Question

A client with an ileostomy is being discharged. Which teaching should be included in the plan of care?

Using Karaya powder to seal the bag.
Irrigating the ileostomy daily.
Using Stomahesive as a skin protector
Using a stool softener as needed

Answer 1

Teaching for a client with an ileostomy should include using Karaya powder, avoiding daily irrigation, using Stomahesive as a skin protector, and using a stool softener as needed.

Step-by-step explanation:

When teaching a client with an ileostomy who is being discharged, it is important to provide accurate and helpful information. Here are some important points to include:

1. Using Karaya powder can be helpful to seal the bag and prevent leaks. It is applied to the skin around the stoma before attaching the adhesive appliance.
2. Irrigating the ileostomy daily is not recommended. Ileostomies typically do not require irrigation as the output is already liquid in nature. Irrigation can increase the risk of irritation or damage to the stoma.
3. Stomahesive is a good option for protecting the skin around the stoma. It creates a protective barrier and helps prevent skin breakdown or leakage.

Using a stool softener as needed can be helpful to manage any constipation or hard stools that may occur.