Colostomy Care Ostomy and Wound Care - Regina Qu'Appelle Health Region

 
Colostomy Care Ostomy and Wound Care - Regina Qu'Appelle Health Region
Colostomy Care

Ostomy and Wound Care

                                                     CEAC 0403
                                                   January 2019
*This document was designed to support patients of the former RQHR.
Colostomy Care Ostomy and Wound Care - Regina Qu'Appelle Health Region
Notes:
_____________________________________________________
                                                        This booklet helps you and your family understand your surgery
                                                        and ostomy care. It is a resource for you to keep and refer to
_____________________________________________________
                                                        with questions.
_____________________________________________________
                                                        An Ostomy & Wound Care nurse visits you in the hospital after
                                                        your surgery. An ostomy nurse is a registered nurse who
_____________________________________________________
                                                        specializes in the care and teaching of people with an ostomy.
                                                        You will learn how to care for your ostomy during your hospital
_____________________________________________________
                                                        stay.
_____________________________________________________

_____________________________________________________

_____________________________________________________

_____________________________________________________

_____________________________________________________

_____________________________________________________
                                                                        Saskatchewan Health Authority
_____________________________________________________
                                                                               Pasqua Hospital
                                                                            Ostomy & Wound Care
_____________________________________________________
                                                                            4101 Dewdney Avenue
                                                                        Regina, Saskatchewan S4T 1A5
_____________________________________________________
                                                                          Telephone: (306) 766-2271
                                                                              Fax (306) 766-2152
_____________________________________________________
                                                             Office hours: Monday to Friday 8:00 a.m. to 4:00 p.m.
_____________________________________________________
                                                                          An appointment is required.
_____________________________________________________

                         28                                                           1
Colostomy Care Ostomy and Wound Care - Regina Qu'Appelle Health Region
Medical Terms                                                       Customer Service Information

Ostomy - means “an opening made into”. Surgery creates an           ConvaTec
opening from an area inside the body to the outside of the          1425 Trans Canada Highway, Suite 100
abdomen. There are many types of ostomies.                          Dorval, QC H9P 2V3
                                                                    Phone: 1-800-465-6302
Stoma - the small piece of bowel that is seen on the abdomen        Email: convatec.canada@convatec.com
                                                                    www.convatec.ca
after surgery.
                                                                    Hollister
                                                                    95 Mary Street
                                                                    Aurora, ON L4G 1G3
                                                                    Phone: 1-800-263-7400 (Toll-Free)
                                                                    www.hollister.com

                                                                    Coloplast
                                                                    2401 Bristol Circle, Suite 205A
                                                                    Oakville, ON L6H 5S9
                                                                    Customer Service - 1-888-880-8605
                                                                    Email: ca_conspec@coloplast.com
                                                                    www.coloplast.ca
                  Image courtesy of Blausen Medical

                                                                    Ostomy Canada Society
Colon - large bowel                                                 5800 Ambler Drive, Suite 210
                                                                    Mississauga, ON L4W 4J4
Colostomy - surgical opening made in the large bowel.               Telephone: 1-905-212-7111
                                                                    Toll Free: 1-888-969-9698
Bowel or Intestine - both mean part of the digestive system,        www.ostomycanada.ca
from the stomach to the anus (can refer to small or large
intestine).

Peristalsis - the forward movement of food or waste through the
digestive system.

Stool - the waste product after digesting food, also called bowel
movement.

