Question

A patient has had an ileostomy created for the treatment of irritable bowel disease and the patient is now preparing for discharge. What should the patient be taught about changing this device in the home setting?

a. Apply antibiotic ointment as ordered after cleaning the stoma.

b. Apply a skin barrier to the peristomal skin prior to applying the pouch.

c. Dispose of the clamp with each bag change.

d. Cleanse the area surrounding the stoma with alcohol or chlorhexidine.

Answer 1

When changing an ileostomy device in the home setting, the patient should be taught to apply a skin barrier, cleanse the area surrounding the stoma, and dispose of the clamp with each bag change.

Step-by-step explanation:

When changing an ileostomy device in the home setting, the patient should be taught several important steps. One of the key steps is to apply a skin barrier to the peristomal skin prior to applying the pouch, which helps protect the skin from irritation and damage. Additionally, the patient should cleanse the area surrounding the stoma with alcohol or chlorhexidine to maintain cleanliness and prevent infection. Lastly, it is important for the patient to dispose of the clamp with each bag change to ensure proper hygiene.