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Learning outcomes descriptions 3.4.b

Competence description VQTS:
3.4.b   To be able to assess and take care of stomas according to prescription.   
Competence SkillsKnowledge

The professional caregiver is autonomously and self-responsibly able to assess the status and to provide adequate care of stomata.


































The professional caregiver is able to:

  • choose, to prepare and to apply equipment for stoma care (e.g. one-piece kits, two-piece kits, supplementary kits),
  • perform care of diverse types of stomata of the gastrointestinal tract (e.g. removing and applying stoma bags),
  • administer nutrition and medications through percutaneous enteral gastrostomy (see also CA.2.2 and CA.3.2)
  • perform irrigation into stomata (see also CA.2.4),
  • perform care of diverse types of stomata of the urinary system (e.g. removing and applying urostomy bags),
  • perform care of tracheostomy,
  • apply tracheostomy care for mechanical ventilated patient’s/client’s (see also CA.3.5),
  • apply methods of wound care in stoma care (e.g. to identify and to report skin problems and to provide adequate care),
  • care for patient’s/client’s before and after surgery,
  • carry out a stoma documentation (see also CA.A.2),
  • react adequate to the patient’s/client’s needs,
  • react adequate to changes in the patient’s/client’s condition and to decide how has to be involved in the care process (e.g. attending physician),
  • apply stoma care templates.    

The professional caregiver is able to:

  • explain legal regulations and consequences regarding stoma care (see also CA.B.3),
  • explain the anatomy and physiology of the gastrointestinal tract,
  • explain diseases that can lead to stomata of the gastrointestinal tract,
  • describe consistency of faeces according different gastrointestinal stomata,
  • explain the need for special nutrition regarding different gastrointestinal stomata (see also CA.2.2),
  • explain the anatomy and physiology of the urinary system,
  • explain diseases that can lead to stomata of the urinary system,
  • explain the anatomy and physiology of the lungs and the pulmonary system,
  • explain disease that can lead to tracheostomy,
  • describe airway suction through tracheostomy (see also CA.3.5),
  • explain preoperative care for patient’s/client’s who should receive a stoma,
  • explain postoperative care for patient’s/client’s who received a stoma,
  • describe types of stomata in childhood and their possible cause,
  • define proper location for different stomata,
  • name necessary equipment for stoma care and care products for stoma care (e.g. one- piece kits, two-piece kits, stoma caps, irrigation kit, urine collection bags, accessories such as adhesive pastas, antiseptic cloths and disinfectant, skin protection creams),
  • list problems associated with stomas (e.g. changes in faeces and odour, skin problems, dehydration, bleeding from stomata),
  • designate professions to be involved in stoma care (e.g. stoma nurse, attending physician),
  • explain one’s own behaviour when dealing with risky situations and changes in the patient’s/client’s condition.

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