Using a stoma bag involves several steps to ensure proper adhesion, hygiene, and functionality. Here's a breakdown of how to apply a stoma bag, using information gleaned from video instruction:
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Preparation is Key: Before you begin, gather all necessary supplies:
- Your stoma bag (either a one-piece or two-piece system)
- Measuring guide
- Scissors
- Stoma paste or ring (optional, for creating a better seal)
- Adhesive remover wipes
- Gauze or wipes
- Warm water and soap
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Assess and Prepare Your Skin: Gently clean the skin around your stoma with warm water and mild soap. Pat it dry thoroughly. Avoid using lotions or creams as they can interfere with adhesion.
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Measure and Cut the Wafer (if applicable):
- If you are using a two-piece system, use the measuring guide to determine the correct size opening for your stoma.
- Cut the hole in the wafer to the exact size and shape of your stoma. A properly sized opening protects the skin around the stoma.
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Apply the Wafer/Baseplate:
- If using stoma paste or a stoma ring, apply it around the stoma or to the back of the wafer to create a level surface and a secure seal.
- Remove the plastic backing from the wafer.
- Center the wafer over your stoma and press it firmly onto the skin. Hold it in place for a minute or two to ensure good adhesion.
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Attach the Pouch (if applicable): If you are using a two-piece system, align the pouch with the wafer and click or snap it into place. Make sure it's securely attached.
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Emptying the Stoma Bag: Empty the bag when it's about one-third to one-half full to prevent leaks. To empty, sit on the toilet or position a container below the bag's outlet. Open the closure, and gently squeeze the contents into the toilet or container. Clean the outlet with a damp wipe and securely close the bag.
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Changing the Stoma Bag:
- The frequency of changing your stoma bag depends on the type of bag you're using and your individual needs. Generally, you'll change a one-piece system every 1-3 days and a two-piece system every 2-7 days.
- Gently remove the old bag starting from the top and working your way down. Use adhesive remover wipes to help loosen the adhesive and protect your skin.
- Clean the skin around your stoma and inspect it for any signs of irritation.
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Proper Disposal: Dispose of used stoma bags properly, usually by wrapping them in a plastic bag and placing them in the trash.
Important Considerations:
- Skin Care: Maintaining healthy skin around your stoma is crucial to prevent leaks and irritation.
- Leak Prevention: Ensuring a proper fit of the wafer and pouch is essential to prevent leaks. Using stoma paste or a ring can help create a better seal.
- Seek Professional Guidance: Consult with a wound, ostomy, and continence (WOC) nurse or other healthcare professional for personalized guidance on stoma care.
