Mrs. Green’s stoma is 1-1/2” in diameter and is slightly budded. There are no obvious skin folds near the stoma. What pouch features might you consider for this patient?

Describe the pouch change procedure to the patient. Be sure to include all the supplies that she will need.

Mrs. Green calls your office to describe the stoma, saying: “It has separated from the skin, and is now draining from the side of the stoma. I can’t get the pouch to stick”. What do you think the problem might be?

When Mrs. Green comes to the clinic, you note a mucocutaneous separation from 12:00 to 3:00 o’clock. It measures approximately 0.5 cm wide and 0.25 cm deep. There is a moderate amount of serous drainage. Describe one method of pouching this area.