What are the nursing care for ostomies? Temporary or permanent intestinal outputs present exclusive elimination needs. An individual with an ostomy...

The nursing care for ostomies includes: 1. Emptying the bag: It is necessary to empty the bag when it is 1/3 to ½ full to prevent leakage and discomfort. 2. Changing the collector bag system: The collector bag system should be changed approximately every 3 to 7 days, depending on the individual needs of the patient. This helps maintain hygiene and prevent skin irritation. 3. Evaluating the stoma and skin: At each change of the collector bag, it is important to evaluate the color of the stoma (which should be pink or red) and the skin around it. Any changes in color or skin integrity should be reported to the healthcare provider. 4. Managing skin irritation: Intestinal effluents have digestive enzymes that can cause irritant dermatitis. Proper skin care, including cleaning and applying protective barriers, is essential to prevent skin breakdown. 5. Managing ostomy output: For ileostomies, the volume of effluent drainage is related to the ingested food and can range from 500 to 800 ml per day. For colostomies, some patients may choose to irrigate their sigmoid colostomies to regulate colon emptying. This should be done using specific materials designed for ostomies. 6. Ensuring a proper collector system: An effective collector system should protect the skin, contain fecal material, remain odor-free, be comfortable, and imperceptible. The patient should feel secure enough to participate in any activity. Collector bags are available in one- and two-piece systems, with different shapes and features. 7. Monitoring stoma characteristics: It is important to observe the stoma for any changes in color, shape, size, moisture, protrusion, or mucosal integrity. Any abnormalities should be reported to the healthcare provider. 8. Educating the patient: Patients with ostomies should receive education on self-care, including proper bag management, skin care, and dietary considerations. They should also be provided with emotional support and resources to cope with the changes in their body image and lifestyle. Remember, these are general nursing care guidelines for ostomies. The specific care may vary depending on the individual's condition and healthcare provider's instructions.