Stoma Care Procedure
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Questions and Answers

What are the consequences of not taking care to protect the skin around the stoma?

Irritation or infection may occur

What is the primary cause of skin erosion around the stoma area?

A leaking appliance

How often should fluid intake and output be recorded in the initial postoperative period?

Every 4 hours for the first 3 days after surgery

What is an essential aspect of patient teaching in colostomy care?

<p>Encouraging the patient to participate in care and to look at the ostomy</p> Signup and view all the answers

What is a potential complication of inadequate stoma site cleaning and hygiene?

<p>Candida or yeast infections</p> Signup and view all the answers

What is the significance of ensuring the peristomal skin is clean and free of any liquid or stool before applying a new appliance?

<p>It ensures a secure adhesion of the appliance and prevents skin irritation or maceration.</p> Signup and view all the answers

What is the primary purpose of removing gloves and additional PPE after stoma care, and how does it contribute to infection control?

<p>The primary purpose is to prevent the spread of microorganisms, and it contributes to infection control by reducing the risk of transmission and contamination of other items.</p> Signup and view all the answers

What are the expected outcomes when a patient participates in stoma irrigation with increasing confidence, and what does it indicate about the patient's overall well-being?

<p>The expected outcomes include the irrigation solution flowing easily into the stoma opening, the patient expelling soft, formed stool, and the patient remaining free of any evidence of trauma to the stoma and intestinal mucosa. It indicates that the patient is able to cope with the stoma care and is on the path to recovery.</p> Signup and view all the answers

What is the primary purpose of promoting patient comfort during stoma care, and how does it contribute to the overall care process?

<p>The primary purpose is to ensure the patient's physical and emotional comfort during the care process, and it contributes to the overall care process by reducing anxiety and promoting cooperation.</p> Signup and view all the answers

What is the significance of using adhesive removers during stoma appliance removal, and how does it contribute to the overall stoma care process?

<p>The significance of using adhesive removers is to gently remove the appliance without causing skin irritation or trauma, and it contributes to the overall stoma care process by promoting skin integrity and reducing the risk of complications.</p> Signup and view all the answers

What is the purpose of applying a skin protectant to a 2-inch radius around the stoma, and how long does it take to dry completely?

<p>To protect the skin from the excoriating effect of the excretion and appliance adhesive; it takes about 30 seconds to dry completely.</p> Signup and view all the answers

Why is it essential to ensure the skin around the stoma is thoroughly dry before applying the appliance?

<p>To get good adherence and prevent leaks.</p> Signup and view all the answers

What is the consequence of a faceplate opening that is too small, and how can it be avoided?

<p>Trauma to the stoma; it can be avoided by cutting the opening 1/8 inch larger than the stoma size.</p> Signup and view all the answers

Why is it necessary to assess the stoma and condition of the surrounding skin during stoma site maintenance?

<p>To identify any changes in color and size of the stoma, which may indicate circulatory problems.</p> Signup and view all the answers

What is the purpose of gently patting the area around the stoma dry, and how does it prevent trauma?

<p>To prevent trauma to the skin and stoma; gentle patting helps to avoid rubbing or pulling on the skin, reducing the risk of trauma.</p> Signup and view all the answers

What is the correct technique for removing the pouch faceplate from the skin, and why is it important?

<p>Pushing the skin from the appliance rather than pulling the appliance from the skin, starting from the top, to prevent irritation and skin damage.</p> Signup and view all the answers

What is the purpose of applying a silicone-based adhesive remover during pouch faceplate removal, and how should it be applied?

<p>To remove excess adhesive from the skin, by spraying or wiping with a remover wipe, to facilitate easy removal and prevent skin irritation.</p> Signup and view all the answers

Why is it important to assess the stoma and surrounding skin after cleaning and preparing the site for a new appliance?

<p>To identify any potential issues or complications, such as signs of infection or irritation, and to ensure the skin is clean and dry for the new appliance.</p> Signup and view all the answers

What is the purpose of applying a skin protectant to the peristomal area, and how long should it be allowed to dry?

<p>To protect the skin from irritation and adhesive, and to allow it to dry completely for about 30 seconds.</p> Signup and view all the answers

What is the primary benefit of using a silicone-based adhesive remover in patients with ostomies?

<p>Preventing skin irritation and breakdown and improving quality of life</p> Signup and view all the answers

Why is it important to measure the stoma opening accurately, and how should the faceplate be cut to accommodate the stoma?

<p>To ensure a secure fit of the appliance, and to cut the faceplate 1/8 inch larger than the stoma size to accommodate any variations.</p> Signup and view all the answers

What is the primary advantage of successful colostomy irrigation in patients with colostomies?

<p>A regular, predictable elimination pattern, allowing for the use of a small covering over the colostomy between irrigations</p> Signup and view all the answers

Why are ileostomies not typically irrigated, unlike some colostomies?

<p>The fecal content of the ileum is liquid and cannot be controlled</p> Signup and view all the answers

What is an important consideration during equipment assessment for patients with colostomies?

<p>Determining the patient's typical irrigation solution volume and any special routines during irrigation</p> Signup and view all the answers

What role do nurses play in promoting healthy physiologic responses in patients with ostomies?

<p>Advocating for the use of products that prevent skin irritation and breakdown and improve quality of life</p> Signup and view all the answers

What is the rationale behind wiping the lower 2 inches of the pouch with toilet tissue during stoma appliance emptying?

<p>To prevent the spread of microorganisms and contamination of other items</p> Signup and view all the answers

Why is it essential to remove the clamp before emptying the pouch into a measuring device?

<p>To prevent accidental spillage of fecal material</p> Signup and view all the answers

What is the purpose of using a silicone-based adhesive remover during stoma appliance removal?

