A nurse is caring for a client with a new ileostomy. What should the nurse instruct...

A nurse is caring for a client with a new ileostomy. What should the nurse instruct the client to expect in the postoperative period?

Expert Solution

Postoperative care of ileostomy :

Stools are released from the stoma which is in liquid form An ostomy pouch is applied to the stoma to contain the drainage. There might be slight bleeding from the stoma along with stools. It is common for the early postoperative period. However frequent assessment of stoma is necessary as the color of the stoma might indicate some concern. A healthy stoma is pink or red in color but a dusky brown or black stoma might be due to some fungal infection or rash or irritation.

The client should be informed of all the things to keep a check of. As stoma starts functioning, The ostomy pouch should be emptied and reattached.

Checking for drainage in the pouch. The pouch should be emptied as soon as it one-third filled. Leaving the pouch attached to be filled up completely could lead to a breakage of the skin seal. So emptying the pouch when it's one-third filled should be the primary focus of the patient.
Assessing the skin around the stoma. It should be pink or red in color and free from any sort of irritation or rashes. A skin barrier should be used on the pouch and if the patient reports any irritation or discomfort, The pouch should be replaced with a new one.
The patient should be taught how to reattach the clamps on the pouch, How to empty, rinse the pouch on their own.
Sharp objects could accidentally cut the stoma leading to an infection. Patients should be advised not to use any razors or trimmers to shave the hair from the area of surgery.
Teaching the patient about the difference between a healthy and infected stoma. With every pouch change, The color and condition of the stoma should be noted. Frequent pouch changes may lead to infection and damage to peristomal skin.
All abnormal changes in the appearance of the stoma should be reported immediately as some changes might need surgical repairs.
Diet should be maintained. Any foods that cause constipation and gas should be avoided.
Contact the doctor if any discomfort or infection occurs near the stoma.

Nightingale answered 1 year ago

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