You are the home care nurse visiting a patient who is recently discharged home with an ostomy. Which of the following statements requires you to provide some additional teaching? (Select all that apply.)
a. "I have been buying sterile gloves to use when changing my pouch.".
b. "I have been covering the pouch with sa-ran wrap when I shower.".
c. "I empty the pouch directly into the toi-let.".
d. "I keep the new pouches in the bathroom linen closet.".
A, B
The home care nurses should evaluate the patient's home toileting facilities and ability to position self to empty the pouch directly into the toilet. The patient may shower without covering the pouch. Ostomy care does not require any sterile supplies; however, family caregivers should wear gloves to avoid direct contact with stool. Patients should avoid placing pouches in extremely hot or cold locations because temperature affects barrier and adhesive materials.
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