What is a colostomy?
A colostomy is an opening in the belly (abdominal wall) that is made during surgery. The end of the colon (large intestine) is brought through this opening to form a stoma. Where the stoma will be on the abdomen depends on which part of the colon is used to make it. Some colostomies are large, some small; some are on the left side of the abdomen, Some are on the right side, others may be in the middle. An enterostomal therapy (ET) nurse or the surgeon will figure out the best location for your stoma. (An ET nurse is a specially trained registered nurse who takes care of and teaches ostomy patients. This nurse may also be called a Wound, Ostomy and Continence nurse (WOC) or an ostomy nurse.) When you look at a stoma, you are actually looking at the lining (the mucosa) of the
intestine, which looks a lot like the lining of your cheek. The stoma will look pink to red. It is warm and moist and secretes small amounts of mucus.
The way the stoma looks depends on the type of colostomy the surgeon makes and on individual body differences. It may look quite large at first, but it will shrink to its final size about 6 to 8 weeks after surgery. The shape will be round to oval. Some stomas may stick out a little, while others are flush with the skin.
How do I change my pouch?
How you change your pouch depends on the type you have. Your
caregiver will give you specific instructions on how to change your
colostomy pouch. The following is general information about how to
change your pouch:
- Ask how often to change your colostomy pouch: The type of pouch you wear affects the amount of time it can be worn. The kind and amount of bowel movement you have also affects how long the pouch stays on.
- Remove the pouch: Gently remove the pouch by pushing the skin down and away from the adhesive skin barrier with one hand. With the other hand, pull the pouch up and away from the stoma.
- Gently clean the skin around your stoma: Use mild soap and water. Do not use soaps that have oil or perfumes. Pat your skin dry.
- Use a pouch with the right size opening: Use a pouch that has an opening that is ⅛ of an inch larger than your stoma.
- Use skin products to help reduce irritation: These products can help protect your skin and keep it dry.
- Use slight pressure to place your pouch: Center the pouch over the stoma and press it firmly into place on clean, dry skin. It may be helpful to hold your hand over the new pouch for 30 seconds. The warmth of your hand can help stick the adhesive skin barrier into place.
- Dispose of the used pouch correctly: If the pouch is disposable, place the old pouch in another plastic bag and throw it in the trash. If you use a reusable pouch, talk to your caregiver about how to clean it.
Very nice information about ostomy care
ReplyDeleteNice post. Well what can I say is that these is an interesting and very informative topic on ostomy appliance
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