1. First empty your colon-made pocket. If you have urine or feces in your colon-made pocket, it is important to clear these before changing the bag. The best place is in the bathroom. Open the bottom of the bag above the toilet. For the stool, you can gently squeeze it out of the bag; The urine will flow out of the bag automatically when opened. Or, some colon-made pockets have pads and flanges that are designed to flush like a toilet. If the bag you are using has biodegradable flange connections and liners, rinse them with water. The outer layer remains clean.
2. Wash hands thoroughly with soap and water. If this is not possible, use antibacterial hand sanitizer. Place the clean towel on your lap and tuck the top into your trousers to protect your clothes from being soiled. Proper hygiene is important when replacing a colon-made pocket.
3, gently remove the small bag. Hold the skin with one hand and slowly loosen the pouch with the built-in label for easy removal. If necessary, be careful to remove the flange with the adhesive remover.
4. Check your skin. The skin may be a little pink or red. However, if it is black, purple or blue, please seek advice from a medical professional. Also check your stoma situation-the stoma should always be a red color and never dim.
If its size changes further into or out of the skin, pus or blood leaks, or looks pale or bluish, please contact your doctor immediately.
5. Clean up your stoma. Wipe with warm water and wet wipes and gently wipe around the stoma. Use only soap that does not contain any oil or spices.
Dry the skin with a wet and dry towel. If necessary, measure your stoma size using a measuring card (given to you by a doctor or nurse).
If you don't have it, you need to know its size before installing a new colon-made pocket. Be sure to wash your hands again before you load the new pouch.
This will ensure that the new bag remains sterile because you do not want any old fecal contamination.
6, try to protect the skin, such as stoma powder. This is very convenient; However, many people use it as a means not only to protect the skin, but also to provide a solid foundation for new colon-made pockets. Sprinkle the stoma powder around the stoma. Do not sprinkle the powder on the stoma.
Carefully smear it evenly with a dry rag and then dry the area for about 60 seconds.
7 Prepare a new pouch. You may need to modify the pocket flange to fit your stoma. If this is the case, use a special scissors to cut the circle on the flange. The circle should be about 1/3 inches more than the stoma itself. Some flanges have printed rails to help you accomplish this task.
Cut the flange to fit your stoma. This is a process that takes time to master.
Often, on-call nurses can answer questions or help solve problems and/or decide whether they need to be seen or whether they can be solved by telephone consultation.
8 Put the baby oil in the bag. Be careful not to put baby oil on anything else and put a few drops of baby oil in the bag. This is very helpful. Baby oil prevents the stool from sticking to the bag.
9, the flange is placed on the stoma. Start by pressing the flange section below the stoma and move it gently to both sides and then upward. After gluing, start smoothing the flanges to remove the creases. This helps to create a tighter seal around the stoma. Start from the center (near the stoma) and move outward. All creases must be smooth;
Otherwise, the colon-made pocket may leak.
When you replace the baseplate of a two-piece closed colon-made pocket, you need to use a stoma or ring seal as the binder. Hold the flange for about 45 seconds. The warmth of the hands helps the adhesive adhere to the skin.
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