Colostomy

Question 1

Nursing care plans and management

Answer 1

assisting the patient and/or SO during the adjustment,
preventing complications,
supporting independence in self-care, provide information about procedure/prognosis,
treatment needs,
and potential complications.

Question 2

Nursing assessment

Answer 2

Invasion of body structure (e.g., perineal resection)
Stasis of secretions/drainage
Altered circulation, edema; malnutrition

Question 3

Nursing intervention and action

Answer 3

Inspect the stoma and peristomal skin area with each pouch change. Note irritation, bruises (dark, bluish color), rashes

Question 4

Nursing interventions and action

Answer 4

Measure stoma periodically: at least weekly for the first 6 wk, then once a month for 6 mo. Measure both the width and length of the stoma.

Question 5

Nursing interventions and action

Answer 5

Investigate reports of burning, itching, or blistering around the stoma.

Question 6

Nursing interventions and action

Answer 6

Clean with warm water and pat dry. Use soap only if the area is covered with a sticky stool. If the paste has collected on the skin, let it dry, then peel it off.

Question 7

Nursing interventions and action

Answer 7

Verify that the opening on the adhesive backing of the pouch is at least 1⁄16 to 1⁄8 in (2–3 mm) larger than the base of the stoma, with adequate adhesiveness left to apply the pouch.

Question 8

N/I and action

Answer 8

Empty, irrigate, and cleanse the ostomy pouch on a routine basis, using appropriate equipment.
Use a transparent, odor-proof drainable pouch.