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Tuan Irfan
S: 31 years old man, rectum cancer with colostomy done in March 2023. Plan for surgical
resection after completed 25th cycles of radiation therapy (currently completed 12th cycles).
Able to self-care of his stoma. No active complaint.
O: pink, comfortable
Colostomy, 6 cm diameter, 2.5 cm height, pink in colour
Loop colostomy, no suture/ bridge
Located at the Right lower abdominal quadrant
Output: soft feces
Problem: nil, healthy stoma and peristomal area.
A: Self-care ostomate with healthy stoma and peristomal.
P:
- Explained to ostomate that I would like to inspect his stoma and help him to change
his stoma pouch. Get consent from him.
- Ensure ostomate privacy
- Prepared all stoma appliances needed
- Position patient comfortably on the bed
- Hands hygiene and put on gloves
- Gently and slowly removed the stoma pouch, while protecting the skin
- Put the stoma pouch into plastic bag, and dispose it.
- Clean the stoma and peristomal area with soap and clean water
- Removed all adhesive remnants
- Inspect the stoma and peristomal skin
- Measure the size of stoma
- Cut the hole on the skin barrier according to the stoma size and shape.
- Make sure the edges are smooth. To prevent injury to the stoma.
- Remove the adhesive part
- Gently place the pouch over the stoma.
- Press evenly from bottom to top until it stick on the skin.
- Lastly, close the pouch with stoma clip.
- Documents findings and procedures.

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Tuan Irfan.pdf

  • 1. Tuan Irfan S: 31 years old man, rectum cancer with colostomy done in March 2023. Plan for surgical resection after completed 25th cycles of radiation therapy (currently completed 12th cycles). Able to self-care of his stoma. No active complaint. O: pink, comfortable Colostomy, 6 cm diameter, 2.5 cm height, pink in colour Loop colostomy, no suture/ bridge Located at the Right lower abdominal quadrant Output: soft feces Problem: nil, healthy stoma and peristomal area. A: Self-care ostomate with healthy stoma and peristomal. P: - Explained to ostomate that I would like to inspect his stoma and help him to change his stoma pouch. Get consent from him. - Ensure ostomate privacy - Prepared all stoma appliances needed - Position patient comfortably on the bed - Hands hygiene and put on gloves - Gently and slowly removed the stoma pouch, while protecting the skin - Put the stoma pouch into plastic bag, and dispose it. - Clean the stoma and peristomal area with soap and clean water - Removed all adhesive remnants - Inspect the stoma and peristomal skin - Measure the size of stoma - Cut the hole on the skin barrier according to the stoma size and shape. - Make sure the edges are smooth. To prevent injury to the stoma. - Remove the adhesive part - Gently place the pouch over the stoma. - Press evenly from bottom to top until it stick on the skin.
  • 2. - Lastly, close the pouch with stoma clip. - Documents findings and procedures.