                                      2                                                            27
Colostomy Care Ostomy and Wound Care - Regina Qu'Appelle Health Region
Weyburn Co-op Pharmacy                                 Digestive System
215 - 2nd Street NE, Weyburn, S4H 0V1
Phone: (306) 848-3682                                  This includes the mouth, esophagus, stomach, small bowel, large
____________________________________________________   bowel, rectum, and anus.
Drugstore Pharmacy 6760
115 Souris Avenue NW, Weyburn, S4H 3N6                 Digestion begins in the mouth. Chewing and enzymes in the saliva
Phone: (306) 848-3409                                  break food down. The chewed food travels down the esophagus
____________________________________________________   and into the stomach where it is churned and mixed with gastric
Loucks Pharmacy                                        juices before moving to the small bowel.
115 - 41 Broadway Ave West, Yorkton, S3N 0L6
Phone: (306) 786-6636                                  The small bowel is about 6 metres (22 feet) long and is divided
____________________________________________________   into 3 sections - duodenum, jejunum, and ileum. Digestion
Hearn’s Westview Pharmacy                              continues in the small bowel. Enzymes mix with the churned food
265 Bradbrooke Drive, Yorkton, S3N 3L3                 and break it into smaller particles. Nutrients are absorbed into
Phone: (306) 783-4331                                  the bloodstream and used by the body for energy and nutrition.
____________________________________________________
                                                       Digested food moves on to the large bowel. The large bowel is
                                                       about 1.85 metres (6 feet) long and includes the ascending colon,
                                                       transverse colon, descending colon, sigmoid colon, rectum, and
                                                       anus. The large bowel reabsorbs water and salt from the waste
                                                       products and stores stool. Stool is stored in the rectum until you
                                                       feel the urge to have a bowel movement. Stool is passed out of
                                                       the body through the anus.

                                                                            Image courtesy of Adobe Stock

                         26                                                                3
Colostomy                                                            Nordon Drugs Ltd.
                                                                     1610 Isabella Street East, Saskatoon, SK S7J 0C1
   A colostomy can be formed in any part of the large bowel.        Phone: (306) 374-1589
                                                                     ___________________________________________________
   The type of colostomy is named by its location in the large      Schaan Home Healthcare
    bowel.                                                           #7-705 Central Avenue, Saskatoon, SK S7N 3A4
                                                                     Phone: (306) 664-1190, Toll free: 1-833-667-6186
   A colostomy can be permanent or temporary. Your surgeon          ___________________________________________________
    tells you which type you have.                                   URO Medical Supplies
                                                                     4002 Arthur Rose Avenue, Saskatoon, SK S7P 0C9
   Colostomy stomas are created by the surgeon in 2 ways - end      Phone: (306) 651-3330
    or loop. Not all stomas are the same shape.                      ___________________________________________________
                                                                     Jae’s Pharmacy Ltd.
   An end stoma has 1 opening that stool and gas comes out of.      335 Centre Street, Shaunavon, S0N 2M0
                                                                     Phone: (306) 297-1333
   A loop stoma has 2 openings - 1 for stool and gas to come        ___________________________________________________
    out of and 1 to vent/drain mucous or old stool from the          New Hope Pharmacy
    remaining portion of the large bowel.                            PO Box 240, Stoughton, S0G 4T0
                                                                     Phone: (306) 457-2522
   If your rectum and anus were not removed during surgery,         ___________________________________________________
    you may feel rectal fullness and the urge to pass stool after    Pharmasave 406
    surgery. This is normal. You may relieve the feeling of rectal   390 Central Avenue North, Swift Current, S9H 0L4
    fullness by using the toilet. You may pass mucous, old blood,    Phone: (306) 773-7261
    or stool that was not cleaned out of your bowel before           ___________________________________________________
    surgery and mucous after that.                                   Rexall Drugs
                                                                     780 Central Avenue North, Swift Current, S9H 0M3
                                                                     Phone: (306) 773-4633
                                                                     ___________________________________________________
                                                                     Pharmasave 416
                                                                     30 - 3rd Street NE, Weyburn, S4H 0V9
                                                                     Phone: (306) 848-3850
                                                                     ___________________________________________________

