Colostomy Care

Colostomy Care

• Keep patient as free of odors as possible; empty appliance frequently

• Inspect the patient's stoma regularly

• Note the size, which should stabilize within 6 to 8 weeks

• Keep the skin around the stoma site clean and dry

• Measure the patient's fluid intake & output

• Explain each aspect of care to the patient and self-care role

• Encourage patient to care for and look at ostomy

Normal-Appearing Stoma

Patient Teaching for Colostomies

• Community resources are available for assistance

• Initially encourage patients to avoid foods high in fiber

• Avoid foods that cause diarrhea or flatus

• Drink two quarts of water daily

• Teach about medications

• Teach about odor control (intake of dark green vegetables helps control odor)

• Resume normal activity including work and sexual relations

Comfort Measures

• Encourage recommended diet and exercise

• Use medications only as needed

• Apply ointments or astringent (witch hazel)

• Use suppositories that contain anesthetics