How can I take care of a patient with colostomy?
Colostomy is performed for various reasons, including trauma, blocking and infection. The procedure is relatively intense and requires a commitment to subsequent colostomy care in the patient, nursing staff and doctors. Taking care of colostomy requires you to have knowledge and compassion. In general, the operation takes two to four hours. The most common type of colostomy is Hartmann's colostomy, a procedure in which the large intestine is cut in half. The end of the large intestine, which leads to the stomach, is supplied with the wall of the abdomen and attached to the skin. This area is a stoma.
After surgery, the end of the large intestine grows near the rectum. Most colostomy performed may be perverted after affected tissues of the healing of the large intestine. On days after the operation, you should check the appearance of the stoma to make sure it remains red and wet.
Check your belly ondistance or bleeding near the section of the cut. The intake and output must be monitored to reduce the risk of dehydration or electrolyte imbalance.
Within six to eight weeks, the swelling will decrease and the stoma decreases to its normal size. The stoma and surrounding skin should be routinely evaluated. Note the colors and heights of the stoma and look for skin damage such as blisters, ulcers or rashes.
patients with certain types of colostomy - descending or sigmoid - could decide not to wear a pouch and instead decide to irrigate. To prepare for irrigation, the patient with colostomy should sit in the toilet. Place a flexible catheter covered in jelly soluble in water no more than 3 inches (7.6 cm) into the stoma. Stop by the first sign of resistance. If necessary, use glove and greased finger to expand.
After the catheter is in place, it fills the large intestine 16.9 to 33.8 ounces (500 to 1,000 cm) of warm liquid. If the patient with colostomy experiences cramps, the fluid flow should be stopped until the convulsions disappear and then continued slowly. The liquid remains in the large intestine for a few minutes before it is exhausted to the toilet.
Sometimes side or back movement and back stimulate the return on fluids to increase if it slows down. Patient with colostomy should note that the amount and type of fluid will return after irrigation. Any obstacle or prolapse of the stoma must be reported immediately.
patients who have to use a bag system can choose between one -off or repeatedly usable and one -piece or two -piece. In a one -piece system, wafers and pouch are connected and attached to the site of the stoma. The plate and the case are separate in a two -piece system. Wafer is attached to the skin and a vesicles to the wafer. Patient colostomy should consider the advantages and disadvantages of each system.
you want to change the bag to colostomy, carefully remove the attacha system. Be gentle with wafer removal. The adhesive remover can be used to prevent skin decay. The area around the stoma should be cleaned and dried. Consider any skin damage and look for the correct treatment of the patient in the event of a rash, blister or fungal infection.
Apply the sealant to the skin surrounding the stoma and apply a new wafer. To keep the belly flat, a patient with colostomy could find that the position works best. Place the wafer on the skin. The stoma should fit through a hole with a ring of space between the stoma and a wafer.
Use your finger to exert pressure on the wafer and ensure the right skin adhesion. Connect the pouch to the wafer. When the plastic circles seal, the sound occurs. Place the tail on the open end of the pulp.
colostomy patients should tell their doctor about any abdominal pain, fever or skin irritation. Changing intestinal habits or hernia - often appearing as a bulge around a stoma - requires further medical care. ProblemThe leakage at the site of a stoma or a desire for another bag system can be easily resolved by visiting a doctor.