Nursing Interventions for a Client with Ostomy; Additional Guidelines for Nursing Care
August 12, 2010 | In: Nursing Interventions
- Empty pouches when they are about 1/3 to half full
- If needed, protect skin around ileostomy stoma
- Ostomies threaten body image. Do not force client to look at stoma.
- Fears of mutilation, shame, rejection are common
- Clients may feel powerless because they cannot fully control bodily functions
- Assist client to establish normal elimination routine. Observe client’s tolerance of colostomy irrigation; report immediately if:
- Stoma oozes blood when touched
- You see blood in pouch
- You see bleeding from stoma
- Urinary diversion puts out less than 30cc/hour
- Urine smells foul
- There is blood in urine, or it is very cloudy
- Client reports burning sensation around base of urinary diversion stoma
- Client reports back pain, chills, or fever
- Teach client
- The types of equipment and their use
- How to irrigate colostomy
- Prevention of complications
- How to avoid constipation
- That it is vital to drink plenty of fluids