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Ateneo de Naga University: College of Nursing

A colostomy is a surgical procedure where part of the large intestine is brought through the abdominal wall to create an opening called a stoma. This allows waste to exit the body into an external pouching system that must be emptied and changed regularly. Proper care of the stoma and skin surrounding it is important to prevent irritation and infection. This involves assessing the stoma, applying a collection pouch, emptying it when 1/3 full, and providing cleaning and protection of the skin. Materials needed for care include a new pouching system, scissors, cleaning supplies, and adhesive products to secure the pouch.

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Renie Serrano
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69 views2 pages

Ateneo de Naga University: College of Nursing

A colostomy is a surgical procedure where part of the large intestine is brought through the abdominal wall to create an opening called a stoma. This allows waste to exit the body into an external pouching system that must be emptied and changed regularly. Proper care of the stoma and skin surrounding it is important to prevent irritation and infection. This involves assessing the stoma, applying a collection pouch, emptying it when 1/3 full, and providing cleaning and protection of the skin. Materials needed for care include a new pouching system, scissors, cleaning supplies, and adhesive products to secure the pouch.

Uploaded by

Renie Serrano
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© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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ATENEO DE NAGA UNIVERSITY

COLLEGE OF NURSING
Ateneo Avenue, Naga City 4400
S/Y 2020-2021

Colostomy Care

1. A colostomy is a surgical procedure that brings one end of the large intestine out through the
abdominal wall. During this procedure, one end of the colon is diverted through an incision in the
abdominal wall to create a stoma. A stoma is the opening in the skin where a pouch for collecting
feces is attached. People with temporary or long-term colostomies have pouches attached to their sides
where feces collect and can be easily disposed of. Colostomy care is how to change, empty, or clean
your pouch system
2. The feces that come out of the stoma can be very irritating to the skin. So it is important to take special
care of the stoma to avoid damage to the skin.
3. *Assess the location of the stoma and the type of colostomy performed. Stoma location is an indicator
of the section of bowel in
which it is located and a predictor of the type of fecal drainage to
expect.
• Assess stoma appearance and surrounding skin condition frequently (see Box 24-15). Assessment of
stoma and skin condition
is particularly important in the early postoperative period, when
complications are most likely to occur and most treatable.
• Position a collection bag or drainable pouch over the stoma.
Initial drainage may contain more mucus and serosanguineous
fluid than fecal material. As the bowel starts to resume function,
drainage becomes fecal in nature. The consistency of drainage depends on the stoma location in the
bowel.
• In ordered irrigate the colostomy, instilling water into the colon
similar to an enema procedure. The water stimulates the colon to
empty.
• When a colostomy irrigation is ordered for a client with a double-barrel or loop colostomy, irrigate
the proximal stoma. Digital assessment of the bowel direction from the stoma can assist in
determining which is the proximal stoma. The distal bowel carries no fecal contents and does not need
irrigation. It may be irrigated for cleansing just prior to anastomosis
4. Materials needed
A new pouch (a 1-piece system, or 2-piece system that has a wafer)
A pouch clip.
Scissors.
A clean towel or paper towels.
Stoma powder.
Stoma paste or a ring seal.
Skin wipes.
A measuring card and a pen
5. Empty a drainable pouch or replace the colostomy bag as
needed or when it is no more than one-third full. If the pouch is
allowed to over fill, its weight may impair the seal and cause leakage.
ATENEO DE NAGA UNIVERSITY
COLLEGE OF NURSING
Ateneo Avenue, Naga City 4400
S/Y 2020-2021

Colostomy Care
• Provide stomal and skin care for the client with a colostomy as
for the client with an ileostomy (Box 24-15). Good skin and
stoma care is important to maintain skin integrity and function as
the first line of defense against infection.
• Use caulking agents, such as Stomahesive or karaya paste, and a
skin barrier wafer as needed to maintain a secure ostomy
pouch. This may be particularly important for the client with a
loop colostomy. The main challenge for a client with a transverse
loop colostomy is to maintain a secure ostomy pouch over the
plastic bridge.
• A small needle hole high on the colostomy pouch will allow flatus to escape. This hole may be
closed with a Band-Aid and
opened only while the client is in the bathroom for odor control. Ostomy bags may “balloon” out,
disrupting the skin seal, if
excess gas collects.

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