Perawatan Kolostomi

Nursing UMY

29 Oct 202013:54

Summary

TLDRThis educational video from the Nursing Program at Universitas Muhammadiyah Yogyakarta covers colostomy care, a crucial independent nursing procedure. It demonstrates how to remove and replace colostomy bags, ensuring the cleanliness of the stoma area to prevent irritation and infection. The process includes observing the stoma, cleaning with NaCl solution, and selecting appropriate bags based on patient mobility. The video emphasizes proper techniques for fitting and positioning the bag, patient comfort, and provides health education on maintaining hygiene and diet for colostomy patients.

Takeaways

💡 The video covers colostomy care, which is an independent nursing action to maintain cleanliness, prevent irritation, and avoid infection around the stoma area.
🩺 The goal of colostomy care is to ensure patient comfort and cleanliness, reducing the risk of infection and irritation in the stoma area.
🛠️ The procedure involves removing the colostomy bag, cleaning the stoma and surrounding skin, and replacing it with a new colostomy bag.
🔄 There are two types of colostomy bags: disposable and reusable. Disposable bags are replaced when full, while reusable bags can be emptied and cleaned for reuse.
🧼 Proper cleaning involves using NaCl solution to clean the skin around the stoma and the stoma itself, followed by drying to prevent irritation.
👀 During the care process, it's important to observe the color, consistency, and amount of stool. Also, check for any signs of infection like redness or swelling.
📏 Measuring the stoma's diameter is critical to ensure the colostomy bag fits properly, preventing leakage or irritation.
📐 The correct positioning of the colostomy bag depends on the patient’s activity level. For patients who are mobile, the bag is placed vertically, while for bedridden patients, it's placed horizontally.
📚 Patient education includes instructions on how to clean the colostomy area, maintain hygiene, and follow a proper diet to ensure their overall health and well-being.
🙏 The video concludes with a reminder to educate the patient on managing the colostomy in relation to daily activities like bathing, prayer, and other routines.

Q & A

What is the primary purpose of colostomy care?
-The primary purpose of colostomy care is to maintain the cleanliness of the patient's stoma area, prevent irritation and infection around the stoma, and ensure patient comfort.
What are the steps involved in colostomy care according to the script?
-The steps include removing the colostomy bag, cleaning the skin around the stoma, cleaning the stoma itself, and replacing the colostomy bag with a new one.
What are the two types of colostomy bags mentioned in the script?
-The script mentions disposable colostomy bags and reusable bags that can be used for several days by emptying and cleaning the bag as needed.
How is the condition of the colostomy output evaluated?
-The colostomy output is evaluated based on its color, quantity, and consistency. In the script, the output is described as yellowish-brown, about 150cc in volume, and liquid in consistency.
What precautions are taken when removing the colostomy bag?
-If the adhesive is too strong, alcohol swabs can be used to help remove the colostomy bag without causing discomfort to the patient.
What should be done if redness or irritation is observed around the stoma?
-If redness or irritation is observed, it could be a sign of infection or irritation. The caregiver should check for swelling, pain, or discharge and ask the patient if they feel any discomfort.
How is the appropriate size of the colostomy bag opening determined?
-The size of the colostomy bag opening is determined by measuring the diameter of the stoma to ensure the bag fits properly. The opening should neither be too tight nor too wide to avoid irritation.
What are the considerations for positioning the colostomy bag based on the patient's activity level?
-If the patient is mobile, the colostomy bag is positioned vertically. For bedridden patients, it is positioned horizontally. If the patient sits often, the bag is placed at an angle.
Why is it important to ensure there is no air inside the colostomy bag when attaching it?
-It is important to prevent air from entering the colostomy bag to ensure a proper seal and to avoid any discomfort or potential leaks.
What type of patient education is recommended after colostomy care?
-Patients should be educated on maintaining hygiene around the colostomy area, following a proper diet for colostomy care, and performing religious practices or daily activities with the colostomy bag in place.

Outlines

00:00

👩‍⚕️ Introduction to Colostomy Care

This paragraph introduces the topic of the video, which is colostomy care, a nursing procedure taught at the Nursing Science Program, Faculty of Medicine and Health Sciences, Universitas Muhammadiyah Yogyakarta. It explains that the purpose of colostomy care is to maintain patient hygiene, prevent skin irritation around the stoma, avoid infections, and ensure patient comfort. Different types of colostomy bags are introduced, including disposable and reusable bags. The importance of replacing full bags with new ones and how to manage the colostomy effectively is discussed.

