10 Ileostomy and Colostomy (Fecal Diversions) Nursing Care Plans

2012-06-17T04:48:00+08:00

Thank you for these nursing care plans! They’re great!

2014-05-21T21:17:16+08:00

Readiness for enhanced learning (if they are willing to learn)

2014-06-15T12:40:46+08:00

Thank you for this informative site!

2019-03-13T13:04:49+08:00

Thank you for the Nursing process its very helpful.

2021-08-29T15:06:06+08:00

This information is very helpful for us,,thank you so much for helping us

2021-12-06T01:41:08+08:00

Thanks for these wonderful care plans.

Nursing Interventions	Rationale
Observe wounds, note characteristics of drainage.	Postoperative hemorrhage is most likely to occur during the first 48 hr, whereas infection may develop at any time. Depending on the type of wound closure (e.g., first or second intention), complete healing may take 6-8 mo.
Change dressings as needed using aseptic technique	Large amounts of serous drainage require that dressings be changed frequently to reduce skin irritation and potential for infection.
Encourage side-lying position with the head elevated. Avoid prolonged sitting.	Promotes drainage from perineal wound/drains, reducing the risk of pooling. Prolonged sitting increases perineal pressure, reducing circulation to wound, and may delay healing.
Irrigate wound as indicated, using normal saline (NS), diluted hydrogen peroxide, or antibiotic solution.	May be required to treat preoperative inflammation and/or infection or intraoperative contamination.
Provide sitz baths.	Promotes cleanliness and facilitates healing, especially after packing is removed (usually day 3–5).

10 Ileostomy and Colostomy Nursing Care Plans