Ostomy pouch, closed; for use on faceplate, each
HCPCS code
Name of the Procedure
Common Name: Ostomy Pouch Change
Technical/Medical Term: Ostomy pouch, closed; for use on faceplate (HCPCS Code: A5053)
Summary
An ostomy pouch change involves replacing an existing ostomy pouch with a new, closed-end pouch. This pouch collects waste from the body via a stoma, an opening on the abdomen. The new pouch attaches to a faceplate (also known as a flange or wafer) that adheres to the skin around the stoma.
Purpose
Medical Conditions: Used by patients with colostomies or ileostomies due to conditions such as colorectal cancer, inflammatory bowel disease (IBD), diverticulitis, or trauma.
Goals/Expected Outcomes: Ensure proper waste management, maintain hygiene, prevent skin irritation, and enhance quality of life.
Indications
Symptoms/Conditions: Patients with a stoma who need to manage waste output.
Criteria: Patients with existing faceplate systems who require frequent pouch changes.
Preparation
Pre-Procedure Instructions:
- Clean skin around the stoma.
- Gather all necessary supplies: new pouch, adhesive remover, skin barrier wipes, and a washcloth. Diagnostic Tests: None required.
Procedure Description
- Gather Materials: New closed-end pouch (A5053), adhesive remover, skin barrier wipes, and other cleaning supplies.
- Remove Old Pouch: Carefully peel off the existing pouch from the faceplate.
- Clean Stoma Area: Use a washcloth and warm water to clean the area around the stoma.
- Prepare Skin: Apply skin barrier wipes around the stoma to protect the skin.
- Attach New Pouch: Align the new pouch opening with the stoma and press firmly onto the faceplate until secure.
Tools/Equipment: Ostomy pouch, adhesive remover, skin barrier wipes.
Anesthesia/Sedation: None required.
Duration
Typically, the procedure takes about 10-15 minutes.
Setting
Performed at home or in a clinical setting such as an outpatient clinic or a doctor's office.
Personnel
Generally self-administered by the patient or with the help of a caregiver. A nurse or ostomy specialist can assist as needed.
Risks and Complications
Common Risks:
- Skin irritation around the stoma
- Leakage or poor adhesion of the pouch Rare Risks:
- Stomal blockage or infection Complications Management: Proper skin care and regular pouch changes can mitigate most risks.
Benefits
Expected Benefits:
- Improved hygiene
- Comfortable waste management
- Enhanced mobility and freedom Time to Realization: Immediate upon successful pouch change.
Recovery
Post-Procedure Care:
- Regular monitoring of skin around the stoma
- Immediate use of the new pouch
Expected Recovery Time: No recovery time needed; normal activities can be resumed immediately.
Restrictions/Follow-Up: Follow-up appointments only if complications arise.
Alternatives
Other Treatment Options:
- Reversible stoma closure if applicable
- Use of a different type of ostomy pouch system (e.g., drainable pouches) Pros and Cons:
- Reversible stoma closure: Eliminates need for a pouch but not suitable for all patients.
- Different pouch systems: May offer ease of use or better comfort, but some systems require more frequent changes.
Patient Experience
During Procedure:
- May feel mild discomfort during cleaning and application of the pouch. After Procedure:
- Increased comfort and security.
- Effective waste management. Pain Management/Comfort Measures:
- Use of adhesive removers and skin barrier wipes for irritation prevention.