When an ostomy patient in the hospital, an ET nurse takes care of the person. However, after getting the discharge slip everyone has to look after on their own. Thus, all patients must learn how to empty and when to change the pouching system. During the stay in the hospital, a patient does not understand all about the ostomy and stoma nature. In the early days of the incision, the opening gives pain and causes frequent discharge, but after a few days or healing, or changes its habit of excretion. Thus, at home everything is different and an ostomate needs to learn the accurate wear time and change of the appliances. Moreover, every stoma is different, such as urostomy has frequent discharges every day, it can lead to eight to nine times, while ileostomy has less frequent discharge as compared to urostomy. An ileostomy patient needs to empty the pouching system five to six times a day. While the patients of colostomy only need one-time drainage or two times every day. Thus, first, a patient needs to learn his/her type of surgery, then they can take care of themselves and understand what is the appropriate wear time of the appliances for them. Moreover, every patient's digestive system and body react differently. It depends on your diet and routine. Thus, there is no specific rule for the discharge and wear time of the ostomy pouching system. It depends on the individual stoma, type of ostomy, and discharge routine.
Some Necessary Elements for Wear Time of Ostomy
Appliances
People who are worried about the accurate wear
time of the ostomy pouching system, need to consider the following necessary
elements. These are:
1. The kind of ostomy surgery you have gone through.
2. The age of the patient.
3. The age of the stoma.
4. The texture of discharge.
5. Frequency of discharge.
6. The stoma appearance, its shape, size, and peristomal skin contours.
7. Daily routine.
8. Daily physical activities.
9. Type of skin barrier or paste a patient uses.
10. Travel and work routine.
The wear time of the ostomy appliances depends on
the type of ostomy or stoma. When a person has a urostomy, he/she must change
the pouching system two times a week. Leakage and frequent discharge can damage
the skin barrier, paste, and peristoma skin. Thus, an ostomate needs to remove
the entire system after two or three days and wear a new appliance. Well, if a
person has more than six to seven drainage routines daily, then it is better to
wear a new pouching system every two days or three times a weak. He/she should
not wear the appliance system for an extended time.
In the case of ileostomy, a patient can change
the pouching system once or twice a week. Well, also the wear time depends on
the discharge texture and routine. Many patients release the thin liquid stool
in the ileostomy stoma. Then, they cannot have an extended wear time of the
appliance. They need to empty the ostomy bag more than times day; therefore,
they should change the ostomy pouching system two times a week. In the case of
thick liquid stool, and ostomates drain the stoma bag three or four times a
day; thus, he/she can increase the wear time. Sich patients must change the
ostomy appliance once or twice a day, relying on the health of the stoma and
durability of the skin barrier and pastes.
In the case of colostomy operation, an ostomate
can extend the wear time of the pouching system. If the stoma, peristoma skin,
and internal organs are healthy, they are not bleeding or facing blockage, then
the skin barrier and adhesive will last for a longer time. In such a condition,
a patient can extend the wear time of the appliance. The colostomy patients
discharge solid feces; thus, they have almost no fear of leakage. Moreover,
they can feel the movement and discharge. They empty the ostomy bag once a day.
In case of unhealthy digestion or diarrhea, they can drain the pouch twice a
day, but it does harm the adhesive. So, they have a long wear time of the
pouching system. They change the appliance on a need basis, once a week, or
once in two weeks.
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