Colostomy Teaching 1313

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.

Colostomy Teaching 1314

SN instructed patient to should eat three or more times a day. Small frequent meals may be better tolerated and produce less gas.

Colostomy Teaching 1315

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.

Colostomy Teaching 1635

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.

Colostomy Teaching 1654

SN instructed patient and family on how to change the colostomy bag. Patient also educated on to drink more water and fruit juices, up to six to eight glasses per day. Include fresh fruits and vegetables in your diet, as well as fibrous foods such as whole-grain breads and cereals to prevent constipation

Colostomy Teaching 1655

SN instructed patient and caregiver on how to change the colostomy bag. SN instructed how to properly closes the bag and explains that there are different types; do not expect to see the same bag always. SN instructed that patient and caregiver have to wash their hands and always use gloves before working on the colostomy area.

Colostomy Teaching 1687

Skilled nurse teaching how patient performed colostomy care , washed the stoma itself and the skin around the stoma with soft paper towels, mild soap and water. Measured the stoma, cut out the opening, removed the paper back and set it aside. Finally hold the punch with the sticky side toward your body. Center the opening on the stoma , then press firmly abdomen for 30 seconds.

Colostomy Teaching 1701

Instructed patient about his social life he will be able to resume your social activities. Your colostomy should not interfere. You will gain confidence and security with the pouch remaining intact. You will be able to be independent in emptying and changing the pouch.

Colostomy Teaching 1702

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.

Colostomy Teaching 1705

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.