Develop a Regular Ileostomy Care Routine for Patient
17
Schedule Follow-up Medical Appointments
18
Enter Ileostomy Care Plan into Patient's Record
19
Approval: Ileostomy Care Plan
Patient Assessment
Assess the condition of the patient to determine their specific needs and risks. Take note of any allergies, medications, or existing medical conditions that may affect the ileostomy care. Identify any concerns or potential challenges that may arise and prepare a plan to address them. Ensure the patient's comfort and wellbeing throughout the process. What are the patient's goals and expectations for the ileostomy care?
1
Food
2
Medication
3
Latex
4
Environmental
5
None
Review Medical History
Review the patient's medical history to gain a comprehensive understanding of their past surgeries, conditions, and treatments. Identify any potential complications or contraindications for ileostomy care based on the medical history. Evaluate the patient's overall health and any specific risks that may affect the care plan. Ensure the patient's medical information is up to date and accurate.
Evaluation of Patient's Nutritional Status
Assess the patient's nutritional status to determine if any modifications or supplements are necessary for optimal healing and ileostomy function. Evaluate the patient's intake of essential nutrients, hydration, and overall dietary habits. Consider collaborating with a registered dietitian to develop a personalized nutritional plan for the patient's specific needs and goals.
1
None
2
Food Allergies
3
Vegetarian
4
Vegan
5
Gluten-free
Educate Patient Surgeries and Procedures
Provide the patient with information about the specific ileostomy surgery and procedures they have undergone. Explain the purpose of the ileostomy, how it functions, and its impact on daily life. Address any concerns or misconceptions the patient may have. Offer educational materials, resources, or referrals for additional support and understanding.
1
End Ileostomy
2
Loop Ileostomy
3
Mucous Fistula
Prepare Necessary Supplies for Ileostomy Care
Gather all the necessary supplies and equipment for the proper care of the patient's ileostomy. Ensure an adequate stock of items such as ileostomy bags, skin barriers, adhesive removers, and cleansing wipes. Assess the patient's preferences and special needs when selecting the supplies. Organize and label the supplies for easy access and use.
1
One-piece Closed-end
2
One-piece Drainable
3
Two-piece Closed-end
4
Two-piece Drainable
5
Custom-made
Perform Hand Hygiene
Follow proper hand hygiene protocols to prevent the spread of infection during ileostomy care. Wash hands thoroughly with soap and water for at least 20 seconds or use an alcohol-based hand sanitizer. Pay special attention to cleaning the fingertips, nails, and between the fingers. Use a clean towel or paper towel to dry hands.
1
Soap and Water
2
Alcohol-based Hand Sanitizer
Clean Skin Around Stoma
Cleanse the skin surrounding the stoma to maintain hygiene and prevent skin irritation or infection. Use a mild, pH-balanced cleanser or warm water to gently clean the area. Avoid harsh soaps, wipes with alcohol, or abrasive materials. Pat the skin dry with a soft towel or allow it to air dry. Inspect the skin for any redness, inflammation, or signs of infection.
1
Mild Cleanser
2
Warm Water
3
Cleansing Wipes
1
Normal
2
Redness
3
Inflammation
4
Infection
5
Other
Inspect Stoma and Skin Condition
Carefully examine the stoma and the surrounding skin for any abnormalities or changes. Observe the color, shape, size, and moisture level of the stoma. Check for any signs of infection, bleeding, or necrosis. Inspect the skin for redness, irritation, rashes, or breakdown. Document and report any significant findings to the healthcare team.
1
Pink
2
Red
3
Pale
4
Purple
5
Other
1
Normal
2
Redness
3
Irritation
4
Rash
5
Breakdown
Apply New Ileostomy Bag
Properly apply a new ileostomy bag to ensure a secure and leak-proof seal. Measure and cut the opening of the bag to fit the size of the stoma. Remove the backing from the adhesive and gently place the bag over the stoma, ensuring it covers the entire area. Press firmly to create a seal. Smooth out any wrinkles or creases in the adhesive. Dispose of the used bag in a hygienic manner.
