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Colostomy irrigationppt
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Colostomy irrigationppt

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Transcript

  • 1. Definition An introduction of a solution (tepid water)through the stoma to irrigate the bowel
  • 2. Purpose  For cleanliness and control of odor  Empty fecal contents  Prevents accidental emptying of bowel
  • 3. Assessment  Inspect the stoma for color and texture  Inspect the condition of the peristomal skin  Determine the direction of the intestine by digitalization of the stoma  Measure the dimension of the stoma prior to obtaining an ostomy appliance system from central supply
  • 4. Equipment Colostomy irrigation kit Gauze4X4 or stoma cover Tape if gauze is used Clean gloves Ostomy odor eliminator Bedpan ,toilet or basin Mackintosh &towel Lubricant for cone
  • 5. Planning Explain the procedure to the patient  Wash hands  Apply clean gloves  Assemble irrigation Kit :  Attach cone or catheter to the irrigation bag tubing
  • 6. Implementation  Fill irrigation bag with 1000 cc tepid tap water  Open clamp and let water from the irrigation bag fill the tubing  Hang bottom of the irrigation bag at height of clients shoulder or 18 inches above the stoma if the client is supine  Check direction of intestine by inserting a gloved finger into orifice of stoma
  • 7. Implementation  Place irrigation sleeve over stoma and hold in place with belt  Spray inside of irrigation sleeve and bathroom with odor eliminator  Cuff end of irrigation sleeves and place into toilet bowl or bedpan  Lubricate the cone end of the irrigation tubing and insert into orifice of stoma through the top opening of the irrigation sleeve
  • 8. Implementation  Close top of irrigation sleeve over the tubing  Slowly run water through tubing into colon  Remove the cone after all water has emptied out of irrigation bag  Close end of irrigation sleeve by attaching it to the top of the sleeve  Encourage client to ambulate to facilitate emptying of remaining stool from colon
  • 9. Implementation  Remove irrigation sleeve after 20-30minutes or when stool is no longer emptying from the colon  Clean stoma and skin with warm tapwater, pat dry  Place gauze pad over stoma to absorb mucus from stoma  Secure gauze with hypoallergenic tape  Remove gloves and wash hands
  • 10. Evaluation  Client experiences a bowel movement after irrigation of colon  Client or caregiver demonstrate skill in performing irrigation  Peristomal skin intact  Clent express positive feelings about self  Maintain fluid balance
  • 11. Documentation  Document assessment of peristomal skin  Document stoma measurements(length,width, height)  Document amount of water used for irrigation  Document amount of stool flushed from colon  Document peristomal skin care if any alteration of skin integrity  Document type of dressing or ostomy pouch applied after irrigation.