OSTOMY CARE

A Brief Overview Catherine Walsh RN,BSN,CWOCN

Types of Ostomies

• Colostomy= large intestine • Ileostomy = small intestine • Ileal Conduit/Urostomy=urine

Appliances Available

• • • • One piece-Active Life=Cut-to-fit Two piece=Natura wafer and pouch, must match, cut-to-fit Pediatric Pouches=urostomy and drainable (colostomy), one piece Preemie=Newborn pouches-up to 10lbs

Additional Ostomy Supplies

• • • • • • Stomahesive Paste Stomahesive barrier=4x4, 8x8 Colostomy clamps Colostomy deodorant Stoma dressing-Stomaseal-for non-producing stomas Skin prep (Coloplast),

Care

• Measure stoma with measuring guide. Cut wafer/base same size as stoma. If measuring guide not available, cut small then enlarge opening as needed. Never leave exposed skin to contact with effluent.

Care…continued

• • Clean skin with water only Do not use perineal wipes or bath wipes around area for appliance when system is off pt

Care… Continued

• • • • • Paste is applied only to immediate area around stoma like caulking a pipe Remove paper backing thick base first Apply to skin Skin prep only where tape goes Remove remaining paper.

Care…continued

• • • Fold pouch over clamp only once-more folds will break lock of clamp and leak Deodorant may be placed in pouch before clamping Urostomy pouches must be opened when attached to foley bag

Care…continued

• • • • • Empty ½ full Do not let fill to top-will leak Replace when leakage occurs Ileostomy and Urostomy not connected to foley bag will fill quickly-2 hours Empty/burp gas frequently teach pt-can detach completely

Weartime:

• • • One piece pouch: 3-4 days or longer Two piece system: 5-7 days Contact WOCN nurse if changing more often