1
Round
2
Oval
3
Square
4
Custom-made
1
Standard Adhesive
2
Extended Wear
3
Hydrocolloid
4
Moldable
5
Other
Review Procedure with Patient
Explain the entire ileostomy care procedure to the patient, step by step. Ensure the patient understands each action, including the purpose, technique, and expected outcomes. Address any questions or concerns the patient may have and provide reassurance and support. Encourage the patient to practice the procedure under supervision to increase their confidence and independence.
Approval: Procedure Review
Will be submitted for approval:
Educate Patient Surgeries and Procedures
Will be submitted
Assess Patient's Comfort and Wellbeing
Regularly assess the patient's comfort level and overall wellbeing during ileostomy care. Ask the patient about any pain, discomfort, or feelings of unease. Monitor vital signs, such as blood pressure, heart rate, and respirations, for any signs of distress or changes. Provide appropriate interventions or adjustments to ensure the patient's comfort throughout the process.
1
Pain level
2
Discomfort
3
Feeling of unease
4
Other
1
Blood pressure
2
Heart rate
3
Respirations
4
Other
Monitor Stoma Function and Output
Observe and record the characteristics of the ileostomy output to monitor the function and overall health of the stoma. Document the consistency, color, odor, and quantity of the output. Detect any abnormalities or changes that may indicate a potential problem. Educate the patient about the expected range of stoma function and when to seek medical attention.
1
Consistency
2
Color
3
Odor
4
Quantity
Approval: Monitor Stoma Function
Will be submitted for approval:
Inspect Stoma and Skin Condition
Will be submitted
Instruct Patient on Self-Care Techniques
Teach the patient the necessary self-care techniques for independent ileostomy management. Demonstrate the proper bag changing procedure, skin cleansing, and stoma inspection. Provide written instructions and visual aids to enhance understanding and retention. Encourage the patient to practice the techniques and seek assistance if needed. Reinforce the importance of proper hygiene and routine care.
1
Bag changing procedure
2
Skin cleansing
3
Stoma inspection
4
Other
Develop a Regular Ileostomy Care Routine for Patient
Create a personalized and structured care routine for the patient's ileostomy management. Schedule specific times for bag changes, skin cleansing, and equipment checks. Provide clear instructions and reminders for each step of the routine. Customize the routine based on the patient's preferences, lifestyle, and healthcare professional recommendations.
1
Bag changes
2
Skin cleansing
3
Equipment checks
4
Other
Schedule Follow-up Medical Appointments
Arrange and schedule follow-up medical appointments for the patient's post-ileostomy care. Coordinate with the healthcare team to determine the appropriate frequency and duration of the appointments. Provide the patient with the necessary information, such as the date, time, and location of the appointments. Address any specific concerns or questions the patient may have regarding the follow-up plan.
Enter Ileostomy Care Plan into Patient's Record
Document the complete ileostomy care plan in the patient's medical record for future reference and continuity of care. Include all relevant information, assessments, interventions, and outcomes. Ensure the plan is easily accessible and understandable for other healthcare professionals involved in the patient's care. In case of any updates or changes, update the record accordingly.
Approval: Ileostomy Care Plan
Will be submitted for approval:
Review Medical History
Will be submitted
Evaluation of Patient's Nutritional Status
Will be submitted
Prepare Necessary Supplies for Ileostomy Care
Will be submitted
Perform Hand Hygiene
Will be submitted
Clean Skin Around Stoma
Will be submitted
Inspect Stoma and Skin Condition
Will be submitted
Apply New Ileostomy Bag
Will be submitted
Review Procedure with Patient
Will be submitted
Assess Patient's Comfort and Wellbeing
Will be submitted
Monitor Stoma Function and Output
Will be submitted
Instruct Patient on Self-Care Techniques
Will be submitted
Develop a Regular Ileostomy Care Routine for Patient