                                 4                                                            25
Royal Drug Mart                                      Descending or Sigmoid Colostomy
Box 370, Melville, S0A 2P0                            You are able to use most of your large bowel.
Phone: (306) 728-5625                                 The stool is formed.
__________________________________________________    Constipation or diarrhea can still occur.
Pharmasave 407
PO Box 1198, Melville, S0A 2P0                       Transverse Colostomy
Phone: (306) 728-4556                                 You are using less of your large bowel.
__________________________________________________    The stool varies from pasty to semi-solid in consistency.
Moose Jaw Rexall Drugs
735 Main Street North, Moose Jaw, S6H 0W7            Mucous Fistula
Phone: (306) 694-5556                                 If your rectum was not removed during the surgery, the
__________________________________________________     lower piece of bowel that is left in your abdomen may be
Pharmasave Drugs 424                                   brought to the skin surface.
212 Main Street North, Moose Jaw, S6H 3J8             The mucous fistula provides a way for mucous produced in
Phone: (306) 692-6433                                  the lower bowel to vent/drain out.
__________________________________________________
TLC Pharmacy
149 - 1235 Main Street North, Moose Jaw, S6H 6M4
Phone: (306) 972-7200
__________________________________________________
Pharmasave 408
Box 1290, Moosomin, S0G 3N0
Phone: (306) 435- 3345
__________________________________________________
Pharmasave 442
PO Box 702, Radville, S0C 2G0
Phone: (306) 869-2272
__________________________________________________
Pharmasave 404
PO Box 310, Redvers, S0C 2H0
Phone: (306) 452-3313
__________________________________________________
                                                                         Image courtesy of Adobe Stock.

                         24                                                             5
The Stoma                                                             Sapara’s Drug Mart (PharmaChoice)
                                                                      Box 1599, Esterhazy, S0A 0X0
To form your stoma, your surgeon folds the small piece of bowel       Phone: (306) 745-6662
back like a cuff on a turtleneck sweater. Important things for you    __________________________________________________
to know about your stoma are:                                         Henders Drugs
                                                                      1220 - 4th Street, Estevan, S4A 0W9
   Appearance - pink to red                                          Phone: (306) 634-3666
                                                                      __________________________________________________
   Texture - moist and smooth, like the tissue inside your mouth.    Pharmasave
                                                                      1239 - 5th Street, Estevan, S4A 0Z5
   Blood supply - is very close to the surface of the stoma. It is   Phone: (306) 637-3802
    normal to see small traces of blood when the stoma is cleaned     __________________________________________________
    or rubbed.                                                        Pharmasave 412
                                                                      Box 1030, Fort Qu’Appelle, S0G 1S0
   Slight movement - may occur as the stool passes through the       Phone: 1-888-858-3865
    stoma (peristalsis).                                              __________________________________________________
                                                                      Saleski Pharmacy Ltd.
   Nerve endings - because there are no nerve endings in your        PO Box 1000, Grenfell, S0G 2B0
    stoma, you should not feel pain or sensation with cleaning or     Phone: (306) 697-2600
    when it functions.                                                __________________________________________________
                                                                      Dragan Drugs
   Control - you do not have any control over the movement of        PO Box 1419, Indian Head, S0G 2K0
    stool or gas.                                                     Phone: (306) 695-3333
                                                                      __________________________________________________
   Dissolvable sutures (or stitches) are placed around the stoma.    Kamsack Family Pharmacy
    They break down and dissolve in 7 to 10 days.                     504 - 3rd Avenue South, Kamsack, S0A 1S0
                                                                      Phone: (306) 542-1333
   Swelling - after surgery your stoma is swollen and larger than    __________________________________________________
    normal. You can expect your stoma to shrink in size as it heals   Dirk Family Pharmacy Ltd.
    for about 6 to 8 weeks after surgery.                             Box 190, Leader, S0N 1H0
                                                                      Phone: (306) 628-3744
   Rod or bridge - your surgeon may use a plastic rod or tube to     __________________________________________________
    support a loop stoma during the first 1 to 2 weeks.

