Thank you for sharing this. I am a caregiver for a very special friend and will be responsible for taking care of his ileostomy. I have been nervous about taking him home and tackling this new task but with each video and literature I study I am becoming more confident and comfortable.
I have had both the ostomy and urostomy bags going on 5 years, and do my own changes, I find it's best to snap the wafer to the bag before applying it on my stomach, I also rinse out the bag with the help of a 2 cup plastic measuring vessel!
thank you for pointing out the lip of the wafer. it will definitely help in putting on the colostomy bag more comfortably compared to pushing it against the abdomen of the patient.
I use a moldable wafer and a 2 piece system. My stoma acts like a snail. It prolapses or it recedes completely. I get very fudge 'y' output and have a protruding stomach resultant from emergency slicing, and lately have frequent 'fudge creep' under my wafer. It seldom gets beyond the barrier before I deal with it. An Ileostomy output is typically more liquid and active than a colostomy. My output is most active at 3:00 a.m. I'm usually up by then, and lately dealing with bag changes and minor clean ups. I'm 2 yrs into having mine, and things change over time. I used to get a week per system. Now I'm lucky to get 2 or 3 days. Emphasis on the word 'lucky'.
I appreciate you showing how to use the ring pushing up vs pushing down on the clients abdomen. I can only imagine this would cause discomfort. Especially for the children. Nobody deserves more pain then they are already experiencing.....
I Put on a New Stoma Bag every time I change it. Not only that I also put some Baby-Oil on around the New Stoma Bag every time B4 I attach it, which allows the Contents to Slide Down easily More-so. I also just before finally closing allow some “ Air “into my Bag & check it all round to make sure it is Perfectly Sealed 🙏👏👏 ( I’ve noted in lots of Stoma Bag Demonstrations, they never give this ADVICE ??? So Much So over the 5yrs I’ve had it “ Never Once A Leak whatsoever “ Plus my Stoma is Unfortunately Retracted ( Emergency Surgery was in Hospital for 6 weeks )
You gotta come prepared for that for sure… I always bring a bunch of disposable washcloths. If your patient is able to assist, they can be ready with a washcloth to catch any output. It also helps to come BEFORE meals.
I have some soft toilet paper or paper towel on the stoma in between adhering the double sided sticky O ring(not shown in the video), the wafer and the bag. It’s not perfect but it helps.
I use perineal wash bottles filled with cold water to rinse my bag out every time I dump. It's impossible to just wipe it with a washcloth or anything else and actually get it clean. Every time I'm in the hospital, the nurses want to do it this way and I tell them NO. If the spout, especially, is not washed out it will always cause odors. Doing it the way in the video is guaranteed to make the patient smell like a walking septic tank.
I have a loop stoma.. & its not round or oval.. its wierd strange shape.. so it really bothers me that all the videos showing cutting/fitting a wafer-bag is never showing a odd shaped stoma.. there always round stomas.. which are easier to do.. I carnt cut a hole to fit my shape its frustrating x
I can certainly understand why you feel this way! As a wound care nurse, I can tell you that MOST ostomies I see are actually oval shaped like yours. It is frustrating to me that the templates are all round… 😑 Once your stoma size stabilizes, you can carefully cut one perfectly (or have a home health nurse help you) and use the part you peel off to trace that shape on to all your other wafers. And then you cut those all out and have those ready to go!
@@annebebee6764 unfortunately my stoma isn't oval or round.. its very wierd shaped.. to the point if I try cut a stoma shape in the bag it doesn't leave a template as I have to keep snipping more bits off here & there.. lol.. its just a mess x
I have Perineal wash bottles that I fill with cold water, I put a little bit in the bag to kinda loosen and help the content come out easier. Then I use the rest to rinse the bag completely. If you don't get the majority of the feces out it will stink. I would never clean my bag with just a 'washcloth', you'd be there all day trying to get all the crap out of the spout. Once my bag is clean, I use a paper towel to dry the spout area. I guess I'm OCD about it, it's hard enough having my Illiostomy, I sure don't wanna walk around smelling like a Septic tank.
I just had a guest speaker come to my nursing class, someone with an ostomy. They said they do not fill their bag with water to clean it, as it negatively impacts the seal of the wafer to the skin. They told a story of washing the bag after draining by filling it with water, swishing, and draining, and then going out in public and having the bag completely detach from their skin because of the use of water.
LOVING THE SKILLS VIDEO! even as a 1 year nurse, these are great as a refresher!
When I worked on med-surg and had to do something we wouldn't see very often, I was always surprised about how rusty I felt! - Ellis
The tip about pressing in the space underneath the wafer and not pressing into the belly was very helpful!
So happy that was helpful!
she literally gets right to the point i love it
Best video I’ve seen, the leveling up is priceless
Thank you for sharing this. I am a caregiver for a very special friend and will be responsible for taking care of his ileostomy. I have been nervous about taking him home and tackling this new task but with each video and literature I study I am becoming more confident and comfortable.
I have had both the ostomy and urostomy bags going on 5 years, and do my own changes, I find it's best to snap the wafer to the bag before applying it on my stomach, I also rinse out the bag with the help of a 2 cup plastic measuring vessel!
Snapping the wafer to the bag before applying is a good way to do it! ❤️
thank you for pointing out the lip of the wafer. it will definitely help in putting on the colostomy bag more comfortably compared to pushing it against the abdomen of the patient.
My go to channel every time I have a skills Check off. Thanks so much!
Great to hear! Thank you.
Thank you. I am learning to change an ostomy bag for my husband. He was fitted for one and I want to be a supportive wife and help him as needed.
Good luck! Be sure to ask for advice and demonstrations from his care team. - Ellis
Loving the skills videos 😀 thank you so much.
