Colostomy care

Colostomy care: 

Colostomy care By Shahajahan Banu , Lecturer, Medical Surgical Nursing

Definition : 

Definition A colostomy is a surgically created opening (stoma) in the colon. Colostomy can be either temporary or permanent.

PowerPoint Presentation: 

Purpose: To provide an out let for intestinal waste products (drainage of fecal matter) Consistency of discharge Ascending colostomy : liquid fecal drainage Transverse colostomy : malodorous, mushy Descending colostomy: solid fecal drainage

Equipments: 

Equipments 1- Pouching system 2- Disposable gloves 3- Bedpan 4- Plastic bag 5- Water basin 6- Washcloth 7- Tissue paper 8- Clamp 9- Cleansing solution, as ordered

Procedure: 

Procedure Explain the procedure to the patient (to alleviate anxiety). Screen the patient (to provide for privacy). Prepare all materials needed (to conserve time and energy). Wash your hands thoroughly (to prevent spread of infection). Wear gloves (to prevent direct contact with discharges).

PowerPoint Presentation: 

Remove contents of the pouch; Turn the bottom of the pouch upward, and then take off the clamp. Let contents drain into the bedpan. Wipe the end of the pouch with tissue paper, and then return the clamp. Remove the pouch by taking off the tape, while pressing underneath the skin. Wipe the stoma with a wet wash cloth, then flushes it with a doctor prescribed cleansing solution. Rinse thoroughly.

PowerPoint Presentation: 

Start dries the skin around the stoma (the pouch will adhere effectively to a dry surface). If needed, shave surrounding hair (to provide a better adhesion, and prevent irritation from hair pulling against the adhesive). Measure stoma with guide provided. Select a flange size at least 1/2 cm. larger than the stoma.

PowerPoint Presentation: 

Trace stoma size on to the white backing paper, centering around the starter hole. Cut along tracing using curved scissors. Remove white backing paper. Center enlarged hole over stoma, then press firmly the sticky side to the skin (to ensure adhesion). Carefully pull on the pouch (to check if the pouch is fixed firmly over the stoma).

PowerPoint Presentation: 

Allow a bit of air in the pouch (so drainage will fall to the bottom). Put on closure clamp (to prevent leakage). Discard old appliance and used gloves properly. Document / Chart. Record date and time the procedure was conducted, the character of drainage and the appearance of stoma.