Colostomy irrigation

Definition

An introduction of a solution (tepid water)through the stoma to irrigate the bowel

Purpose

For cleanliness and control of odorEmpty fecal contentsPrevents accidental emptying of bowel

Assessment

Inspect the stoma for color and textureInspect the condition of the peristomal skinDetermine the direction of the intestine by

digitalization of the stomaMeasure the dimension of the stoma prior to

obtaining an ostomy appliance system from central supply

Equipment

Colostomy irrigation kitGauze4X4 or stoma coverTape if gauze is usedClean glovesOstomy odor eliminatorBedpan ,toilet or basinMackintosh &towelLubricant for cone

PlanningExplain the procedure to the patientWash hands Apply clean glovesAssemble irrigation Kit :Attach cone or catheter to the irrigation bag

tubing

Implementation

Fill irrigation bag with 1000 cc tepid tap water

Open clamp and let water from the irrigation bag fill the tubing

Hang bottom of the irrigation bag at height of clients shoulder or 18 inches above the stoma if the client is supine

Check direction of intestine by inserting a gloved finger into orifice of stoma

ImplementationPlace irrigation sleeve over stoma and

hold in place with beltSpray inside of irrigation sleeve and

bathroom with odor eliminatorCuff end of irrigation sleeves and place

into toilet bowl or bedpan Lubricate the cone end of the irrigation

tubing and insert into orifice of stoma through the top opening of the irrigation sleeve

Implementation

Close top of irrigation sleeve over the tubingSlowly run water through tubing into colonRemove the cone after all water has emptied

out of irrigation bagClose end of irrigation sleeve by attaching it

to the top of the sleeveEncourage client to ambulate to facilitate

emptying of remaining stool from colon

Implementation

Remove irrigation sleeve after 20-30minutes or when stool is no longer emptying from the colon

Clean stoma and skin with warm tapwater, pat dry

Place gauze pad over stoma to absorb mucus from stoma

Secure gauze with hypoallergenic tapeRemove gloves and wash hands

EvaluationClient experiences a bowel movement after

irrigation of colonClient or caregiver demonstrate skill in

performing irrigationPeristomal skin intactClent express positive feelings about selfMaintain fluid balance

DocumentationDocument assessment of peristomal skinDocument stoma

measurements(length,width, height)Document amount of water used for

irrigationDocument amount of stool flushed from colonDocument peristomal skin care if any

alteration of skin integrityDocument type of dressing or ostomy pouch

applied after irrigation.