• Discuss dietary modifications related to nutritional status and presence of ileostomy. Provide referral to dietitian for diet planning and teaching.
• Teach importance of maintaining a high fluid intake and manifestations of dehydration.
• Teach techniques to reduce stress so as to not worsen the
• Teach food blockage management.
• Administer total parenteral nutrition as ordered.
• Administer anti-inflammatory medications as ordered.
• Provide intravenous therapy.

For those with severe ulcerative colitis and patients with ostomy

• Teach to empty and change ostomy pouch of choice.
• Teach stoma and peristomal skin assessment with each pouch change.
• Refer to local United Ostomy Association.
• Provide list of local medical suppliers for ostomy appliances.