Name of the Procedure:

Common Name: Ostomy Pouch Change
Technical Term: Ostomy Pouch, Drainable; for Use on Barrier with Locking Flange (2-Piece System)

Summary

An ostomy pouch change involves replacing the pouch that collects waste from an ostomy, typically a surgically created opening in the abdomen. This particular pouch is designed to be drainable and fits onto a barrier with a locking flange for a secure, two-piece system.

Purpose

This procedure is necessary for patients who have an ostomy due to conditions like colorectal cancer, Crohn's disease, ulcerative colitis, or other gastrointestinal issues. The goal is to maintain hygiene, prevent infection, and ensure the system is functioning correctly to collect waste.

Indications

• Patients with a colostomy, ileostomy, or urostomy.
• Indications of leakage or a full pouch.
• Routine pouch maintenance.

Preparation

• Ensure the skin around the stoma is clean and dry.
• Have all materials ready: new pouch, barrier, a cleaning cloth, and any prescribed ointments or powders.
• No specific fasting or medication adjustments required.
• If sensitive skin or allergies are noted, perform a patch test with new products.

Procedure Description

1. Wash and dry hands thoroughly.
2. Gently remove the old pouch and barrier from around the stoma.
3. Clean the skin around the stoma with water and a washcloth.
4. Dry the area thoroughly.
5. Apply any prescribed ointments or powders if needed.
6. Align the new barrier with the stoma and secure it in place, ensuring it is comfortably fitted.
7. Attach the new drainable pouch to the barrier's locking flange.
8. Ensure the locking mechanism is secure to prevent leaks.

Duration

Typically takes about 10-20 minutes.

Setting

• Performed at home or in a healthcare setting such as a clinic if assistance is needed.

Personnel

• Can be performed by the patient, a caregiver, or healthcare professionals like a nurse specialized in ostomy care.

Risks and Complications

• Skin irritation or infection around the stoma.
• Leakage if the pouch is not secured properly.
• Allergic reactions to materials or adhesives.

Benefits

• Helps maintain hygiene and prevent infections.
• Improves comfort and confidence for the patient.
• Immediate benefit of waste management and comfort.

Recovery

• Minimal recovery as this is a routine maintenance procedure.
• Follow any additional skin care recommendations.
• Monitor for signs of infection or irritation.
• Schedule follow-up appointments with a healthcare provider if any problems arise.

Alternatives

• One-piece ostomy systems where the barrier and pouch are a single unit.
• Different brands or types of ostomy bags tailored to individual needs.
• Pros of a two-piece system include the ease of replacing the pouch without disturbing the barrier. Potential cons might be the need for proper attachment to prevent leaks.

Patient Experience

• During the procedure, there might be mild discomfort while cleaning the area.
• After the procedure, most patients report improved comfort.
• Pain management generally involves OTC pain relievers if needed; comfort measures include careful application and fitting to avoid irritation.