What are the nursing care needed for patients with colostomy?
Table of Contents
What are the nursing care needed for patients with colostomy?
Caring for a Colostomy
- Use the right size pouch and skin barrier opening.
- Change the pouching system regularly to avoid leaks and skin irritation.
- Be careful when pulling the pouching system away from the skin and don’t remove it more than once a day unless there’s a problem.
- Clean the skin around the stoma with water.
What is involved in ostomy care?
involves the removal of diseased. portions of the gastrointestinal or urinary system and creation of an artificial opening in the abdomen to allow for the elimination of body wastes.
How do you care for a stoma nurse?
Stoma Care
- Wash your skin with warm water and dry it well before you attach the pouch.
- Avoid skin care products that contain alcohol. These can make your skin too dry.
- Do not use products that contain oil on the skin around your stoma.
- Use fewer, special skin care products to make skin problems less likely.
What should you report to the nurse immediately regarding ostomy care?
If you have a colostomy or ileostomy, call your ostomy care nurse if you notice:
- Skin irritation.
- Recurrent leaks under your pouching system or skin barrier.
- Excessive bleeding of your stoma.
- Blood in your stool.
- A bulge in the skin around your stoma.
- Persistent diarrhea.
- Diarrhea with pain and/or vomiting.
What assessments should be done on a patient with an ostomy?
After assessing the stoma and peristomal skin, the nurse should assess the abdomen to check for distention and check the surgical incision for bleeding, dehiscing, or any other abnormality. Drains should also be assessed for the type and amount of drainage.
Is colostomy care a sterile procedure?
Sterile supplies are used in acute care with a fresh post-surgical urostomy. A patient in the community may not use sterile supplies, but strict adherence to proper hand hygiene is required to prevent infections of the bladder, kidney, or urinary tract. Never place anything inside the stoma.
Which task is required when emptying an ostomy bag?
Empty the pouch Put a layer of toilet paper in the toilet bowl to keep stool from splashing. Pull your clothes away from the pouch. Hold the bottom of the pouch up. Open the Velcro closures or remove the clamp and set it aside.
How do you perform an ostomy?
Follow these steps:
- Gently remove the pouch.
- Clean the skin under the pouch with water.
- Dry the skin.
- Sprinkle ostomy powder on the skin. Then gently wipe off the extra powder.
- Reattach or replace the pouch.
What do stoma nurses do?
A stoma nurse is a specialised role and will look after and advise patients with a colostomy, ileostomy or urostomy before and after surgery. This care may come from a Colorectal Nurse Specialist or a Stoma Nurse.
What must the nurse assess and document regarding a stoma and why?
What are the factors when assessing an ostomy?
Assess stoma and peristomal skin. A stoma should be pink to red in colour, raised above skin level, and moist. Skin surrounding the stoma should be intact and free from wounds, rashes, or skin breakdown. Notify wound care nurse if concerned about peristomal skin.
How often do you irrigate a colostomy?
General guidelines. Irrigate your colostomy the same time every day. The process takes 45 minutes to an hour to complete. Don’t irrigate if you have diarrhea or you are not feeling well.
How do you irrigate an ostomy?
Colostomy: Irrigating Your Colostomy
- Fill the bag. Close the clamp on the tubing attached to the irrigation bag.
- Put on the sleeve. Remove the cap or pouch from your stoma.
- Insert the cone. Attach the cone to the tubing on the bag.
- Remove the cone and clamp the sleeve. Wait about 60 seconds.
- Clean the cone and the sleeve.
What is the difference between colostomy and ostomy?
A colostomy is an operation that connects the colon to the abdominal wall, while an ileostomy connects the last part of the small intestine (ileum) to the abdominal wall.
How do you empty and change an ostomy bag?
Changing Your Ostomy Pouch
- Keep the clip. Put the old ostomy pouch in a bag and then place the bag in the trash.
- Clean the skin around your stoma with warm soap and water and a clean washcloth or paper towels. Dry with a clean towel.
What is a stoma nurse called?
Learn when to contact your stoma nurse Your stoma care nurse has the specialized training to help you care for your ostomy and address any issues that arise. These professionals are also known as “WOC” (wound, ostomy, and continence) or “ET” (enterostomal therapy) nurses.
What do you do for a bleeding stoma?
Try pressing gently with a wipe to the area which is bleeding and this will usually stop. If it continues for more than 10 minutes without stopping, it is a good idea to discuss with your Stoma Care Nurse.
