and begin to learn emptying of pouch/manipulation of clamp.

Back 15

Preschooler 3-5

Front 16

At what age would you expect the child with an ostomy to be encouraged to "help", hold measuring guide, peel off paper backing from appliance, play with teaching aids?

Back 16

Toddler 12 mos- 3 years

Front 17

At what age would you expect the child with an ostomy to learn by touching, exploring their body and begin to notice expressions of care givers.

Back 17

Infant newborn-12 mos.