Colostomy irrigation is a way to regulate bowel movements by emptying the colon at a scheduled time. The process involves infusing water into the colon through the stoma. This stimulates the colon to empty. By repeating this process regularly — once a day or once every second day — the colon can be trained to empty with no spillage of waste in between irrigation. Colostomy irrigation also can help avoid constipation.
- To empty and cleanses the colon and rectum
- To stimulate peristalsis and help develop regular bowel movement.
- To relieve flatulence.
- Accomplished after surgery to promote regulated evacuation.
- To regulate bowel movement
- To help avoid constipation
Nursing Alert: The danger of the perforation of the colon is much greater when irrigating a colostomy with a catheter. The use of an irrigation cone usually results in safer administration and better water flow.
- Enema can and tubing
- three emesis basins
- bath blanket
- warm water in a basin
- bath towel
- bedpans or pail for collecting the return flow
- irrigating solution
- Also: soap, extra rubber sheet, small colon tube, plastic apron, colostomy dressing tray, wash cloth.
Nursing Care Plans
Main Article: 10 Ileostomy & Colostomy Nursing Care Plans
Nursing Interventions & Rationale
|Explain the procedure to the patient.
|To gain the cooperation of the patient.
|To avoid contamination.
|Bring equipments to the bedside and provide privacy.
|To save time and promote the dignity of the patient.
|Assist the patient to turn on his left side or appropriate side.
|To allow the nurse to do the procedure without difficulty.
|Place the emesis basin and newspaper at the foot of the bed.
|To ensure that the waste are properly disposed.
|Expose the abdomen, drape the patient with a bath blanker if necessary.
|Draping is also part in the provision of the patient’s privacy.
|Remove soiled dressings and place them on the emesis basin and newspaper at the foot of the bed.
|To avoid contamination and control odor.
|Place the basin for return flow immediately under the colostomy opening. The patient can hold this in place if he is able.
|Basin must be ready to avoid spillage.
|Open the clamp on the tubing and allow a small amount of solution to flow into the basin.
|To release air bubbles in the set-up so that air is not introduced into the colon which would cause crampy pain.
|Lubricate the tip of the colon tube.
|To facilitate the easy insertion of the tube.
|Insert the colon tube 6-8 inches into the colostomy opening.
|To avoid irrigating the intestinal mucosa..
|Hold the enema can approximately 12 inches above the bed and allow the solution to flow in slowly.
|To avoid painful cramp usually caused by too rapid flow.
|When the basin is almost full, quickly remove it and place the second basin in position.
|To avoid spillage.
|Empty the first basin immediately
|So that it will be ready for use if needed again.
|After the irrigation is finished, wash the area with soap and water and apply a clean dressing to the area.
|Cleanliness and dryness will provide the patient with comfort.
|Return the equipment to the utility room, clean and return to the proper place.
|This will control odor and prolong life of the equipment.
- Time irrigation administered
- Kind and amount of solution used for the irrigation.
- Dressing applied.
- Condition of the area.
- Results obtained; amount,color, and consistency of the returns.
- Patient’s reaction to procedure.