Colostomy Care

Published on December 2017 | Categories: Documents | Downloads: 32 | Comments: 0 | Views: 317
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Colostomy Care Assessment: 1. Identify the type of ostomy the patient has and its location (Bowel Urinary Diversion). 2. Assess the skin integrity around the stoma and as general appearance. 3. Note the amount and character of any fecal material or urine in the pouch. 4. Determine whether the patient is being taught self-care at the moment. Planning: 1. Wash your hands. 2. Gather the equipment needed in changing a pouch or dressing. 3. Cleansing supplies including tissues, warm water, mild soap, wash cloth, and a towel. 4. Clean pouch of the type currently being used. 5. Seal or use tape to prevent leakage. 6. Clean belt. 7. Dressing materials. 8. Receptacle for the soiled pouch or dressing (bedpan, paper bag/newspaper for wrapping). 9. Protective spray. 10. Clean gloves. 11. Determine whether the patient is to participate actively. 12. Choose the appropriate location in performing the procedure (bathroom/bedside). Implementation: 1. Identify the patient. 2. Explain the procedure to the patient. 3. Put on clean gloves for infection. 4. Assist the patient to the bathroom or provide privacy. 5. Remove the soiled dressing. 6. Using warm water and a mild soap, cleanse the skin around the stoma thoroughly. Inspect skin for redness or irritation. 7. Cover the stoma with a tissue to prevent feces or urine from contacting. Change tissues as necessary during the procedure. 8. Dry the skin around the stoma carefully, patting gently. 9. Apply a skin protective spray if needed. 10. Allow the skin to dry thoroughly so the pouch will adhere firmly (a hair on a low setting at least 18 inches from the skin may be used). 11. Remove the tissue from the stoma and apply the clean pouch or dressing. 12. Remove gloves and wash hands. Evaluation: Evaluate using the following criteria: 1. Pouch or dressing secured. 2. Area clean. 3. Odor free. 4. Patient comfortable. 5. If the patient is being taught the procedure, add the following criteria:  Patient is able to change pouch using correct technique

 Patient verbalizes understanding of key points in care. Documentation: Record the following information: 1. The amount, color, and consistency of the fecal material or urine in the pouch. 2. The application of the clean pouch and dressing change. 3. The knowledge and ability of the patient to participate in the procedure or ability to change independently.

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