Page 372 - CHHA Binder 2.3.20

4/11/2019

Key Skills for Patients and Caregivers

 Empty pouch when 1/4 full and keep the drainage end of
the pouch clean.
 Teach urostomy patients how to connect and remove night
drainage system and care of the system
 Have patient practice preparing and applying pouching
system
 Teach how to measure and cut or mold skin barrier wafer to
size. Let the patient know the stoma size may continue to
change as the stoma swelling subsides and the appliance
opening will require adjustment

HCHB SN Pathway for Ostomy
POC PATIENT / CAREGIVER WILL BE ABLE TO
Goal: VERBALIZE/DEMONSTRATE APPROPRIATE
COLOSTOMY/ILEOSTOMY MANAGEMENT BY END OF
EPISODE.
Visit Interventions and Goals:
Seq: 1 Visits: 2 Intervention: INSTRUCT PATIENT/CAREGIVER ON COLOSTOMY/ILEOSTOMY
MANAGEMENT TO INCLUDE: (ALL INTERVENTION DETAILS
MUST BE INSTRUCTED ON PRIOR TO MARKING THE
INTERVENTION GOAL AS ACHIEVED)

Intervention Details: MONITORING STOMA SITE DAILY
Intervention Details: SIGNS / SYMPTOMS OF STOMA SITE
COMPLICATIONS INCLUDING BLEEDING,
CRACKING, BULGING/PROTRUSION AND NON-
STOOL DRAINAGE
Intervention Details: REMOVAL AND APPLICATION OF APPLIANCE
Intervention Details: FITTING OF APPLIANCE
Intervention Details: APPROPRIATE SKIN CARE (**CLEANSE WITH
SOAP AND WATER, USE OF SKIN BARRIER, USE
OF ADHESIVES)
Intervention Details: ODOR REDUCTION METHODS INCLUDING USE
OF CHARCOAL, DEODORIZERS, PROPER
HYGIENE AND NUTRITION
Intervention Details: IRRIGATION TECHNIQUES AND USE OF CAP AS
APPROPRIATE
Goal: PATIENT / CAREGIVER VERBALIZE /
DEMONSTRATE ABILITY TO SELF MANAGE
COLOSTOMY / ILEOSTOMY CARE (DO NOT MARK
GOAL AS MET UNLESS ALL INTERVENTION
DETAILS ARE UNDERSTOOD BY PATIENT /
CAREGIVER)
Seq: 2 Visits: ALL Intervention: PERFORM COLOSTOMY/ILEOSTOMY CARE INCLUDING: (ALL
INTERVENTION DETAILS MUST BE INSTRUCTED ON PRIOR TO
MARKING THE INTERVENTION GOAL AS ACHIEVED)

Intervention Details: APPLICATION OF APPLIANCE (** INCLUDING
TYPE OF APPLIANCE, ADHESIVE USED AND SKIN
PROTECTANT USED
Goal: PATIENT VERBALIZES/DEMONSTRATES
TOLERANCE OF COLOSTOMY / ILEOSTOMY
CARE (DO NOT MARK GOAL AS MET UNLESS ALL
INTERVENTION DETAILS ARE UNDERSTOOD BY 16
PATIENT / CAREGIVER)

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