It is necessary to have a fundamental understanding of ostomies to instruct patients. Unfortunately, most nursing students learn little about ostomies and ostomy treatment. But most nurses are familiar with fundamental anatomy and physiology. Instead, we’ll concentrate on the fundamental knowledge that each nurse must learn and the abilities that every nurse must acquire to deliver high-quality care to patients.
Giving Support for the Ostomy Transition of the Patient
People who are undergoing ostomy treatment or who are recovering after having an ostomy may feel overwhelmed. It’s critical to be sensitive and to understand a patient’s emotional condition. They must realize that their emotions are natural. They may still be dealing with the effects of a recent cancer diagnosis or the removal of bowel or bladder.
They can be upset, believing that their bodies (and fate) have betrayed them. Many may be scared of the unknown, a transformation in their physical appearance, and the reactions of others.
Supporting patients through their grieving period and assisting them in moving on is essential. It will be critical to have the proper information to address misconceptions and unfavorable stereotypes regarding life with an ostomy. Address the issues of your patient and provide recommendations.
For instance, a colostomy patient will be instructed that odor may be efficiently controlled, but that teaching will be refused if odor eliminators are sprayed each time staff enters the room. There must be no odor if the pouching equipment is in good working order and the filtration is working properly. If there is an odor, it is a good teaching moment. It’s crucial to verify the pouch’s safety, and if there’s a leakage, utilize the chance to teach by changing the bag right away. The stool has a natural odor, which is still present when a patient has an ostomy. There could be an odor when a bag is being drained or if there is a leakage, but there must be none when the bag is properly in place. Humor will benefit some sufferers, but there may be nothing humorous about all of this for others. Understand and embrace your patient, but if you have a lot of interaction with them, you might need to apply a little mild nudging.
Educating Patients How to Replace an Ostomy Pouch
If you’re teaching fundamental ostomy care, you’ll be able to assist your patient in moving from effectively clearing their bag to changing it. This is a significant step forward for patients. They may be nervous and believe they would never succeed on their own, with each bag replacement, their comfort will grow. When it’s appropriate, appreciate and encourage accomplishments.
Starting Process: Educate your patients to acquire the required items. Patients must have a measurement tool, wet paper towels, washing cloth, or suitable ostomy wipes on hand, as well as a means to dry the surrounding skin and the pouching system to be utilized. Additionally, scissors may be required to cut a hole that fits the size of their stoma, or scissors may not be required if they are utilizing a moldable solution.
Ostomy Bag Removal: Using the items you’ve acquired, carefully replace the current bag. Some people preferred to replace their bag in the shower, whereas others choose to replace the old bag in the bathroom where they can easily access their supplies. Gently press down on the area with a hot, wet towel or washcloth while lifting on the edge of the bag. Start from the top and work your way down to catch any feces or urine that can go in the old bag. The pouch can then be thrown in one of the garbage bags provided by certain firms or in any small waste bin.
Application of an Ostomy Pouch: If using a one-piece pouch, make sure to draw the pouch far from the plastic to avoid cutting it. The hole must be the same size as the stoma so that no skin is visible. To assist seal the stoma and skin edges, smooth paste strips, rings, or paste caulking can be applied at the cut edge. Keep in mind that stoma paste is simply a caulking product, not an adhesive. If you’re using a two-piece system, you’ll now attach the bag. If a person has a fresh stoma and a sensitive abdomen as a result of an operation, the bag can be connected to the barrier BEFORE the barrier is placed on the skin. Help individuals to lay their palms over the stoma and appliance for a few minutes and give gentle pressure. This will assist in the seal’s security.
Support increasing levels of patient engagement with each class, with the objective of total independence in a significant number of sessions. With each visit, go through the lessons again and add more information and accessories as needed.