Findings to Report to the Physician-1

Patient/caregiver was educated on findings to report to the physician as follows: Individuals on ileostomy could develop abdominal pain and discomfort secondary to any complications at the involved bowel segment. Any uncontrolled abdominal pain need to be reported to the physician for further investigation. Poorly measured stomas, improperly cut wafers, and loosely attached ileostomy bags can all lead to stool leakage and accidents. Leakage of stool, frequent exposure of the skin surrounding stoma to moisture, [...]

Nurse Teaching on Changing the Ileostomy Bag

Patient/caregiver was educated on changing the ileostomy bag as follows: A decently fixed ileostomy bag should hold good for 3 – 5 days. Many parameters, such as, skin condition & contour, amount of drainage collecting into the bag, frequency of emptying etc., could determine the duration an ileostomy bag lasts. So, plan to change the bag every 3 – 5 days or as ordered. If the bag comes loose and develops a leakage, it could be [...]

Precautions to be Observed while Cutting the Wafer/Skin Barrier-2

Patient/caregiver was educated on precautions to be observed while cutting the wafer/skin barrier as follows: Cutting the wafer too big or towards the edge can compromise the adhesive along the edge of wafer and result in poor attachment to the skin around the stoma. This can result in leakage of stool on to the skin, resulting in irritation of skin and injury. This can lead to the bag coming loose resulting in accidents. Also, do [...]

Precautions to be Observed while Cutting the Wafer/Skin Barrier-1

Patient/caregiver was educated on precautions to be observed while cutting the wafer/skin barrier as follows: The back of the wafers could have cutting guides, denoting the lines of cut appropriate to the individual stoma size. If the wafer has the cutting guide and the user is pretty aware of the stoma size, one can go ahead with cutting along the defined line to make a hole on the wafer appropriate to their stoma size. If [...]

Measuring the Ileostomy Site

Patient/caregiver was educated on measuring the ileostomy site as follows: Measure your stoma regularly, preferably on every bag change, at least during the initial few weeks of initiating on ileostomy. The stoma size is likely to change the heavily during this time and proper measurement of stoma helps with proper fixation of bag, prevent leaks, and avoid irritation of skin around the stoma from leakage of stool. This also helps with the bag staying in [...]