Nursing Interventions for Colostomy

Colostomy Care is a nursing action in terms of cleaning the colostomy stoma, the skin around the stoma, and a colostomy bag periodically replace as needed.

The purpose of this colostomy care are as follows :

• Maintain cleanliness of the patient 's own.
• Prevent infection.
• Prevent skin irritation around the stoma.
• Will maintain patient comfort and the environment.

The patient can defecate regularly :

• Avoid eating foods laxative effect.
• Avoid eating foods that cause constipation (hard food).
• Collaboration with the nutritionist diet problem.
• Control of food brought from home.
• Provide sufficient drinking.
• A regular diet.

Nursing Interventions for Colostomy

The pain can be reduced :

• Record administration of medications at the time of intraoperative.
• Evaluation of pain and characteristics.
• Give an understanding of the client so that the pain is accepted as a reasonable within certain limits.
• Give analgesics as an act of collaboration.

The patient may sleep / rest enough :

• Explain, stoma will not open during sleep.
• Observe the environmental factors that make it difficult to sleep.
• Observe the psychological factors that make it difficult to sleep.

The nutritional requirements are met :

• Working closely with a nutritionist for diet.
• Provide adequate nutrition in accordance with the requirements.
• Give motivation to not be afraid to spend their food.

Without any disturbance in self-concept :

• Give encouragement encouraging.
• Avoid foreign stance on the state of the patient's illness.
• Point your client is able to care for themselves.
• Give an explanation so that the client can accept the situation and adapt to the stoma.
• Avoid behaviors that make a patient offense (anger, disgust, etc.)

Not occur impaired skin integrity :

• Perform better treatment techniques (hygiene).
• Protect skin with protective skin (vaseline / skin barrier) around the stoma.
• Put the pedestal (gauze) which can absorb the flow of stool.

Avoid secondary infection :

• Perform aseptic and antiseptic action on the stoma.
• Teach the client about personal hygiene and stoma care.

Avoid anxiety :

• Give the belief that the client is able to adapt to the environment (society).

The client is not afraid to do the activity

• Provide a description of the problem should not be carried out activities (sports soccer, running).
• When will perform activities stoma bag given buffer (belt).

Evaluation

Health stoma and surrounding areas are well preserved :

• No signs of infection
• No visible signs of impaired skin integrity
• Stoma does not decline

The client can defecate regularly and smoothly :

• The frequency of bowel movements regularly ( 1-2 times daily )
• The pattern of regular bowel movements
• No diarrhea / constipation

Rest and sleep needs are met :

• The client can sleep / rest ( 6-8 hours a day )
• No environmental and psychological factors that complicate sleep
• The client looks fresh (not sleepy )

The pain can be anticipated by the client itself

• No complaints of pain
• The face looked cheerful

Nutrition can be met

• The client wants to spend the food given
• No complications eat
• Weight balanced

Not occur impaired skin integrity :

• No visible signs of impaired skin integrity ( blister )

Infection does not occur

• No signs of infection ( red , pain , swelling , heat )

The client is not worried :

• Clients look calm and understand the circumstances

Activities of the client is not compromised

• The client can perform activities recommended