                                 6                                                             23
Baber’s Pharmasave                                    Ostomy Management
Box 490, Balcarres, S0G 0C0
Phone: (306) 334-2424                                    The pouching appliance sticks/adheres to the skin around the
___________________________________________________       stoma and collects stool, contains the odor and protects the
Bengough Drugs Ltd.                                       skin around the stoma.
PO Box 218, Bengough, S0C 0K0
Phone: (306) 268-2002                                    Wear time is the length of time the pouching appliance can
___________________________________________________       be left in place (without leakage).
Pharmasave
PO Box 27, Broadview, S0G 0K0                            The pouching appliance needs to be changed 1 to 2 times per
Phone: (306) 696-2274                                     week.
___________________________________________________
Devi Pharmacy                                            A pouching appliance should be changed if it leaks or if your
515 First Street North, Cabri, S0N 0J0                    skin is irritated.
Phone: (306) 587-1001
___________________________________________________      You can bath or shower with your pouching appliance on or
Canora Pharmacy Ltd.                                      off. If your pouching appliance is on, allow some extra time
Box 1360, Canora, S0A 0L0                                 to dry it completely before getting dressed. If you bath or
Phone: (306) 563-5411                                     shower without wearing a pouching appliance, ensure your
___________________________________________________       pouching supplies are ready to apply after. Bathing or
Pharmasave                                                showering wearing only a wafer (removing the pouch) should
PO Box 1059, Carlyle, S0C 0R0                             be avoided, as the wafer breaks down more quickly from
Phone: (306) 453-4466                                     direct contact with the water.
___________________________________________________
Carnduff Drug Mart                                       You may trim hair around your stoma carefully with a razor
Box 669 Carnduff, S0C 0S0                                 (safety or electric) or scissors to make removing the wafer/
Phone: (306) 482-3637, 1-800-600-3637                     pouch easier.
__________________________________________________
Galloway’s Pharmacy Ltd.                                 Gradually return to your normal activities after surgery. For
PO Box 190, Central Butte, S0H 0T0                        6 to 8 weeks after surgery, DO NOT vacuum or lift more than
Phone: (306) 796-2040                                     5 to 10 pounds (2 to 4 kg). For 6 months after surgery, DO
__________________________________________________        NOT lift more than 20 to 30 pounds (10 to 15 kg). Your
                                                          surgeon may give you instructions for activity.

                         22                                                           7
Ostomy Management (continued)                                        Retail Outlets that Carry Ostomy Products

   After healing from ostomy surgery, your abdominal muscle         Note: The Saskatchewan Health Authority does not endorse any
    wall may be weaker which may place you at risk for               particular store. This is a partial listing and is not intended to be
    developing a hernia. A hernia support belt and safe exercises    a comprehensive list.
    can be recommended by your ostomy nurse.
                                                                     Contact retailer regarding ordering ostomy supplies.
   Extra ostomy supplies should be carried with you in your
    purse or car. For airplane travel, you should carry some extra
    prepared pouching appliances with you and the rest of your       Medical 1 Physician and Health Care Supplies
    supplies in your luggage (scissors are not permitted in your     2365 - 2nd Avenue, Regina, S4R 1A5
    carry-on bag).                                                   Phone: (306) 352-8874
                                                                     _____________________________________________________
                                                                     Jolly’s Medical Supplies
   Ostomy pouching appliances are odor proof if:
                                                                     120 Victoria Avenue, Regina, S4N 0P3
       the pouch is changed regularly
                                                                     Phone: (306) 522-3833
       the pouch is emptied when 1/3 full
                                                                     _____________________________________________________
       the pouch has no flaws or pinholes
                                                                     Pharmasave Glencairn
       the tail portion of the pouch is kept clean
                                                                     1695 Dewdney Avenue East, Regina, S4N 4N6
       a reliable seal is obtained.
                                                                     Phone: (306) 791-7878
                                                                     _____________________________________________________
To empty the pouch:
                                                                     Shoppers Drug Mart
                                                                     Landmark Centre, 4130 Albert Street, Regina, S4S 3R8
1. Unroll the interlocking fastener by lifting at the corners and
                                                                     Phone: (306) 777-8040
   unraveling the fold 3 times.
                                                                     _____________________________________________________
                                                                     The Medicine Shoppe Pharmacy
2. Open the tail end by pushing both ends of the outlet
                                                                     2310 - 9th Avenue North, Regina, S4R 8C5
   together with your thumb and forefinger. Empty contents
                                                                     Phone: (306) 543-5555
   into toilet.
                                                                     _____________________________________________________
                                                                     Shoppers Drug Mart 433
3. Pouch tail may be wiped clean with tissue or mild soap and
                                                                     Box 10, Assiniboia, S0H 0B0
   warm water. Roll tail up to close and press firmly on
                                                                     Phone: (306) 642-7370
   interlocking fastener.
                                                                     _____________________________________________________

