Colostomy irrigation procedure nursing teaching video for ostomy care. The purpose of performing colostomy irrigation is to remove stool from the colon by instilling an enema of warm water through the stoma. This stimulates the colon to empty it contents. A physician may order ostomy irrigation when stoma output is low or the patient wants to train the colon for bowel continence. Ostomy irrigation is used for patients who have a descending or sigmoid colostomy. Why? Because these patients still have majority of the large intestine in place and is able to produce formed stool when compared with other types of ostomies (hence these patients will have the most success with ostomy irrigation for bowel training). Patients with an ileostomy are not candidates for this procedure because the stool is always a liquid consistency and it is rich in fluid and electrolytes. It takes about 6-8 weeks for ostomy irrigation to be successful when training the colon. The result will be that the patient will not have bowel movements between irrigations and will not have to wear a continuous pouching system. Instead, the patient will wear a stoma cap which is a very small closed pouch. It is best to perform colostomy irrigation at the same time every day and one hour after meals. Ostomy irrigation can take (from start to finish) 1 hour. Supplies you will need: Irrigation bag with tubing and cone, warm water of 500 cc to 1000 cc (depending on physician's order), water-soluble lubricant, irrigation sleeve with clip (if patient has a two-piece ostomy system: irrigation sleeve will attach to the flange/base plate or if patient has a one-piece pouching system: irrigation sleeve will attach to the face-plate via ostomy belt), towels/wash cloths, gloves, PPE (gown).
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