An Ostomy flange covers the stoma lining. Ostomy is a surgically created opening for different parts of the intestine. An artificial introduction called a stoma discharges the effluent (mucous, fecal matter, and urine). After this surgery, no waste is removed from the body through the bladder or anus, but it leaves through the stoma to the pouch, which is the major part of colostomy and urostomy supplies. Various medical conditions and diseases, such as bowel obstruction, infection, trauma, and cancer, lead to this procedure.
Ostomy care includes many steps. Therefore, the patient and caregivers must understand the procedure and post-operative care.
Ostomy Care Management
The first task is to help the patient adapt to this significant change; listening to them and clearing their minds of any queries is essential to enhance the reception of care provided. Another critical point is to educate them about the pouching system attached to the stoma that collects the discharge. This greatly facilitates them to adjust in their new lifestyle.
Ostomy Supplies
consistents of a pouch to collect the effluent, a skin barrier that holds the bag and is attached to the body, and other accessories.
Patients experience swelling at the surgery site, which will reduce with time. Checking the swelling when changing the pouch as it changes the stoma size is crucial. When the swelling subsides, the pouching system should change with the advice of a healthcare professional.
For an ostomy bag, there is no one size fits all. Everyone has different needs, so ostomy bags are available in varying sizes and types to fulfill the tailored requirements. Picking the right urostomy supplies is imperative as it determines the level of comfort a patient will get.
Ostomy Bag
Different types of ostomy bags include:
One-Piece SystemIn this system, the skin barrier is permanently attached to the pouch. Therefore, it is vital to change the whole system with each replacement. It might be a good choice for many, but using one piece ostomy bag reports more irritation and itching.
It is suitable for those with a flat peristomal profile and those involved in sports and other extensive physical activity.
- Two-Piece System
A more comfortable and less irritant colostomy is used without needing to remove the skin barrier. Still, the skin barrier can remain attached to the skin for 2-4 days.
Moreover, it is up to the patient to choose the bag size depending on the activity. For example, small bags are good for swimming. Then the patient can switch to the regular-size bag after completing the activity.
- Non-Drainable Closed-Ended Pouch
These are for single-time use and need to be discarded afterward. This colostomy supply is the best option for patients with firm stool.
Avoiding infection or leakage is crucial; dispose of the bag once it’s filled.
- Drainable Ostomy Bag
Consider obtaining a plentiful urostomy supply as it helps the user empty the bag from the bottom without changing the whole system each time. The maximum time you should ensure will not be more than 2-3 days.
It also facilitates the patients with liquid stool.
- Pediatric Ostomy Bag
These are smaller and made specifically for infants or children. , But it can be used by adults who want the discreetness of a small bag. In this case, the bag must be emptied more frequently to avoid leakages.
Skin Barriers
These are crucial parts of the colostomy supply that attach directly to the skin surrounding the stoma. As it now comes in contact with the stoma, its opening should fit the shape and size of the stoma.
The skin barrier is of two types that include:
- Stretch Back Barrier
It does not require any precise cutting. The patient just stretched and applied it on the skin. No matter how big or small the stretch is, this barrier stretched back and tightly surrounding the stoma and took the required size.
It is perfect for the patient having weakness or dexterity issues.
- Cut-to-Fit Barrier
A nurse perfectly cuts the barrier to accommodate the stoma in this type. The starter hole piece of the cut-to-fit barrier has the measurements, so after peeling off, it is kept carefully to know about the future size changes.
Ostomy Accessories
These urostomy supplies are used to promote adherence, comfort, and healthy skin.
Skin barrier paste and powder: avoid leakage and protect the peristomal skin from the harmful effluent enzymes within the gut. Over-the-counter skin wipes, sprays, or lollipops, are applied to the skin before attaching the skin barrier.
Binders: It supports the peristomal hernia.
Ostomy Belts: Aids in keeping the appliance in place and for extra protection to avoid any dislocation.
Wraps: These are used to conceal and support the ostomy appliance. This provides additional help for the patient to move more comfortably.
Ways to Keep a Healthy Stoma
The skin of the stoma can be sore or tender. For this reason, picking the right colostomy supplies and keeping a close eye on the stoma and surrounding skin for any problem is imperative.
- Regular Change of Pouching System
Make a schedule for changing the pouch to avoid leaks and skin irritation. It is recommended not to change it more than once daily unless the user feels burning or irritated.
- Choosing the Right Skin Barrier
The too-small opening can injure the stoma or may cause swelling. Similarly, a wide gap is also not good as it increases the chance of getting leaked. Therefore, selecting the right one should be the priority.
- Look for Allergies and Sensitivities developing.
Pouch material, skin barriers, tape, paste, or powder can cause redness, itching, or irritation. Stop using the urostomy supply when you feel earlier symptoms and consult a healthcare professional.