                                 8                                                                    21
Saskatchewan Aids To Independent Living (SAIL)                      Medications

Ostomy & Wound Care registers you with the SAIL Ostomy              It is important to tell your health care provider and pharmacist
Program for reimbursement of your ostomy supplies. You receive      about your ostomy before taking any new medication. The type
confirmation of your registration by mail.                          of ostomy you have may affect the medication prescribed.
                                                                    Certain vitamins, antibiotics, and other medications may affect
At the time of ostomy supply purchase, SAIL pays 50% of the cost    the color or consistency of stool.
and you pay the remaining 50%. Concerns related to SAIL
reimbursement should be directed to your vendor.                    You can still experience diarrhea or constipation with a
                                                                    colostomy. Medications containing codeine may cause
Note:                                                               constipation. Consult your doctor, pharmacist, or ostomy nurse
You may be eligible for additional reimbursement if you have        for advice with managing or preventing constipation. Stool
additional health insurance coverage through your employer or a     softeners may be necessary.
private insurance program such as Blue Cross, Group Medical
Services, or Veterans Affairs Canada. After receiving the
                                                                    Nutrition
statement from your pharmacy, the paid receipt can be
submitted to your private insurance program for consideration.
                                                                       Colostomy surgery does not require you to make any
                                                                        changes to your diet.
Non-Insured Health Benefits (NIHB)
                                                                       Eat a well balanced diet following “Eating Well with Canada’s
If applicable, once you provide the ostomy nurse with your treaty       Food Guide”.
number, we can provide you with a prescription for ostomy
supplies.                                                              Introduce foods that may cause gas or odor one at a time.
                                                                        Give problem foods a second chance before taking them out
Disability Tax Credit                                                   of your diet.

Individuals with a permanent ostomy may be eligible for a              Eat regular meals. Small frequent meals are usually tolerated
disability tax credit. Inquire with your financial advisor or           best. Skipping meals causes the bowel to produce more gas.
Revenue Canada.
                                                                       Eat slowly and chew your food well.
https://www.ostomycanada.ca/dtc
                                                                       Drink 8 to 10 glasses of caffeine free liquid per day.

                                  20                                                                 9
Food Tips for Individuals with a Colostomy                             Follow up Appointments

Foods That May Cause Gas                                               Routine outpatient clinic check ups with an ostomy nurse are
 Dried peas          Lentils                    Broccoli
                                                                       recommended after discharge from the hospital as follows:
 Brussel sprouts     Cabbage                    Turnips
                                                                              2 week appointment _________________________
 Cauliflower         Eggs                       Melon                         2 to 3 months
 Cucumber            Peppers                    Onions                        1 year
 Chives              Pickles                    Sauerkraut
                                                                       Please call Ostomy & Wound Care at 306-766-2271 to make an
 Beer                Chewing gum                Carbonated beverages
                                                                       appointment. Appointments are necessary.
 Alcohol             Fried foods                Prunes and raisins
 Radishes            Strong cheeses             Beans                  Ostomy & Wound Care is located on Level 0 (basement) of the
                                                                       Pasqua Hospital.
Foods that May Cause Odor
                                                                       Office hours: Monday to Friday 8:00 a.m. to 4:00 p.m.
Dried peas           Beans                      Some spices
Fish & seafood       Garlic                     Some medications
                                                                       Please bring the supplies necessary to change your pouch to the
                                                                       appointment. There is no need to change your pouch before.
Asparagus            Turnip                     Some vitamin
                                                preparations
Lentils              Onions
                                                                       Donations
Strong cheeses       Eggs
                                                                       Donations of unused ostomy products are gratefully accepted for
(Roquefort)
                                                                       distribution to third world charities. Donations can be dropped
                                                                       off at Ostomy & Wound Care at the Pasqua Hospital.
Foods that May Help Control Gas and Odor
 Fresh parsley     Yogurt          Buttermilk

                               10                                                                    19
Supplies You Need to Purchase                            Skin Care

