Urostomy

Care Plan for Urostomy

Category / Primary Body System:

Urinary System

Problem:

I have a urostomy and am at risk for complications related to the stoma and surrounding skin.

Goal:

My urostomy will remain intact and my skin will remain intact for the next 90 days.

Plan/Approach:

1. Skin Care:

   • Step-by-Step Approach: Keep the skin clean and dry, free from contaminants that can contribute to skin breakdown.
   • Monitoring Strategies: Regular inspection of the skin around the urostomy for any signs of irritation or breakdown.

2. Infection Monitoring:

   • Step-by-Step Approach: Monitor the peri-stoma area for any signs and symptoms of infection.
   • Technological Aids: Utilize digital logs for tracking and early detection of infections.

3. Patient Comfort:

   • Step-by-Step Approach: Implement measures to increase patient comfort.
   • Engagement in Diversional Activities: Encourage activities that distract from discomfort and promote relaxation.

4. Appliance Management:

   • Step-by-Step Approach: Change the urostomy appliance as needed or as ordered.
   • Educational Efforts: Teach the patient how to properly manage and change the appliance.

5. Drainage Bag Management:

   • Step-by-Step Approach: Change the drainage bag as needed or as ordered.
   • Monitoring Strategies: Ensure proper attachment and functioning of the drainage bag.

6. Medical Notification:

   • Step-by-Step Approach: Notify the MD/RNP if any problems with the urostomy arise.
   • Technological Aids: Use electronic health records to alert medical staff promptly.

Rationale:

• Skin Care: Keeping the skin clean and dry prevents infection and skin breakdown.
• Infection Monitoring: Early detection of infection can prevent further complications.
• Patient Comfort: Enhancing comfort improves overall patient well-being and compliance.
• Appliance Management: Proper management of the urostomy appliance prevents leaks and skin irritation.
• Drainage Bag Management: Ensuring the drainage bag is functioning correctly prevents complications and maintains hygiene.
• Medical Notification: Prompt communication with healthcare providers ensures timely interventions.

Actions:

1. Skin Care:

   • I will keep my skin clean and dry, free from contaminants that contribute to skin breakdown.
   • Staff will monitor the peri-stoma area for any signs and symptoms of infection.

2. Infection Monitoring:

   • Staff will inspect my peri-stoma area regularly for signs of infection.

3. Patient Comfort:

   • Staff will implement measures to increase my comfort.

4. Appliance Management:

   • Staff will change my urostomy appliance as needed/ordered.

5. Drainage Bag Management:

   • Staff will change my drainage bag as needed/ordered.

6. Medical Notification:

   • Staff will notify MD/RNP if any problems with my urostomy arise.