Who is a candidate for colostomy irrigation




















Benefits of colostomy irrigation If irrigation is right for you, it offers several advantages. People report the following benefits to colostomy irrigation: Being able to wear a small stoma cap, or a low-profile one- or two-piece closed ostomy pouch Fewer pouch changes A sense of freedom How colostomy irrigation works Colostomy irrigation is similar to an enema with water being placed in your stoma.

Is colostomy irrigation right for you? Four things to consider. Four things to consider: Irrigation is a time commitment — it may take up to an hour every other day You must have access to your irrigation equipment and a place to irrigate at the same time every day Perseverance is required — it can take up to 8 weeks for your bowels to become regulated You must be physically able to consistently perform the irrigation procedure Again, check with your doctor or ostomy nurse if you want to learn more.

Browse related articles Common Reasons for a Urostomy People have urostomy surgery for various medical reasons. Read More Keys to Caring for Your Ostomy Learning how to care for your stoma is an important first step in transitioning to your life after ostomy surgery.

Read More. Find Answers. Call Us 1. Visit Hollister Incorporated on Facebook. Back to Top. One of the most important and rewarding aspects of working with ostomy patients is helping them adapt to life with a stoma. A supportive and caring healthcare provider can make all the difference, educating patients on the best ostomy management practices for their schedule and lifestyle.

For select patients with a descending or sigmoid colostomy, irrigation offers an attractive alternative to using a pouching system.

The procedure involves introducing water into the stoma, cleansing the lower large bowel or colon. In between colostomy irrigation sessions — typically a period of 24 to 48 hours — the patient may require only a stoma cap, mini-pouch or a patch to protect the ostomy. Not every colostomy patient is a suitable candidate for irrigation.

Public Safety. Wound Care. Publications Addiction Professional. Annals of Long-Term Care. Behavioral Healthcare Executive. Cath Lab Digest. EP Lab Digest. First Report Managed Care. Integrated Healthcare Executive. IO Learning. Journal of Clinical Pathways. Journal of Invasive Cardiology. Pharmacy Learning Network.

Psych Congress Network. The Dermatologist. Vascular Disease Management. Veterans Health Today. Advances in Inflammatory Bowel Disease. Advances in Inflammatory Bowel Disease Regionals. AMP Europe. Amputation Prevention Symposium. Cape Cod Symposium on Addictive Disorders. Dermatology Week. EMS World Expo. Evolution of Psychotherapy. Great Debates and Updates in Gastrointestinal Malignancies.

Great Debates and Updates in Hematologic Malignancies. Great Debates and Updates in Oncology Pharmacy. Leong and Yunos 5 report that CI reduced cost in their study by diminishing the use of pouching supplies. Unfortunately, we did not ask participants how many pouches they used between CIs and we are unable to estimate the impact of CI on the cost of purchasing pouching supplies. We believe that our response rate may have been lower because some questionnaires were sent to nurses who were not actively practicing as WOC specialists.

Other nurses who do not regularly teach their patients to perform CI may have declined to complete the questionnaire because they do not view this technique as an important component of their practice and did not view a study of CI as important.

Another limitation is the uncertainty of responding WOC nurses concerning the proportion of their patients who practice CI on a regular basis. Our findings suggest that persons living with a colostomy who regularly practice CI experience benefits including feeling secure and having an empty pouch.

Therefore, we advocate teaching CI to all suitable patients. Despite the potential benefits of CI, it is unclear why some WOC nurses teach their patients to perform the procedure while others do not. Additional research is needed to gain a deeper understanding of the factors that contribute or hinder the WOC nurse from informing patients about CI.

In the present study the majority of the patients had their surgery for rectal cancer. Several studies have indicated that body image differs between genders, with women showing greater body dissatisfaction as compared with men.

Persons living with a colostomy who regularly performed CI tended to report positive benefits associated with the procedure including a feeling of security and having an empty pouch.

Despite these potential benefits, not all patients with a colostomy who are appropriate candidates for CI are offered information about the method. A prospective audit of stomas-analysis of risk factors and complications and their management. Colorectal Dis. Study of peristomal skin disorders in patients with permanent stomas. Br J Nurs. The spectrum of skin disorders in abdominal stoma patients. Br J Dermatol. Persson E, Hellstrom AL. Experiences of Swedish men and women 6 to 12 weeks after ostomy surgery.

J Wound Ostomy Continence Nurs. Stoma management in a tropical country: colostomy irrigation versus natural evacuation. Ostomy Wound Manage. Colostomy irrigation: results of 25 cases with particular reference to quality of life. J Clin Nurs. Fluctuation of blood pressure and pulse rate during colostomy irrigation. Dis Colon Rectum.

Varma S. Issues in irrigation for people with a permanent colostomy: a review. Woodhouse F. Colostomy irrigation: are we offering it enough? World Medical Association.



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