Type of Ostomy:                                             The skin around your stoma (or peristomal skin) should look
                                                             like the rest of the skin on your abdomen.
_____________________________________________________
                                                            After surgery the stoma and your abdomen are swollen. As
Supplies and order numbers:                                  you heal your stoma gets smaller. The opening in the wafer
                                                             should be cut smaller to reflect the decrease in the stoma
_____________________________________________________        size. About 1/8” of skin should show between the stoma and
                                                             edge of the opening on the wafer.
______________________________________________________      The stoma and peristomal skin are cleansed with warm tap
                                                             water every time the pouching appliance is changed.
______________________________________________________
                                                            If necessary, an adhesive remover can be used to remove
______________________________________________________       any adhesive residue from your skin. After using adhesive
                                                             remover, the skin needs to be cleansed again, to ensure the
______________________________________________________       new wafer adheres to your skin.
                                                            Skin irritation, such as a rash, an open sore, blistering or
______________________________________________________       redness may occur anywhere that the pouching appliance or
                                                             stool comes in contact with your skin. The cause of the skin
______________________________________________________       irritation must be identified before the irritation can be
                                                             treated. Common causes are:
______________________________________________________           leakage of stool on the exposed skin
                                                                 perspiration
______________________________________________________           allergic reaction or sensitivity to product.

______________________________________________________      If your skin is moist or irritated, a small amount of ostomy
                                                             powder may be applied. Wipe off the excess powder. The
______________________________________________________       powder absorbs moisture to make a dry surface for your
                                                             next pouching appliance.
_____________________________________________________
                                                            Wet or weeping skin can prevent a pouching appliance from
_____________________________________________________        adhering to the skin. If your skin is irritated and weeping, you
                                                             may need to change your pouching appliance more often.
_____________________________________________________        Contact your ostomy nurse if the irritation does not resolve
                                                             or if you have questions.
                              18                                                          11
Intimacy                                                        7. Set the wafer and pouch aside.

Following surgery, it is normal to have concerns about your     8. Remove your old appliance. Place in garbage bag.
altered body appearance. People may have concerns about
the effect the ostomy may have on sexual relationships.         9.   Wash the stoma and surrounding skin with warm water. Pat
                                                                     the skin dry.
Concerns should be discussed with your partner, surgeon,
family doctor and/or ostomy nurse. Open discussion with your    10. If the skin around your stoma is irritated, apply a small
partner will help you understand each other’s feelings and          amount of ostomy powder. Dust off excess powder.
help in your adjustment.
Sexual relations may be resumed when approved by your           11. Centre the prepared wafer over the stoma and gently press
surgeon and when you feel physically and emotionally ready.         onto your skin. Rub your finger over the barrier adhesive
It takes time to adjust to the changes in your body.                close to the stoma to ensure barrier adhesive seals to the
                                                                    skin.
If the rectum has been removed, depending upon the reason,
there may be some degree of sexual impairment due to            12. If your wafer has tape, remove the paper from the tape
possible nerve damage in the perineal area. This damage, if         border. Smooth the tape onto your skin.
present, may be temporary or permanent. Discuss concerns
you may have with your surgeon.                                 13. To attach the pouch, line up the flange rings of the wafer to
                                                                    the pouch. Slip your fingers under the flange ring on the
The following suggestions may help when you are involved in         wafer to pinch and snap the two together.
an intimate relationship:
    Empty your pouch prior to sexual activity.                 14. Place your hand over the wafer for 2 minutes, to warm the
                                                                    barrier adhesive. The adhesive becomes stickier as it warms
    Wear a smaller “mini” pouch or fold and tape your pouch.       to your body temperature.
    Cover the pouch with a pouch cover, cummerbund, fancy
     lingerie or crotch less panties.                           15. If used, add an ostomy belt to snug up your appliance. This
                                                                    helps the barrier adhesive adhere to your skin.
    Try different positions that are comfortable for you and
     your partner.                                              16. Wash your hands with soap and water.
Ongoing concerns should be discussed with your family doctor
or surgeon. A discussion with a professional specializing in
sexual counselling may be of benefit. Your family doctor or
surgeon can refer you, if you wish.
Resource courtesy of: https://nswoc.ca/colostomy-guide/

