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CHANGING A URINARY DIVERSION OSTOMY APPLIANCE

Definition: Urinary diversion is a surgical procedure that reroutes the normal


flow of urine out of the body when urine flow is blocked.

Purpose: To minimize odors for the clients comfort & self-esteem

RATIONALE:
1. Obtain data

2. To help them adjust the therapy.

3. These positions results in fewer abdominal folds and facilitate removal and application
of the device.

4. for quick access of the procedure.

5. Deters the spread of infection.

6. Emptying the pouch before handling it reduces the likelihood of spilling the excretions.

7. Harsh handling of the appliance can damage the skin and impair the development of a
secure seal in the future.

8. For esthetic and infection control purposes, used disposable appliances should be
discarded appropriately.

9. Cleaning the skin removes excretions and old adhesives and skin protectant.

10. Careful drying prevents trauma to the skin and stoma

11. Any change in color and size of the stoma may indicate circulatory problems.

12. Continuous drainage must be absorbed to keep skin dry during application change.

13. Excessive hair can interfere w/ adhesive action


14. (FROM A TO C) - toilet tissue, used gently will not damage the stoma. The gauze absorbs
any drainage from the stoma while the skin is being prepared. Cleaning the skin removes
excretions and old adhesives and skin protectant. Excretions or a build-up of other
substances can irritate & damage the skin.

15. (FROM A TO C) - The appliance should fit snugly around the stoma, with only 1/8” of
skin visible around the opening. A faceplate opening that is too small can cause trauma to
the stoma.

*D. If the opening is too large, exposed skin will be irritated by urine.

*E. The appliance is effective only if it is properly positioned & securely adhered.

16. A. The opening is made slightly larger than the stoma to prevent rubbing, cutting or
trauma to the stoma.

B.-

C. Effectively of one appliance is observe if it is adhesively secured.

17. To adhere one appliance properly.

18. A. To expose the sticky side of the appliance.

D. To adhere the appliance properly.

19. A. Gentle removal helps prevent skin tears.

B. Wrinkles allow seepage of effluent, which can irritate the skin barrier

C. Removing the air helps the pouch lie flat against the abdomen.

20. (FROM A TO C)- The guidestrip helps the nurse center the appliance over the stoma and
prevents pressure/irritation to the stoma due to an ill-fitting appliance.

*D. To prevent incidence of cracking

E. To prevent leaking

F. An elasticized belt helps support the appliance for some people.

21. C. To secure the seal & faceplate.

E. To prevent leaking

F. To prevent leaking
G. An elasticized helps support the appliance for some people.

22. The patient’s response may indicate acceptance of the ostomy as well as the need for
health teaching.

23. For proper documentation.

24. To assess if there is any chance that should be done in the continuity of care.