LAB #1: WEB-A-FAIR: OSTOMY, FISTULA AND TUBE CARE PRODUCTS Harvard Case Solution & Analysis

"LAB #1: WEB-A-FAIR: OSTOMY, FISTULA AND TUBE CARE PRODUCTS"

Q-1

Effect of pouching system

Individuals with colostomies have no control of their stoma recurrence or result. Hence, the patient need to wear pouching framework to keep away from the disturbance brought about by skin and to gather affluent. The pouching framework should be appropriately fixed to keep away from any spillage. There are a few factors that influence the pouching framework incorporate perspiring, heat, sodden or slick skin and physical activity.

The pouching system for the ostomy patient's vary and depends upon the individual's stoma type, location and characteristics. It furthermore depends upon the patient's preference and abilities. It depends upon the category of “pouching system” the system can be last from “four to seven days”. It is very important to change the pouch if it gets leaked and caused burning.

Q-2

“Impact of preoperative stoma site selection and marking”

The preoperative stoma site choice and marking affects postoperative consideration by working on the patient's recovery and personal satisfaction. The selection and checking of the site is significant for working on patients' postoperative personal satisfaction by promoting their freedom. It besides diminishes the postoperative entanglements rates. The job of the enterstomal advisor is vital in the ostomates' pre-and postoperative consideration.

Q-3

The waste contamination is the critical variable in further developing the encompassing skin which prompts tissue contamination or other harsh infection. The affluent tainting is vital and achieved by pouching gadgets, suctions, dressing, and their mixes. In this manner, persistent suction gadgets or stoma application has been pushed as a subordinate to wound consideration and skin conservation. Sterile strategy should be used while changing an “urostomy pocket” on a new “urostomy”. It is critical to take care of hygiene and assessing the surrounding skin during pouch changing.

Q-4

Ostomy care

Indications

The normal signs for colostomy in diminishing requests were "gangrenous sigmoid volvulus, 102 (46.6%), colorectal diseases, 46 (21.0%), stomach wounds, 28 (12.8%, sigmoid hitching, 17 (7.8%) and progressed anorectal tumors, 6 (2.7%)"

Precautions

  • Allow the patient the time to adjust and teach them about how to change urostomy bag
  • Guide them to have excess of water in order to avoid UTI
  • Check the supplies leakage first
  • To check if there is any blood in the urine

Characteristics

The Supplies include "flange, ostomy bag and clip, scissors, stoma measuring guide, waterproof pad, pencil, adhesive remover for skin, skin prep, stomahesive paste or powder, wet cloth, non-sterile gloves, and additional cloths"

  • It is extremely important to use water proof pad in order to avoid affluent spilling.
  • Take care of hygiene before touching any equipment in order to avoid infection.
  • It is important to avoid using adhesive remover in order to avoid any skin disease.
  • The opening ought to be “2 mm bigger” than the “stoma size”

Q-5

To advance the fitting, it is essential to quantify the measurement of stoma by utilizing "Tracing template" and afterward cut stoma opening. Follow measurement of the estimating guide onto the spine and cut outward of the pen checking. This spine opening customization is critical to forestall spillage and advance exact fitting.....

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