                                             12                                                 17
Changing a Two Piece Colostomy Appliance                            Ostomy Canada Society
Change the pouching appliance 1 to 2 times per week or when         This nonprofit, volunteer organization helps people who have or
any leakage occurs. DO NOT wait.                                    expect to have a fecal or urinary diversion. These members have
                                                                    personal experience living with an ostomy.
1. Gather the following supplies:
    soft wash cloth to clean your skin                             The Regina & District Ostomy Society hold meetings on the second
    warm tap water                                                 Tuesday of every month at 7:00 p.m. except during January, July
    wafer (taken out of package) and pouch                         and August.
    pattern, pen, and scissors
    ostomy paste, strip or ring                                    Meetings are held at Community of Christ Church Hall, 4710 8th
    ostomy powder                                                  Avenue (corner of Arthur and 8th). New members are welcome.
    garbage bag
                                                                    The group talks about common issues, exchanges ideas, helps to
2. For cut-to-fit appliance only:                                   support each other, and facilitates group discussions and
                                                                    educational sessions.
       Using the pattern, trace the stoma opening on the back of
        the wafer (body side).                                       A newsletter is published. Included in the annual membership fee
                                                                    is a subscription to Ostomy Canada magazine.
       Cut out the stoma opening using scissors. Smooth the edge
        of the hole with your finger.                               The Regina & District Ostomy Society Visitor Program is available
                                                                    to anyone who may require ostomy surgery or has a new ostomy.
3. Remove the backing from the barrier adhesive.                    These visitors have taken extra training to provide information
                                                                    and support focused on day to day life with an ostomy.
4. If used, apply paste, strip or ring around the hole opening
                                                                    Websites:
    onto the barrier adhesive.
                                                                    http://www.ostomycanada.ca/
5. If your wafer has tape, fold back the edges of the paper
   covering the tape border to allow easier removal, once the       http://www.reginaostomy.ca/
   wafer is on your body.

6. Close the bottom of the pouch:
         Fold the tail up 3 times. Press firmly along the entire
          length of the Velcro strip until you feel them seal
          together. Tuck the tail of the pouch into the pocket.
                                  16                                                               13
Changing a One Piece Colostomy Appliance                           6. Close the bottom of the pouch:

Change the pouching appliance 1 to 2 times per week or when               Fold the tail up 3 times. Press firmly along the entire
any leakage occurs. DO NOT wait.                                           length of the Velcro strip until you feel them seal
                                                                           together. Tuck the tail of the pouch into the pocket.
1. Gather the following supplies:
    soft wash cloth to clean your skin                            7. Set the appliance aside.
    warm tap water
    pouching appliance                                            8. Remove your old appliance. Place in garbage bag.
    pattern, pen, and scissors
    ostomy paste, strip or ring                                   9. Wash the stoma and surrounding skin with warm water. Pat
    ostomy powder                                                    the skin dry.
    garbage bag
                                                                   10. If the skin around your stoma is irritated, apply a small
2. For cut-to-fit appliance only:                                      amount of ostomy powder. Dust off the excess powder.

      Using the pattern, trace the stoma opening on the back      11. Centre the prepared appliance over the stoma and gently
       (body side) of the pouching appliance.                          press onto your skin. Rub your finger over the barrier
                                                                       adhesive close to the stoma to ensure barrier adhesive seals
      Cut out the stoma opening using scissors. Smooth the edge       to the skin.
       of the hole with your finger.
                                                                   12. If your appliance has tape, remove the paper from the tape
3. Remove the backing from the barrier adhesive.                       border. Smooth the tape onto your skin.
4. If used, apply paste, strip or ring around the hole opening     13. Place your hand over the appliance for 2 minutes, to warm
   onto the barrier adhesive.                                          the barrier adhesive. The adhesive becomes stickier as it
                                                                       warms to your body temperature.
5. If your appliance has tape, fold back the edges of the paper
   covering the tape border to allow easier removal, once the      14. If used, add an ostomy belt to snug up your appliance. This
   appliance is on your body.                                          helps the barrier adhesive adhere to your skin.

                                                                   15. Wash your hands with soap and water.

                                14                                                                 15
You can also read
NEXT SLIDES ... Cancel