skin breakdown
Procedures
Instructed patient the stoma is your bowel. It is protected by mucus so stool or urine won’t hurt it. A stoma rarely becomes infected. The most important thing is to protect the skin
around your stoma. A correct fitting pouching system is the best way to prevent an infection of your skin
. If there is a small leak under my skin
barrier, is it okay to patch it with tape or paste: Always change your pouching system at the first signs of leakage.
Instructed patient If there is a small leak under my skin
barrier, is it okay to patch it with tape or paste: Do not try to patch the pouching system with tape or paste. A leak under the skin
barrier should not be fixed. Leaving a leaking pouch on can cause skin
irritation. Always empty your pouch before it is half-full. Release gas before the pouch gets too full. If you have a lot of gas, you may want to consider using a pouch with a vent or filter.
SN instructed patient about tracheotomy care dressing changes promote skin
integrity and help prevent infection at the stoma site and
in the respiratory system. The patient should be instructed at least once per shift, apply a new dressing to the stoma site to absorb secretions and insulate the skin
. After applying a skin
barrier, apply either a split - drain or a foam dressing. Change a wet dressing immediately.
Ostomy care Rinse the soap off the skin
around your stoma very well because the residue may keep your skin
barrier from sticking and may also cause skin
irritation.
SN instructed patient/CG keep the skin
around your biliary catheter dry. You can take showers if you cover the area with plastic wrap. If the area does get wet, dry the skin
completely after you shower.
Instructed patient about when should you seek
immediate help? Call nurse or go to the emergency room if: The area around where the catheter enters your skin
looks red,
feels warm or painful, or it is oozing fluid. You see a red line going up your arm from the place where the catheter enters your
skin
. Your arm will also be painful.
Instructed patient as much as possible, the skin
should be kept clean and dry. You may need to clean the skin
around the trach tube several times throughout the day. Call your doctor if you notice thick secretions that are yellow or green in color.
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.
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.
Tracheostomy care Instructed patient caregiver It is important to routinely clean the skin
around the opening of the tracheostomy (stoma). This
will help prevent skin
irritation and the build-up of secretions.