colostomy
Procedures
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.
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 doctor if increase pain in the abdomen or the incision,fever, redness or drainage of the incision, irritation, or redness , or drainage of the incision, change bowel habits, such as:diarrhea, or constipation or skin irritation.
Instructed patient call your doctor if it is does not get better when you treat it.If your stoma is leaking, your skin will get sore, be sure to treat any skin redness or skin changes right away, when the problem is still small. Do not allow the sore area to become larger or more irritated before asking your doctor about it, If your stoma becomes longer than usual (sticks out from the skin more), try a cold compress, like ice wrapped in a towel, to make it go in.
Instructed patient Call your doctor if the skin around your stoma: Pulls back, Is red or raw, has a rash, is dry, hurts or burns, swells or pushes out.
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 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.
Instructed patient when you have a stoma that drains urine or loose stool you may want to consider using an extended wear skin barrier because it will give your skin added protection. Itching or burning under the skin barrier may indicate that you have leakage, a skin rash, or a skin infection. You need to remove your pouching system as soon as possible to check your skin for any irritation.
Instructed patient the stoma is your bowel. It is protected by mucus so stool or urine won’t hurt it. A stoma rarely becomes infected. The most important thing is to protect the skin around your stoma. A correct fitting pouching system is the best way to prevent an infection of your skin. If there is a small leak under my skin barrier, is it okay to patch it with tape or paste: Always change your pouching system at the first signs of leakage.