Instructed caregiver in vacuum assisted closure (VAC) that is a type of therapy to help wounds heal. The process heal open wound through the application of negative pressure. Another benefits of the negative pressure wound therapy are draining excess fluid from the wound, keeping your wound moist and warm, helping draw together wound edges and increasing blood flow to your wound. Caregiver verbalized understanding.
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.
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.
Instructed caregiver when to Call the doctor: If you have choking or difficulty breathing during a feeding, stop the feeding and call your doctor immediately.If you cannot unclog your tube, call your doctor immediately.
Instructed patient call your doctor if the following persist: diarrhea, constipation, nausea, or dehydration, call your doctor if you have redness, pain, swelling, or unusual drainage at the stoma site.
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.
SN instructed patient about constipation and diarrhea can still occur with a colostomy. Reasons why constipation may occur include certain medications, not drinking enough fluids or eating enough fiber, just like before you had a colostomy.
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.
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.