What specifics of ostomy teaching do you plan to do?
What will be an ideal response?
• Have C.W. and her husband look at the stoma. Teach them to inspect both the stoma and the
surrounding skin for lesions, excoriation, and redness.
• Instruct C.W. and her husband in the use of ileostomy equipment.
• Help C.W. and her husband provide ostomy care.
• Provide support and assistance while C.W. and her husband develop skills in caring for the stoma.
• Have both of them demonstrate the use of the equipment.
• Encourage C.W. to express her feelings and concerns about changes in body image.
• Encourage visitation by someone from the ileostomy club.
• Instruct C.W. where she can obtain ileostomy supplies.
• Instruct C.W. on methods of reducing odor.
• Instruct that drainage from the stoma will vary slightly with changes in diet.
• Never irrigate the stoma, and do not use laxatives.
• Empty the pouch when it is one third to one half full.
• Change the pouch every 5 to 7 days at a time when the stoma is inactive.
• Change the pouch at the first sign of a leak in the seal.
• Refer C.W. to the community nursing service or to an enterostomal therapist for follow-up.
• Encourage C.W. to contact local ostomy support groups.
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