Perawatan Kolostomi

Summary

This 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.