What is an appropriate procedure for the nurse to implement when pouching a colostomy or ileostomy?

Question

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Observe existing skin barrier and pouch for leakage and length of time in place.The pouch should be changed every 3 to 7 days,not daily.To minimize skin irritation,avoid unnecessary changing of entire pouching system,but if the effluent is leaking under the wafer,change it,as skin damage from the effluent will cause more skin trauma than early removal of the wafer.
Cleanse peristomal skin gently with warm tap water using a washcloth; do not scrub skin.Pat the skin dry.Avoid soap; it leaves residue on skin,which interferes with pouch adhesion.Pouches must be emptied when they are one-third to one-half full,as the weight of the pouch may disrupt the seal of the adhesive on the skin.If the ostomy pouch is leaking,change it.Taping or patching it to contain effluent leaves the skin exposed to chemical or enzymatic irritation.

What Is an Appropriate Procedure for the Nurse to Implement