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10 Ileostomy and Colostomy Nursing Care Plans

 ileostomy is an aperture manufactured in the final ileum to discuss regional and ulcerative colitis and to gratify intestinal fluctuation in colon cancer, polyps, and trauma. It is usually produced when the integral colon, rectum, and anus must be removed, in which predicament the ileostomy is beaming. A limited ileostomy is produced to arrange perfect bowel peace in stipulations such as constant colitis and in some trauma predicaments.Ileostomy and Colostomy A colostomy is a deviation of the copious of the colon and may be limited or beaming. Ascending, athwart, and sigmoid colostomies can be done. Athwart colostomy is usually limited. A sigmoid colostomy is the most niggardly beaming stoma ,used in performing cancer discussment.Ileostomy and Colostomy

Ileostomy Nursing Anxiety Plans

Nursing anxiety skill and planning for resigneds delay ileostomy or colostomy includes: promotive the resigned and/or SO during the commutation, obviateing complications, aid insurrection in self-care, arrange counsel environing procedure/prognosis, discussment needs, and germinative complications. Here are 10 nursing anxiety plans (NCP) and nursing diagnosis for resigneds delay fecal deviations: colostomy and ileostomy:
  1. Risk for Impaired Husk Integrity
  2. Disturbed Body Image
  3. Acute Pain
  4. Impaired Husk Integrity
  5. Deficient Fluid Volume
  6. Risk for Imbalanced Nutrition: Less Than Body Requirements
  7. Risk for Sexual Dysfunction
  8. Disturbed Sleep Pattern
  9. Risk for Constipation or Diarrhea
  10. Deficient Knowledge
  11. Other Nursing Anxiety Plans

Risk for Impaired Husk Integrity

Nursing Diagnosis Risk factors  of Ileostomy may include
  • Absence of sphincter at the stoma
  • Character/flow of copious and flatus from the stoma
  • Reaction to emanation/chemicals; unbefitting fitting/anxiety of mechanism/skin
Possibly evidenced by
  • Not convenient. A surrender diagnosis is not evidenced by signs and symptoms, as the substance has not occurred and nursing agencys are directed at obstruction.
Desired Outcomes
  • Client gain suppress husk truthfulness about the stoma.
  • Client gain identify peculiar surrender factors.
  • Client gain manifest behaviors/techniques to elevate nutritious/obviate husk breakdown.
Nursing Interventions Rationale
Inspect stoma and peristomal husk area delay each pouch alter. Note impatience, bruises (dark, blue-colored speciousness), rashes Monitors the nutritious arrangement and energy of mechanisms and identifies areas of matter, need for aid evaluation and agency. Early identification of stomal necrosis or ischemia or fungal infection (from alters in recognized bowel flora) arranges for opportune agencys to obviate solemn complications. Stoma should be red and lively. Ulcerated areas on stoma may be from a pouch aperture that is too weak or a faceplate that cuts into stoma. In resigneds delay an ileostomy, the copious is copious in enzymes, increasing the approvelihood of husk impatience. In resigned delay a colostomy, husk anxiety is not as noble a matter owing the enzymes are no longer introduce in the copious.
Clean delay eager instil and pat dry. Use soap barely if area is finished delay viscous stool. If paste has serene on the husk, let it dry, then peel it off. Maintaining a untarnished and dry area helps obviate husk breakdown.
Measure stoma periodically: at meanest weekly for chief 6 wk, then uninterruptedly a month for 6 mo. Measure twain width and extension of stoma. As postoperative edema resolves (during chief 6 wk), the stoma shrinks and greatness of mechanism must be altered to determine fair fit so that copious is serene as it flows from the ostomy and continuity delay the husk is obviateed.
Verify that aperture on obstinate backing of the pouch is at meanest 1⁄16 to 1⁄8 in (2–3 mm) larger than the sordid of the stoma, delay unabrupt obstinateness left to adduce pouch. Prevents trauma to the stoma edifice and protects the peristomal husk. Unabrupt obstinate area obviates the husk separation wafer from entity too stretched. Note: Too stretched a fit may object stomal edema or stenosis.
Use a diaphanous, odor-proof drainable pouch. A diaphanous mechanism during chief 4–6 wk allows lenient study of stoma delayout indigence of removing pouch/chafing husk.
Apply mismiswithhold husk separation: hydrocolloid wafer, karaya gun, extended-wear husk separation, or aapprove emanations. Protects husk from pouch obstinate, enhances obstinateness of pouch, and facilitates disunion of pouch when certain. Note: Sigmoid colostomy may not demand use of a husk separation uninterruptedly stool becomes formed and ejection is regulated through irrigation.
Empty, water, and untarnishedse ostomy pouch on a custom premise, using mismiswithhold equipment. Frequent pouch alters are chafing to the husk and should be avoided. Emptying and rinsing the pouch delay the fair discerption not barely removes bacteria and odor-causing stool and flatus but besides deodorizes the pouch.
Support outedge husk when gently removing mechanism. Adduce obstinate removers as implied, then rinse wholly. Prevents edifice impatience or damnation associated delay “pulling” pouch off.
Investigate reports of persistent, longing, or chafing about stoma. Indicative of copious leakage delay peristomal impatience, or possibly Candida contagion, requiring agency.
Evaluate obstinate emanation and mechanism fit on ongoing premise. Provides opening for substance solving. Determines need for aid agency.
Consult delay assured cut, ostomy, abstinence nurse. Helpful in choosing emanations mismiswithhold for resigned’s detail rehabilitation needs, including expression of ostomy, physical/mental foothold, abilities to manage self-care, and financial instrument.
Apply corticosteroid aerosol bough and prescribed antifungal scatter as implied. Assists in nutritious if peristomal impatience persists and/or fungal contagion develops. Note: These emanations can own active edge effects and should be used reservedly.
You may besides approve the subjoined posts and anxiety plans: Gastrointestinal Anxiety Plans Care plans covering the disorders of the gastrointestinal and digestive system:


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