Step-by-step guides by NUH stoma nurse on how to (1) change and (2) empty bodily discharges from the one-piece system stoma bag (wafer with open ended stoma bag).

Steps to change one-piece system stoma bag:
1. Wash your hands with soap and dry it with a clean towel
2. Gather all the equipment required
3. Remove the wafer by peeling from the top to the bottom, with one hand pressing against the skin
4. Throw the bag away but keep the clip
5. Clean the stoma and the surrounding skin with paper towel soaked with tap water or wet wipes. Then use a fresh paper towel to dry the stoma and its surrounding skin.
6. Place the template onto the protective backing of the wafer, and trace the pattern according to the size of the stoma
7. Cut the wafer opening to make it about 3mm larger than your stoma
8. Remove the inner protective backing from the wafer
9. Remove the outer protective backing from the wafer
10. Apply the pouch at 45 degrees angle to the body
11. Hold the open end of the bag and fold it forward
12. Clip the folded end of the bag
13. Wash your hands with soap after you have changed the stoma bag

Steps to empty one-piece system stoma bag:
1. Position yourself comfortably. You may either sit or stand
2. Hold the end of the bag upwards and remove the clip carefully
3. Invert the open end of the bag
4. Drain your stools into a plastic bag or a toilet bowl
5. Wash your hands with soap after you have emptied the stoma bag

Tips to keep stoma in good condition:
- Do not pour water into the stoma bag for washing while it’s still attached to your body.
- Bathe either with or without the stoma appliances attached to the body.
- Place a cushion to protect your stoma when wearing a seat belt.
- Bring along some extra stoma appliances when going out

00:00 - Introduction
00:13 - How to change stoma bag
02:55 - How to empty bodily discharge from stoma bag
04:00 - Tips to ensure stoma is in good condition

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About National University Hospital (NUH) (Singapore):
NUH is Singapore's major tertiary hospital and referral centre with over 50 medical, surgical and dental specialties. It is the only public hospital in Singapore to offer a comprehensive suite of specialist care for adults, women and children as well as paediatric kidney and liver transplant programme, in addition to kidney, liver and pancreas transplantations for adults.

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