05:02

🧼 Cleaning and Observing the Stoma

This paragraph focuses on the steps involved in cleaning the stoma and the skin around it. It highlights the use of gloves and observing the colostomy product, noting color, quantity, and consistency. The method for removing the colostomy bag and cleaning the stoma area is explained in detail. It also mentions using alcohol to remove strong adhesives and disposing of the colostomy bag appropriately. Emphasis is placed on preventing contamination during the process by folding the bag and using NaCl for cleaning the stoma.

10:03

🩺 Checking for Signs of Infection and Preparing the Bag

In this section, the video covers the process of checking the skin around the stoma for signs of infection, such as redness, swelling, or pain. It discusses the importance of observing for signs of irritation or infection, like calor, rubor, or dolor, and consulting the patient about any discomfort. The paragraph also explains how to measure the stoma for fitting a colostomy bag, adjusting the bag’s size to match the stoma diameter to avoid irritation or infection from a poorly fitting bag.

Mindmap

Keywords

💡Colostomy

A colostomy is a surgical procedure where a part of the large intestine is brought through the abdominal wall to create an opening (stoma) for waste to exit the body. In the video, colostomy care is the main focus, teaching how to maintain cleanliness, prevent irritation or infection around the stoma, and ensure patient comfort.

💡Stoma

The stoma is the opening created during a colostomy where waste exits the body. In the video, the stoma’s health is closely monitored to ensure that the skin around it does not become irritated or infected. The video shows steps like cleaning the stoma and checking its color and condition.

💡Colostomy bag

A colostomy bag collects waste from the stoma. In the video, two types of colostomy bags are mentioned: disposable and reusable. The care process includes changing or emptying these bags to maintain hygiene and prevent complications. Proper bag attachment is also demonstrated.

💡Skin irritation

Skin irritation around the stoma can result from improper colostomy care. In the video, the prevention of skin irritation is emphasized, with guidelines to clean the area carefully and check for signs of redness or swelling. This is key to preventing infection and ensuring patient comfort.

💡Infection

Infection is a potential complication of colostomy care, particularly if the skin around the stoma is not properly cleaned or if there are signs of redness, heat, or pus. The video stresses the importance of observing for signs of infection, such as swelling and heat, and educating patients on how to prevent it.

💡NaCl solution

NaCl (saline) solution is used in the video to clean the skin around the stoma and the stoma itself. This solution helps to disinfect the area and maintain cleanliness, which is crucial to prevent infection. The video demonstrates using NaCl during the cleaning process.

💡Observation

Observation in colostomy care involves checking the color, amount, and consistency of the waste in the colostomy bag, as well as monitoring the skin around the stoma for signs of irritation or infection. In the video, observation is highlighted as a critical step to ensure early detection of any problems.

💡Patient positioning

The positioning of the patient during colostomy care is important to ensure ease of access and comfort. The video shows how to adjust the patient’s position based on their mobility, with different positions for those who are bedridden, mobile, or recovering.

💡Education

Patient education is crucial for empowering patients to care for their colostomy independently. In the video, healthcare workers are advised to teach patients about maintaining hygiene, understanding proper diet, and learning how to handle colostomy bags. This education helps prevent complications and improve the patient’s quality of life.

💡Diet

Diet plays an important role in colostomy care, as the type of food a patient consumes can affect the output from the stoma. In the video, patients are educated about the appropriate diet to follow to maintain a healthy digestive system and avoid blockages or excessive waste production.

Highlights

Introduction to colostomy care as part of nursing procedures at Universitas Muhammadiyah Yogyakarta.

The main goal of colostomy care is to maintain patient hygiene, prevent irritation around the stoma, avoid infection, and ensure patient comfort.

Colostomy care involves removing the colostomy bag, cleaning the stoma, and replacing it with a new bag.

There are different types of colostomy bags: disposable ones and bags that can be emptied and reused for a few days.

During daily colostomy care, it’s important to observe the color, amount, and consistency of the stoma product.

The video demonstrates the proper way to remove a colostomy bag, advising the use of alcohol if the adhesive is too strong.

The importance of cleaning the skin around the stoma using NaCl solution to prevent irritation and infection.

Observing the skin around the stoma for signs of infection, such as redness, swelling, or pus.

Positioning of the colostomy bag based on patient mobility: vertical for active patients and horizontal for bedridden patients.

Measuring the stoma to ensure the correct size of the colostomy bag opening for better fit and to prevent irritation.

Cutting the colostomy bag opening to the correct size (4 cm in this case) to fit the patient's stoma.

Applying the new colostomy bag and ensuring no air enters the bag, to avoid discomfort or leakage.

Concluding the procedure by educating the patient on maintaining cleanliness around the colostomy bag and appropriate dietary choices.

The importance of patient education about performing self-care and hygiene with the colostomy bag.

Final advice on managing religious practices (such as prayer) while using a colostomy bag.