including damage eyes retinopathy which can lead blindness damage nerves neuropathy
Colostomy
SN instructed patient diarrhea can
occur for a variety of reasons, such as viral or bacterial infections. Eating foods which
thicken stool may be helpful,as listed in a later food table. Be aware that diarrhea can
lead
to dehydration. Increase your fluid intake during this time.
Instructed patient If you do put tape around the skin barrier edges do not remove the tape after water activities. Removing the
tape may cause the skin barrier to loosen. It is helpful to hold your skin smooth as you put your pouching system on to avoid wrinkles that may lead
to leakage.
Instructed patient in some cases of colostomy, skin irritation or infection can
result from stool that leaks under the bag. A hernia can
develop around a colostomy, and the bowel may become narrow. Taking good care of your stoma and eating a balanced diet can
help you avoid these problems. Pouching systems are waterproof. However, you may feel more secure if you wear an ostomy belt or put
tape around the edges of your skin barrier when you are in the water.
Instructed patient a really important part of planning patients for stomas is to ensure the site is appropriate. Poor siting lead
s to a stoma which
the patient has difficulty in changing and cleaning. This lead
s to increased risk of skin, and other, complications.
Empty your pouch when one-third to one-half full. Change your skin barrier every 3-7 days. You should not experience frequent leakage of your pouch seal. If you do, consult a WOC Nurse. Usually soap is not needed to clean the peristomal skin. If you use soap, make sure it does not contain any oils or lotions that can
interfere with adhesives. Always rinse your skin and dry completely before you adhere the new pouch. After you apply your skin barrier, hold it in place against your skin for about one minute. This will help to activate the adhesive. You can
shower, bathe, or swim with your ostomy after you are cleared by your physician. If you are using a bedside collection bag, clean it daily with a recommended solution to help minimize odor, crystal formation, and bacteria.
Instructed caregiver many factors, such as foods, normal bacteria in your intestine, illness, certain medicines, and
vitamins can
cause odor some foods can
produce odor: eggs, cabbage, cheese, cucumber, onion, garlic, fish, dairy foods,
and coffee are among them. If you find that certain foods bother you, avoid them.
Instructed patient/caregiver about some things you can
do to help move things through your ostomy: Take a warm bath to
relax your abdominal muscles, fluids can
be taken if there is some stool output: solid foods should be avoided.
SN instructed patient to chew foods completely to help the digestive process. Especially avoid swallowing large pieces of leafy vegetables since they can
block the stoma opening on the abdominal wall.
SN instructed patient that to reduce diarrhea, omit fiber and bulk from your meals and eat foods that thicken your stools, such as white rice, applesauce, bananas, creamy peanut butter, yogurt, pasta, and bread. Continued diarrhea can
cause dehydration, so increase the amount of fluids in your diet.
SN instructed patient that too much of any food can
cause problems; eat moderate amounts and slowly to allow proper chewing and digestion. If a new food seems to give problems, don’t eat it for a few weeks, but try it again later.