What is included in so called colostomy care?

Colostomy care involves several important steps to ensure the proper functioning and maintenance of a colostomy. Here's what is typically included in colostomy care:

1. Stoma Care:

- Inspect the stoma regularly for any changes in size, shape, or color.

- Gently cleanse the stoma with warm water and mild soap.

- Dry the stoma and the surrounding skin thoroughly to prevent irritation.

- Apply a stoma barrier or skin protectant to protect the skin around the stoma from digestive enzymes.

2. Irrigation:

- Irrigation is a process of flushing the colon through the colostomy to regulate bowel movements and prevent constipation.

- It involves inserting a catheter into the stoma and gently flushing warm water into the colon.

- The frequency of irrigation depends on the individual's needs and should be determined in consultation with a healthcare provider.

3. Ostomy Pouch Management:

- Empty the ostomy pouch regularly, typically when it is about one-third to one-half full.

- To empty the pouch, open the bottom outlet or detach it from the skin barrier, and drain the contents into a toilet or designated container.

- Clean and rinse the pouch with warm water and mild soap. Allow it to dry thoroughly before reattaching it to the skin.

- Change the ostomy pouch when it is soiled, damaged, or no longer adheres properly to the skin.

4. Skin Care:

- Keep the skin around the stoma clean and dry to prevent irritation and infection.

- Use gentle, unscented skincare products to avoid any potential allergies or sensitivities.

- Apply a skin barrier or moisturizer to protect the skin from digestive enzymes.

- Watch for any signs of skin irritation, such as redness, swelling, or itching, and consult with a healthcare provider if they occur.

5. Diet:

- Maintaining a healthy diet can help regulate bowel movements and prevent complications with the colostomy.

- Consume a balanced diet that includes plenty of fruits, vegetables, and whole grains.

- Avoid foods that can cause excessive gas or diarrhea, such as spicy foods, dairy products, or certain fruits and vegetables.

- Drink an adequate amount of fluids throughout the day to stay hydrated.

6. Lifestyle Adjustments:

- Engage in regular physical activity, as tolerated, to promote overall health and well-being.

- Avoid heavy lifting or strenuous activities that may put strain on the abdomen and colostomy site.

- Practice relaxation techniques to manage stress and anxiety, as these can impact bowel function.

It's important to follow the specific instructions and guidelines provided by a healthcare professional or a certified ostomy nurse when caring for a colostomy. This ensures the safety, comfort, and effectiveness of the colostomy management. Regular follow-up appointments with a healthcare provider are also essential for monitoring progress and addressing any concerns related to colostomy care.