<p>To gently remove the pouch faceplate from the skin without causing skin irritation or damage</p> Signup and view all the answers

Why is hand hygiene crucial after removing PPE and changing an ostomy appliance?

<p>To prevent the spread of microorganisms and infection transmission</p> Signup and view all the answers

What is the significance of placing a waterproof pad under the patient at the stoma site during appliance removal?

<p>To protect the linens and patient from moisture and fecal material</p> Signup and view all the answers

What is the primary reason for ensuring a tightly sealed appliance, and how does it impact the patient's overall comfort and safety?

<p>A tightly sealed appliance is essential to prevent leakage and subsequent embarrassment and discomfort for the patient. It ensures a secure fit and prevents accidents.</p> Signup and view all the answers

Describe the correct technique for removing the backing from the appliance, and explain its significance in stoma site maintenance.

<p>The correct technique involves quickly removing the backing from the appliance and easing it over the stoma, ensuring a smooth and secure fit. This is crucial to prevent skin irritation and ensure a secure seal.</p> Signup and view all the answers

What is the purpose of applying gentle pressure to the appliance for 5 minutes, and how does it contribute to the overall effectiveness of the appliance?

<p>Applying gentle pressure to the appliance for 5 minutes ensures a secure seal and promotes adhesion, making the appliance effective in managing stoma output.</p> Signup and view all the answers

Explain the significance of removing gloves and additional PPE after stoma care, and how it contributes to infection control.

<p>Removing gloves and additional PPE after stoma care prevents the transmission of microorganisms and promotes infection control, ensuring a safe environment for the patient and healthcare provider.</p> Signup and view all the answers

Describe the correct technique for closing the bottom of the appliance or pouch, and explain its significance in preventing leakage and promoting patient comfort.

<p>The correct technique involves folding the end upward and using the clamp or clip that comes with the product, or securing the Velcro closure. This ensures a secure seal and prevents leakage, promoting patient comfort and safety.</p> Signup and view all the answers

What is the purpose of using a skin protectant to a 2-inch radius around the stoma, and how does it contribute to the overall stoma care process?

<p>The skin protectant creates a barrier that prevents skin irritation and promotes skin health, contributing to the overall stoma care process and patient comfort.</p> Signup and view all the answers

Explain the significance of assessing the stoma and condition of the surrounding skin during stoma site maintenance, and how it contributes to the overall care process.

<p>Assessing the stoma and surrounding skin enables healthcare providers to identify potential complications and promote early intervention, contributing to the overall care process and patient outcomes.</p> Signup and view all the answers

What is the primary purpose of promoting patient comfort during stoma care, and how does it contribute to the overall care process?

<p>Promoting patient comfort during stoma care reduces anxiety and promotes relaxation, contributing to the overall care process and patient satisfaction.</p> Signup and view all the answers

Describe the correct technique for tracing the same-sized circle on the back and center of the skin barrier, and explain its significance in stoma site maintenance.

<p>The correct technique involves tracing the same-sized circle on the back and center of the skin barrier, ensuring a proper fit and promoting adhesion. This is crucial to prevent skin irritation and ensure a secure seal.</p> Signup and view all the answers

Explain the significance of using adhesive removers during stoma appliance removal, and how it contributes to the overall stoma care process.

<p>Adhesive removers facilitate gentle removal of the appliance, reducing the risk of skin trauma and promoting skin health, contributing to the overall stoma care process and patient comfort.</p> Signup and view all the answers

Study Notes

Changing and Emptying an Ostomy Appliance

  • Removing the pouch faceplate from the skin: gently push the skin from the appliance, starting from the top, while keeping the abdominal skin taut.
  • Apply a silicone-based adhesive remover to facilitate removal.
  • Remove the backing from the faceplate and ease it over the stoma, gently pressing onto the skin while smoothing over the surface.

Assessing the Stoma and Peristomal Skin

  • Use toilet tissue to remove excess stool from the stoma.
  • Cover the stoma with a gauze pad and clean the skin around the stoma with mild soap and water or a cleansing agent.
  • Remove old adhesive from the skin, using an adhesive remover if necessary.
  • Do not apply lotion to the peristomal area.

Applying a New Appliance

  • Apply a skin protectant to a 2-inch radius around the stoma, allowing it to dry completely (about 30 seconds).
  • Measure the stoma opening using a measurement guide, and trace the same-size opening on the back center of the appliance faceplate.
  • Cut the opening 1/8 inch larger than the stoma size.

Importance of Patient Care and Education

  • Patient teaching is crucial in colostomy care and should include family members when appropriate.
  • Encourage patients to participate in care and to look at the ostomy.
  • Patients may experience emotional depression during the early postoperative period, so it is essential to provide emotional support and education.

Prevention of Infection and Skin Irritation

  • Use gloves to prevent contact with blood and body fluids.
  • Ensure the peristomal skin is clean and dry before applying a new appliance.
  • Remove contaminated gloves and perform hand hygiene to prevent the spread of microorganisms.
  • Use a silicone-based adhesive remover to prevent skin irritation and breakdown.

Colostomy Irrigation

  • Irrigations are infrequently used to promote regular evacuation of some colostomies.
  • Factors such as the site of the colostomy in the colon and the patient's and physician's preferences determine whether a colostomy is irrigated.
  • Ileostomies are not irrigated because the fecal content of the ileum is liquid and cannot be controlled.
  • Successful colostomy irrigation can offer a regular, predictable elimination pattern for the patient, allowing for the use of a small covering over the colostomy between irrigations instead of a regular appliance.

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Related Documents

Module 14 Chapter 23 PDF

Description

Learn about the steps involved in stoma care, including preparing the peristomal skin, applying a new appliance, and promoting patient comfort. This quiz covers the essential procedures for stoma care.

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