Ostomy Care

In an article featured on Americannursetoday.com talks about patient education regarding ostomy care. Some of the topics covered include types of ostomies and stomas, finding the right ostomy pouch system, complications, nutritional considerations, and drug therapy.

The types of ostomies mentioned are the colostomy, ileostomy, and urostomy, and what is included is which organ will be affected, the location of the surgical opening, the consistency of the stool for each ostomy, and whether it is permanent or not. Regarding stomas, the type of stoma is picked based on the disease process, how much of the intestine is functioning, and the patient’s condition. The type of stomas that may be used are a double-barrel stoma, end stoma, or loop stoma.

In terms of pouch systems, there is a variety of options available nowadays. They may range from being one-piece systems or two-piece systems which consist of a barrier that may be precut or cut-to-fit and a pouch that is opaque or transparent.

Complications that should be reported involve fever, increased pain, dehydration, diarrhea, and infection of the surgical site. Also, the patient should note whether if there is no discharge coming from the stoma within 24 hours.

Nutritional considerations the patient should abide to are to start with clear liquids and to slowly introduce new foods to figure how well it may be tolerated. Also, the patient should make sure to stay hydration in order to prevent dehydration. The recommended fluid intake is 64 ounces per day for ileostomy patients.

Certain drugs should not be taken such as laxatives by ileostomy patients as dehydration may occur. It is important to contact your physician before taking any new drugs.

Through teaching patients about ostomy care and equipment, patients will hopefully be able to find the confidence and skill to gain independence and a better quality of life.

You can read the full article here.

References:

Bak, G. P. (2008). Teaching ostomy patients to regain their independence. American Nurse Today, 3(3). Retrieved from http://www.americannursetoday.com/teaching-ostomy-patients-to-regain-their-independence/