6. INDICATION
Birth defect
Inflammatory bowel disease
Injury to the colon or rectum
Partial or complete intestine blockage
Wound or fistula in peritoneum
Colon or rectum cancer
7. PURPOSEOF
COLOSTOMY
CARE
To maintain integrity of stoma and peristomal
skin
To prevent infection
To promote general comfort and positive self
image
To provide clean colostomy pouch for fecal
evacuation
To prevent bad odor
8. Tray
preparation:
Equipments
A clean tray containing-
1. Maikintosh
2. Screen
3. Colostomy bag
4. Kidney tray & paper
bag
5. Pair of clean gloves
6. NS water
Rational
1. To prevent soling of
bed
2. To maintain privacy
3. To change the
previous bag
4. To discard waste
material
5. To prevent cross
infection
6. To clean the stoma
site
9. 6.Gauze piece
7. Gauze pad
8. Skin barrier stoma
9 .stoma measuring
guide
10.Bed pan
6.To clean the area
7.To apply on the skin
8.To protect the skin
9. For the measurements
of the stoma
10.For discard the
excreta
10. PROCEDURE
PROCEDURE
Gather the equipments
Explain the procedure
to the patient.
Provide privacy to the
patient
Assess the stoma
condition
Performed hand was &
wear the gloves
RATIONAL
To perform the
procedure properly
To gain confidence of
the patient
To smooth performance
of the procedure
To prevent infection
11. Spread the makintosh
Removed the used
pouch and skin barrier
gently by pushing skin
away from the barrier
Remove the clamp and
discard the waste to
the bed pan .Rinse with
NS .
Discard the used pouch
To protect the linen
To prevent
trauma,jerking and tear
of the skin
To minmize the odor
and growth of microbes
12. Observe the stoma for
color,trauma,swelling
and healing
Cover the stoma with a
gauze piece
Clean the peristomal
skin with NS and gauze
piece. Dry the skin by
patting
Remove the gauze
piece and clean the
stoma with gauze
To find out
complication
The prevention the
contamination of
fecal material with
the skin
To protect the
stoma surface
-Do -
13. Apply the the new
pouch by measuring
the size by measuring
guide
Apply the gauze pad to
the peristomal skin and
stick with skin barrier
to fix the bag
Use the previous pouch
if it is drainble with
clamp or clip
Remove the glovesand
wash hand
Discard waste material
and replace all the
articles.
14. DOCUMENTATION
:
Record the procedure with the following
details:
Date and time
Amount
Color
And consistancy of the fecal material
Sign of any infection
15. CONCLUSION
Colostomy Is a surgically opening in
the intestine. It may be temporary or
permanent.The pouch ,skin and
surrounding require care and
maintenance by the Care giver or
patient
