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 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.
Instructed patient Call your doctor if the skin around your stoma: Pulls back
, Is red or raw, has a rash, is dry, hurts or burns, swells or pushes out.
Instructed patient to check your skin and the back
of your skin barrier each time you change your pouching system. You can use a mirror to check your skin under the stoma. Look for any places where stool or urine may have leaked under the skin barrier and onto your skin. When you apply your next pouching system these areas may need some extra reinforcement with skin barrier strips, rings or paste.
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.