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OSTOMY CARE
A Brief Overview
Catherine Walsh RN,BSN,CWOCN
Types of Ostomies
• Colostomy= large intestine
• Ileostomy = small intestine
• Ileal Conduit/Urostomy=urine
Appliances Available• One piece-Active Life=Cut-to-fit• Two piece=Natura wafer and
pouch, must match, cut-to-fit• Pediatric Pouches=urostomy and
drainable (colostomy), one piece• Preemie=Newborn pouches-up to
10lbs
Additional Ostomy Supplies
• Stomahesive Paste• Stomahesive barrier=4x4, 8x8• Colostomy clamps• Colostomy deodorant• Stoma dressing-Stomaseal-for non-
producing stomas• Skin prep (Coloplast),
Care
• Measure stoma with measuring guide. Cut wafer/base same size as stoma. If measuring guide not available, cut small then enlarge opening as needed. Never leave exposed skin to contact with effluent.
Care…continued
• Clean skin with water only• Do not use perineal wipes or bath
wipes around area for appliance when system is off pt
Care… Continued
• Paste is applied only to immediate area around stoma-like caulking a pipe
• Remove paper backing thick base first
• Apply to skin• Skin prep only where tape goes• Remove remaining paper.
Care…continued
• Fold pouch over clamp only once-more folds will break lock of clamp and leak
• Deodorant may be placed in pouch before clamping
• Urostomy pouches must be opened when attached to foley bag
Care…continued
• Empty ½ full• Do not let fill to top-will leak • Replace when leakage occurs• Ileostomy and Urostomy not
connected to foley bag will fill quickly-2 hours
• Empty/burp gas frequently-teach pt-can detach completely
Weartime:
• One piece pouch: 3-4 days or longer
• Two piece system: 5-7 days• Contact WOCN nurse if changing
more often