 |
|
|
 |
|
|
|
| Follow these instructions if you have an irregularly shaped 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, skin barrier flange, gauze or tissue and water, a scissors, pen, measuring guide, and a bag to put the used products 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: Get pouch ready to put on.
Trace your stoma pattern on the back of the release
paper, then cut the skin barrier. The skin barrier
should fit snugly around the stoma without touching
it so that all skin will be protected. |
|
 |
|
| Optional: You may choose to attach the pouch to the skin barrier flange at this time. |
|
 |
|
| Remove the paper backing from the skin barrier. Set 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 3: 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 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 skin barrier flange.
Center the opening in the pouch over the stoma. Gently press the barrier to be sure it has made good contact with the skin. |
|
 |
|
| Note: If your skin barrier flange has a tape border, remove the paper backing from the tape which surrounds the skin barrier. |
|
 |
|
|
Step 6: Attach the pouch to the skin barrier flange (if you have not already done this).
Make sure the flanges are attached all the way around.
Note: If you are using the New Image System, you will hear numerous "clicks" confirming that you are attaching the flanges correctly. |
|
 |
|
|
Step 7: 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. |
|
 |
|
|
|
|
|
|
|
