![]() Some patients also prefer to apply their hand over the pouching system. And she's pressing down right along the stoma edges and the outer portion of the wafer to ensure that the adhesive is in place. Debra has a great view of her stoma in this position. And I'm going to center it over the stoma.Īnd you can see why it's advisable to stand. Now that my skin is dry, the next step is to apply the pouch, which I've already prepared with the ring. So we need to find one that fits snugly, just like her one and a quarter inch that she measures to. And you can see that there's a lot of skin exposed to her stoma which, if we cut the hole this big, would cause skin damage around her stoma. So for instance, I would just hold this up over. It has a variety of sizes to start with and what you might think is a reasonable size. Many people use a measure guide that looks similar to this. ![]() But if it wasn't, I wanted to demonstrate to you how a person might measure to know what size to cut the opening. One of the things that I need to point out is that Deborah has had her stoma for so long, so she knows that it measures at one and a quarter-inch opening. And I'm going to make sure that the skin around my stoma is dry. Next, I'm going to take a dry paper towel. ![]() When you take off any kind of adhesives, your skin will start to pink up. You might see a little bit of pinkness, which is pretty normal. This is also a great time while you're cleaning to take a look at the skin and see if there's any skin damage or irritation around the area. I would also recommend avoiding baby wipes or cleansing cloths because it could contain an ingredient which impedes the adhesive from adhering to your skin. So you need to be sure that the type of soap you're using and then do a good rinse job afterwards. There's some people who would prefer to use soap, which is OK, but many soaps have moisturizers in them. Now that I've removed that, I'll take a wet paper towel and wash the skin.Īnd as Debra pointed out, it's a wet paper towel. She's trying to get any stool that might be loose off, so it won't get on her skin when she starts to clean her skin. So she's not causing herself any discomfort. Remember, stomas don't have any nerve endings to them. Then I'll take a dry paper towel and start removing some of the debris that's on the stoma. Now that I removed it, I will roll it up and put it in the bag. And then she's going to go around the outer edge and go from the top and pull the pouch completely off. And then once she gets the edges rolled out, she can gently press her skin away from the adhesive. She's rolling out the edges to get it started. Now Debra is going to gently remove the outer adhesive. So you can kind of stretch and mold it.Īfter I apply the ring and everything is laid out, the next step is to remove my old pouch. But we're just going to show you today how you put it on the back of the pouch. Some patients prefer to place the ring directly around their stoma, and then place their pouching system over that. My next step is to apply the ring around the circle of the wafer.Īnd so what Debra is going to do is she's going to stretch out that ring to mirror the size of the hole we cut. Now that I've cut the one and a fourth inch circle, I removed the paper on the back to reveal the sticky side. And there won't be any issues with skin irritation later. That way stool won't make any contact with the skin. ![]() Just to be assured that the size of the opening in the skin barrier or the wafer matches the stoma because we want all of the skin to be covered with the adhesive. The stoma is going to change in size and shape. Now while Debra is doing that, I will tell you that, at times, it's smart to measure your stoma, especially right after surgery. So what I'm going to do is first pre-cut along the one and a fourth inch circle. I know that my stoma is one and a fourth inch. Here I have my wet paper towels, my dry paper towels, an ostomy pouch, my scissors, a ring, and a bag to dispose of all the old debris. And then they get started with the procedure. But the majority of people, when they change their ostomy pouch, do so in a bathroom. And today, I'd like to walk you through the process of how to change your ostomy pouch.īefore we get started, I wanted to point out to you that we've laid everything out in front of us here for demonstration purposes. What we're going to do today is we're going to demonstrate how a pouching system is changed. And I'm one of the certified wound ostomy incontinence nurses here at the University of Chicago.
0 Comments
Leave a Reply. |
AuthorWrite something about yourself. No need to be fancy, just an overview. ArchivesCategories |