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How to Change An Ostomy Bag? (Remove, Clean, Set-Up)

There are many reasons why ostomy patients are having trouble sleeping well. Maintaining the integrity of the ostomy bag while sleeping is one of the challenging factors to get quality sleep. Knowing how to change an ostomy bag properly can help secure the pouch placement, giving the patient confidence and peace of mind. As a result, they can improve the quality of their sleep. Keep reading to know the easiest ways to change your ostomy bag properly.

The doctor explains what the patient can do after the surgery.

There are many reasons why ostomy patients are having trouble sleeping well. Maintaining the integrity of the ostomy bag while sleeping is one of the challenging factors to get quality sleep. Knowing how to change an ostomy bag properly can help secure the pouch placement, giving the patient confidence and peace of mind. As a result, they can improve the quality of their sleep. Keep reading to know the easiest ways to change your ostomy bag properly.

 

Ostomy

Ostomy is surgery to make a stoma or opening from a space inside the body to the outside. It deals with particular diseases of the urinary or digestive systems. When an organ needs to be taken out, the opening will be permanent. In any case, when the organ requires time to recover from the procedure, it will be temporary. The organ can be the colon, small intestine, bladder, or rectum. The ostomy function is to provide a new way for wastes to leave the body.

 

Common Struggles After an Ostomy Surgery

The patient asks the nurse how to change an ostomy bag.Getting an ostomy surgery can make your body function differently. On account of a colostomy or ileostomy, you are working with limited or no colon, and urostomy is living a life without a bladder. It is really amazing how the ostomy procedure saves lives. However, living with it every minute of every day can be challenging. Let us look at these everyday struggles of people living with an ostomy and how their sleep is affected.

 

Lack Of Sleep

Soon after the surgical procedure, you may be waking up at least once each night to discharge the ostomy bag. This treatment can require a long time for your body to recover or for output to slow down. Also, if you are a stomach sleeper before the procedure, adapting to a back or side sleep position can be troublesome. In this case, your sleep can be disrupted, making you more tired and exhausted.

 

Trips To the Bathroom

Another reason people with ostomy surgery have trouble sleeping well is that they might need to go to the bathroom many times to discharge the pocket. This can often occur with a urostomy or ileostomy versus a colostomy. It necessary, just know that this continuous regular task can affect the quality of sleep, particularly for ostomates managing high output.

 

Nutritional Deficiencies

Lack of proper nutrients can straightforwardly influence your sleeping patterns. If you do not receive adequate nutrition from food, you can develop some sleep problems. Vitamins for ileostomy patients are highly suggested since some essential supplements are being absorbed through the large intestine, which most patients of this procedure no longer have.

 

Changing and Maintaining the Ostomy Placement

On the day you are changing your ostomy bag, know that this routine may take additional time. So, if you need to replace it in the middle of the night, your sleep will indeed be affected. Plus, assuring that ostomy placement is secured during your sleep is an additional reason you can have trouble sleeping well.

 

How To Change an Ostomy Bag?

Trouble sleeping after ostomy surgery is not a question at all. Changing your ostomy bag correctly and securely can help you sleep properly. You can follow these simple and easy steps on how to change an ostomy bag.

 

Prepare the Following Materials

  • Adhesive remover
  • Scissors
  • Pencil
  • Wafer or Flange or Plastic ring
  • Skin protector
  • Plastic bags
  • Measuring guide
  • Stomahesive paste
  • Washcloth and towel
  • New pouch

 

Steps to Remove Ostomy Pouch 

Pick when your stoma is not active, for example, first thing in the morning.The woman will remove her ostomy bag.

  1. Wash your hands to prevent infection.
  2. Empty your stoma pocket as usual.
  3. Wipe the tape encompassing the old wafer with the adhesive remover. Then, use one hand to hold your skin while your other hand is gently pulling the wafer off. You can use adhesive remover as necessary to maintain skin integrity around the stoma.
  4. Put the old ostomy bag, wafer, and other leftovers into a plastic pack for disposal. Remember not to include the clip on the disposable plastic bag. If you have sealable sandwich bags, that will work better.

 

Steps to Clean the Ostomy Area

  1. To prevent infection, maintain skin integrity, clean both skin and stoma using a clean cloth and warm water. This step is ideal to do while in the shower since any waste emerging from the stoma can wash down the drain. Just remember, do not apply fragrant soaps, as they will leave a film.
  2. Pat your skin gently and make sure it is dry.

 

Steps To Place a New Pouch

  1. Use a measuring guide to measure your stoma. Leave just 1/8″ to 1/16″ between the estimating guide and the stoma.
  2. Follow the correct size onto the rear of the wafer with the starter opening in the middle. Then after that, cut out the hole.
  3. Use a skin protector to the skin around the stoma where the wafer will be.
  4. Strip the paper from the wafer and use the stomahesive glue around the cut opening in the wafer. Then use your finger to smooth it out. It is better to water your finger to keep it from sticking to your finger.
  5. Eliminate the paper backing from the tape, and apply the whole device over the stoma. Ensure the stoma is in the center of the hole. Press tightly and smooth the creases.
  6. Put the new pouch onto the plastic ring, and give it a slight pull to be sure it is set up.
  7. Press softly on the wafer or plastic ring briefly to help it get a proper seal.
  8. Close the lower part of the pouch with the clip.

 

References:

Ostomy Surgery of the Bowel

https://www.niddk.nih.gov/health-information/digestive-diseases/ostomy-surgery-bowel

August 08 2019. Having a colostomy or ileostomy.

https://www.cancerresearchuk.org/about-cancer/coping/physically/bowel-problems/types/having-colostomy-or-ileostomy

Ostomy Care: Emptying Your Pouch

https://www.fairview.org/patient-education/82173

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