Colostomy care is necessary whenever a colostomy bag needs changing. Just as you need to clean yourself when you sit down to have a bowel movement; a person having a colostomy needs to also take special care of that area. It’s important to remember that we don’t normally move our bowels through an opening in our abdomens, so we must take special care of that area.Anyone having a colostomy should do colostomy care, and change the bag when the bag is somewhere between 1/3 and 1/2 full. If you let the bag get too full and then you try to change it, you will have a big mess to clean. The reason for not letting the bag get too full is because with the fecal material and the collection of gas in the bag will cause a great deal of pressure on the bag. I’ve had colostomy bags explode on me before when I went to change them. I broke the seal and out came a river of fecal material. Not a pretty site. I quickly learned to place a towel over the bag to keep it from splashing on me when I changed the bag for a patient. I learned quickly to check my nursing home patients with colostomies frequently, because they may not know or they may not be mentally or physically able to put their call light on to notify me that they needed changing.
Whether you do your own colostomy care or someone helps you with it, it is important to protect the stoma from injury and to keep the skin around the stoma very clean. The liquid feces is caustic to the skin, and can cause skin breakdown. You may use a mild soap, or just plain water to clean the stoma and the skin around the stoma. Once the area is clean, gently blot the area dry. Then you may apply a skin barrier cream or ointment to protect the skin around the stoma. After you have done that, put a clean bag on and affix it to the stoma cover. Some bags can be reused; they just need to be rinsed out and reapplied. Other bags are disposable. Therefore, whether you reapply an existing bag or apply a new one will depend on which type of colostomy bag you use.
Image courtesy of Wikipedia.com
Image courtesy of Wikipedia.com
Helpful Post for all ileostomy patients,as well as nurses and doctors. Really,you post a very important and interesting information about Colostomy Care patients. Thanks for sharing a valuable post.
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