Instructed patient measure your stoma once a week for the first 6 to 8 weeks after your ostomy surgery. Your stoma shrinks while it is healing and you need to keep measuring so you can make sure that the opening in the skin barrier is the right size for your stoma. Remeasure your stoma if any irritation develops between the stoma and skin barrier wafer.
Instructed patient to check your skin and the back of your skin barrier each time you change your pouching system. You can use a mirror to check your skin under the stoma. Look for any places where stool or urine may have leaked under the skin barrier and onto your skin. When you apply your next pouching system these areas may need some extra reinforcement with skin barrier strips, rings or paste.
SN instructed patient to try eating the main dinner meal at noon and a smaller meal in the evening. This helps to reduce the stool output at night.
SN instructed patient to drink 2 to 3 quarts of water a day. This helps to keep the stool fluid, and it also prevents dehydration.
SN instructed patient to should eat three or more times a day. Small frequent meals may be better tolerated and produce less gas.
Patient was instructed about showering and bathing. The pouches are waterproof therefore you can wear it in the shower. Your pouch will remain intact when underwater, bathing bathing or swimming.
SN instructed patient about constipation and diarrhea can still occur with a colostomy. Reasons why constipation may occur include certain medications, not drinking enough fluids or eating enough fiber, just like before you had a colostomy.
Skilled nurse teach patient's and describe each step of the procedure , encouraging participation in ostomy care,teach patient about a new stoma techniques to use for cleansing. No signs of symptoms of infections noted.
Instructed patient call your provider if: Your stoma is swollen and is more than a 1/2 inch (1 cm) larger than normal.Your stoma is pulling in, below the skin level. Your stoma is bleeding more than normal.
Instructed patient Things to know about your stoma include: Your stoma is the lining of your intestine, It will be pink or red, moist, and a little shiny. Stomas are most often round or oval, A stoma is very delicate.