I use a moldable wafer and a 2 piece system. My stoma acts like a snail. It prolapses or it recedes completely. I get very fudge 'y' output and have a protruding stomach resultant from emergency slicing, and lately have frequent 'fudge creep' under my wafer. It seldom gets beyond the barrier before I deal with it. An Ileostomy output is typically more liquid and active than a colostomy. My output is most active at 3:00 a.m. I'm usually up by then, and lately dealing with bag changes and minor clean ups. I'm 2 yrs into having mine, and things change over time. I used to get a week per system. Now I'm lucky to get 2 or 3 days. Emphasis on the word 'lucky'.
I’m loving all these skills videos…thanks for doing them
Thank you!
This was a great 💡 idea to the edition! You all are awesome. We love these videos
I appreciate you showing how to use the ring pushing up vs pushing down on the clients abdomen. I can only imagine this would cause discomfort. Especially for the children. Nobody deserves more pain then they are already experiencing.....
Absolutely! I went nearly 10 years at the bedside never having learned that. I hope to share it with more people! - Ellis
Very easy to learn. Thank you for that.
I am really appreciate the last part of the video 😢
New subby here! 🙋🏽♀️
I’m also a CNA soon to be LVN
I love the video. It is perfect. I got my training through the military and capella university. I also attended Kaplan University which is now Perdue.
Thanks! I think this skill is often glossed over in programs so nurses can feel a bit overwhelmed when they come across them in practice. - Ellis
@LevelUpRN this skill was definitely glossed over at my school.
Thank you so much for your help
very good video for my nursing program
Glad it was helpful!
I Put on a New Stoma Bag every time I change it. Not only that I also put some Baby-Oil on around the New Stoma Bag every time B4 I attach it, which allows the Contents to Slide Down easily More-so.
I also just before finally closing allow some “ Air “into my Bag & check it all round to make sure it is Perfectly Sealed 🙏👏👏
( I’ve noted in lots of Stoma Bag Demonstrations, they never give this ADVICE ???
So Much So over the 5yrs I’ve had it “ Never Once A Leak whatsoever “
Plus my Stoma is Unfortunately Retracted ( Emergency Surgery was in Hospital for 6 weeks )
Wow no leaks in that much time, even with a retracted stoma, is AMAZING! Thank you for sharing your experience and advice.
Very helpful
Glad to hear that!
Is there no eaken seal?
Does the measuring thing come with the ostomy bag?
What happens if the stoma starts spewing fecal matter while you are changing your bag?
You gotta come prepared for that for sure… I always bring a bunch of disposable washcloths. If your patient is able to assist, they can be ready with a washcloth to catch any output. It also helps to come BEFORE meals.
I have some soft toilet paper or paper towel on the stoma in between adhering the double sided sticky O ring(not shown in the video), the wafer and the bag.
It’s not perfect but it helps.
Thumbs up
thank you it was very helpfull
ronit 'Israel
Glad it was helpful! Thanks for watching!
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If the stoma is not active , take off the bag and let the patient get into the shower!
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Hi, I've got some fantastic news that you won't want to miss!
I use perineal wash bottles filled with cold water to rinse my bag out every time I dump. It's impossible to just wipe it with a washcloth or anything else and actually get it clean.
Every time I'm in the hospital, the nurses want to do it this way and I tell them NO. If the spout, especially, is not washed out it will always cause odors. Doing it the way in the video is guaranteed to make the patient smell like a walking septic tank.
The stoma and skin can be washed with mild soap like Ivory or Dove.
The distance of the camera is too far. Nice demonstration though.
🌹
Thank you mam ....hope i get a reply from you 😊
Most welcome 😊
Hello, I have some fantastic news to share with you!
I have a loop stoma.. & its not round or oval.. its wierd strange shape.. so it really bothers me that all the videos showing cutting/fitting a wafer-bag is never showing a odd shaped stoma.. there always round stomas.. which are easier to do.. I carnt cut a hole to fit my shape its frustrating x
I can certainly understand why you feel this way! As a wound care nurse, I can tell you that MOST ostomies I see are actually oval shaped like yours. It is frustrating to me that the templates are all round… 😑 Once your stoma size stabilizes, you can carefully cut one perfectly (or have a home health nurse help you) and use the part you peel off to trace that shape on to all your other wafers. And then you cut those all out and have those ready to go!
Hollister had oval patterns on their website. Print, cover in tape or laminate and use to draw on the wafer.
Also when you have cut out a good shape save the plastic for the next time.
@@annebebee6764 unfortunately my stoma isn't oval or round.. its very wierd shaped.. to the point if I try cut a stoma shape in the bag it doesn't leave a template as I have to keep snipping more bits off here & there.. lol.. its just a mess x
The bag it's still dirty after draining.
I was thinking the same. I was under the assumption that you put water in the bag to clean🤷🏼
I'm at the point where I would just want to apply a whole new bag. lol
I have Perineal wash bottles that I fill with cold water, I put a little bit in the bag to kinda loosen and help the content come out easier. Then I use the rest to rinse the bag completely. If you don't get the majority of the feces out it will stink.
I would never clean my bag with just a 'washcloth', you'd be there all day trying to get all the crap out of the spout.
Once my bag is clean, I use a paper towel to dry the spout area. I guess I'm OCD about it, it's hard enough having my Illiostomy, I sure don't wanna walk around smelling like a Septic tank.
I just had a guest speaker come to my nursing class, someone with an ostomy. They said they do not fill their bag with water to clean it, as it negatively impacts the seal of the wafer to the skin. They told a story of washing the bag after draining by filling it with water, swishing, and draining, and then going out in public and having the bag completely detach from their skin because of the use of water.