including damage eyes retinopathy which can lead blindness damage nerves neuropathy
Procedures
Colostomy
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 canlead to dehydration. Increase your fluid intake during this time.
Instructed patient If you do put tape around the skin barrier edges do not remove the tape after water activities. Removing the
tape may cause the skin barrier to loosen. It is helpful to hold your skin smooth as you put your pouching system on to avoid wrinkles that may lead to leakage.
Instructed patient in some cases of colostomy, skin irritation or infection can result from stool that leaks under the bag. A hernia can develop around a colostomy, and the bowel may become narrow. Taking good care of your stoma and eating a balanced diet can help you avoid these problems. Pouching systems are waterproof. However, you may feel more secure if you wear an ostomy belt or put
tape around the edges of your skin barrier when you are in the water.
Empty your pouch when one-third to one-half full. Change your skin barrier every 3-7 days. You should not experience frequent leakage of your pouch seal. If you do, consult a WOC Nurse. Usually soap is not needed to clean the peristomal skin. If you use soap, make sure it does not contain any oils or lotions that can interfere with adhesives. Always rinse your skin and dry completely before you adhere the new pouch. After you apply your skin barrier, hold it in place against your skin for about one minute. This will help to activate the adhesive. You can shower, bathe, or swim with your ostomy after you are cleared by your physician. If you are using a bedside collection bag, clean it daily with a recommended solution to help minimize odor, crystal formation, and bacteria.
SN instructed patient to chew foods completely to help the digestive process. Especially avoid swallowing large pieces of leafy vegetables since they can block the stoma opening on the abdominal wall.
SN instructed patient that to reduce diarrhea, omit fiber and bulk from your meals and eat foods that thicken your stools, such as white rice, applesauce, bananas, creamy peanut butter, yogurt, pasta, and bread. Continued diarrhea can cause dehydration, so increase the amount of fluids in your diet.
SN instructed patient that too much of any food can cause problems; eat moderate amounts and slowly to allow proper chewing and digestion. If a new food seems to give problems, don’t eat it for a few weeks, but try it again later.
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.
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.
Instructed patient measure your stoma once a week for the first 6 to 8 weeks after your ostomy surgery. Your stoma shrinks while it is healing and you need to keep measuring so you can make sure that the opening in the skin barrier is the right size for your stoma. Remeasure your stoma if any irritation develops between the stoma and skin barrier wafer.