Ileostomy

Ileostomy 

Category / Primary Body System

• Gastrointestinal System

Problem

• Patient is at risk for complications due to ileostomy.

Goal

• Patient will have no skin breakdown for 90 days.
• Ileostomy will remain functional for 90 days.

Plan/Approach

1. Skin Irritation Monitoring

   • Monitor for skin irritations around the ileostomy site regularly to detect and manage any issues early.

2. Ileostomy Drainage Monitoring

   • Monitor ileostomy drainage to ensure it is within normal parameters and to identify any potential problems.

3. Nutritional Evaluation

   • Conduct nutritional evaluations as needed to ensure the patient’s diet supports optimal health and ileostomy function.

4. Fluid Intake Encouragement

   • Encourage adequate fluid intake to prevent dehydration and support overall health.

5. Ileostomy Care

   • Perform ileostomy care daily and as needed to maintain hygiene and prevent complications.

6. Maintaining Clean and Dry Area

   • Maintain a clean and dry area around the ileostomy to prevent infection and skin irritation.

Rationale

1. Skin Irritation Monitoring

   • Regular monitoring helps detect skin irritations early, allowing for prompt treatment and preventing complications.

2. Ileostomy Drainage Monitoring

   • Monitoring drainage helps ensure the ileostomy is functioning correctly and identifies any deviations that might indicate a problem.

3. Nutritional Evaluation

   • Proper nutrition is essential for healing and maintaining overall health, particularly in patients with an ileostomy.

4. Fluid Intake Encouragement

   • Adequate hydration is crucial for patients with an ileostomy to prevent dehydration and support bodily functions.

5. Ileostomy Care

   • Regular ileostomy care prevents infection and maintains the functionality of the ileostomy.

6. Maintaining Clean and Dry Area

   • Keeping the area clean and dry minimizes the risk of infection and skin breakdown.

Actions

1. Skin Irritation Monitoring

   • Inspect the skin around the ileostomy site regularly and document any signs of irritation or breakdown.

2. Ileostomy Drainage Monitoring

   • Observe and record the characteristics of ileostomy drainage, noting any changes in volume, color, or consistency.

3. Nutritional Evaluation

   • Schedule nutritional evaluations as needed and adjust the patient’s diet based on the recommendations of a dietitian.

4. Fluid Intake Encouragement

   • Encourage the patient to drink adequate fluids throughout the day and educate them on the importance of staying hydrated.

5. Ileostomy Care

   • Perform ileostomy care daily and as needed, following proper procedures to clean and maintain the stoma and surrounding skin.

6. Maintaining Clean and Dry Area

   • Ensure the area around the ileostomy is kept clean and dry by using appropriate skin barriers and changing the ostomy bag as required.