 |
|
|
 |
|
|
|
| Follow these instructions if you have a round stoma and use a pouch with a cut-to-fit skin barrier. The product in the photos may not look exactly like the one-piece product you use. |
|
Step 1: Gather supplies needed to change the pouch.
Things you need will include a pouch, gauze or tissue and water, a scissors, pen, measuring guide, and a bag to put the used pouch into. You may also need a pouch clamp, skin barrier paste, pouch deodorizer, skin wipe, or other items recommended by a knowledgeable healthcare provider.
|
|
 |
|
 |
Step 2: Remove old pouch.
Gently peel the adhesive off skin. Use your finger
to push skin away from the pouch adhesive. If there
is a pouch clamp, remove and save.
|
|
 |
|
|
Step 3: Get pouch ready to put on.
Measure stoma using the stoma measuring guide. Choose the opening which is closest to the size of the stoma. Trace that opening on the back of the release paper. |
|
 |
|
| Cut the skin barrier. The skin barrier should fit snugly around the stoma without touching it so that all skin will be protected. |
|
 |
|
| Remove the paper backing from the skin barrier. Set pouch aside. |
|
 |
|
| Optional: If skin barrier paste is used, apply it around the opening. Paste will help to fill in areas that are not flat and may help to improve the wear time. Do not use too much paste. |
|
 |
|
|
Step 4: Clean and completely dry the skin.
When the pouch is off, look at the skin. It may have a slight pink color where the adhesive was. This is normal, and it will go away in a few minutes. If the skin is broken, discolored, or has red bumps on it, this is not normal, and you should contact a healthcare provider. Look at the stoma. It should be red and moist. A small amount of bleeding is normal. |
|
 |
|
| Optional: If you are using a skin wipe, apply it at this point. Let it dry completely. |
|
 |
|
|
Step 5: Put on the pouch.
Center the opening in the pouch over the stoma. Gently press the barrier to be sure it has made good contact with the skin. |
|
 |
|
|
Step 6: Close bottom of pouch.
If a drainable pouch is used, put on a pouch clamp. |
|
 |
|
| If a urostomy pouch is used, be sure the drain valve is closed. |
|
 |
|
| Optional:
A pouch deodorizer, such as m9, may be used in the
bottom of the pouch before the clamp is put on.
Put 4 – 12 drops in the pouch. This will eliminate
the odor when the pouch is emptied. |
|
 |
|
|
|
|
|
|
|
