Name: ___________________________Date: _________________
□ Wafer: _________ durahesive moldable ___________
□ Pouch: ___________ urostomy
□ Allkare adhesive remover ___________
□ Allkare skin protectant _________________
□ Stomahesive powder – use only when needed * see steps below
□ Night time drain bag
□ Urine Bag Connectors
□ 4x4 nonsterile gauze pack ______________
□ Low pressure adaptor - size_______ (optional). May continue to use until
abdominal tenderness is relieved. Attach to wafer before applying wafer to
□ No sting barrier - use only when needed *see steps below
Change Pouch System every 3-4 days and more often if needed.
1. Prepare wafer: mold starter hole to stoma size/shape
2. Remove old wafer/pouch system with adhesive remover.
3. Clean skin around stoma with lukewarm water. Dry.
4. Apply skin protectant on skin around stoma. Dry.
* If skin is irritated, red, or raw, apply stomahesive powder on the irritated
skin only. Dust off excess, blot with no sting barrier (lollipop) on powdered
areas. Or you may blot with moistened fingertip. Repeat x 2. Dry. Use
rest of no sting barrier to protect intact skin around stoma.
5. Apply wafer. Attach pouch to low pressure adaptor.
6. Empty pouch when 1/3 full. May connect to bedside bag at bedtime.
7. Rinse bed side drain bag twice a week or if needed with vinegar solution: one
part vinegar and 3 parts water. Pour solution through tubing. Leave solution
in bag for 20 to 30 minutes then drain. Do not rinse bag
Drink at least 10 8oz glasses of liquid per day (or as allowed).
Go to the nearest emergency room if stoma turns dark color (dusky blue, grey, brown or black) or if bleeding from stoma.
For other concerns, questions or problems, call the Urology Clinic at
608- 263-4757 and ask to speak to your Doctor’s Nurse.
Ostomy Nursing: 608-263-8084
Discharge Ostomy Supplies
Ostomy supplies are usually covered by your insurance. If you have Medicare, it will pay 80% of the cost. If you also have a supplemental insurance plan, it will cover the other 20%. It is best to find out first from your supplemental insurance where you can get your ostomy prescription filled. Many private insurance plans or HMOs will pay the full cost of the supplies as long as they have been prescribed by a doctor. Your prescription will need to be renewed every 90 days to keep having the cost of supplies covered. After 6 months, it can be renewed by your primary care doctor.
We will provide you with a small number of supplies when you go home. If you have been set up for home health visits at discharge and you have Medicare, they will provide you with supplies while you’re followed by Home Health. Once you have been discharged from Home Health, call the Urology Clinic at
(608) 263-4757 and leave a message for your Doctor’s nurse with the name of your preferred provider. We will fax or e-mail your prescription to them. They may mail the supplies to you or you may need to pick them up. Your provider may set a regular schedule to deliver your supplies. Others may want you to call when you need more. They will need a copy of your prescription.
If you do not have Home Health or Medicare, you will be discharged home with enough supplies until your first clinic visit. At that time, you will receive a prescription for more ostomy supplies. We can fax or e-mail this to your provider, or you may take it with you.
Do not order too many supplies before your first clinic visit. Most stomas shrink. You will likely need a new prescription with your new flange size at that clinic visit.
Adequate nutrition is important to your well-being. The foods you choose to eat provide both nourishment and pleasure. Food tolerances can vary from person to person.
General guidelines for healthy eating:
- Eat meals regularly. You should eat three or more times a day. Small, frequent meals may be better tolerated and produce less gas.
- Chew your food thoroughly. Chewing well will help avoid a blockage.
- Eat in moderation and slowly. Too much of any food can cause problems, so eat moderate amounts and eat slowly to allow for proper chewing and digestion. If a new food seems to give you problems, don’t eat it for a few weeks, but try it again later.
- Drink plenty of fluids daily.
- Above all, remember that no two people will react the same to foods. You will learn through experience which foods, if any, you should avoid.
Reducing gas and odor
Gas is normal but if you feel you are having excess gas, you may try to change your diet to eliminate the problem. Try these tips:
- Eat regularly. Do not skip meals.
- Avoid swallowing air while eating. Relax and eat slowly.
- Avoid chewing gum or drinking through a straw.
- Drink 10 glasses of water, cranberry juice, or other non-caffeinated beverages.
Foods that may cause gas or odor
|Brussels sprouts||Dairy products||Melons||Mushrooms|
Foods that may help prevent gas and odor
|Yogurt with active cultures||Buttermilk||Cranberry juice||Parsley|
Certain foods, if eaten in large amounts and not chewed well, may cause blockage. Use caution when eating these foods. Eat them in small amounts and be sure to chew them thoroughly.
|Coleslaw||Meat casings||Peas||Salad greens|
|Corn, whole kernel||Mushrooms||Pineapple||Seeds|
The consistency of your stools is determined to a certain extent by the location of your stoma in your gastrointestinal (GI) tract. Normally, when the stoma is placed further up in the GI tract, the stools tend to be looser. In some cases, a loose stool may be the result of eating certain foods.
Foods that may cause loose stools
|Alcoholic drinks||Chocolate||Fried Foods||Licorice|
|Apple juice||Coffee||Grape Juice||Prune juice|
|Baked beans||Dairy||Green leafy vegetables||Spiced foods|
Foods that may help thicken stools
|Applesause||Cream of rice||Peanut Butter (creamy)||Tapioca|
|Cheese||Mashed potatoes||Soda crackers|
Most importantly, remember to eat a healthy, well balanced diet and drink plenty of fluids!!
If you have more questions please contact UW Health at one of the phone numbers listed below.
2880 University Avenue
Madison, WI 53705
UW Health West Clinic
451 Junction Road
Madison, WI 53717
UW Health East Clinic
5249 East Terrace Drive
Madison, WI 53718
The information provided should not be used during any medical emergency or for the diagnosis or treatment of any medical condition. A licensed physician should be consulted for diagnosis and treatment of any and all medical conditions. Call 911 for all medical emergencies. Any duplication or distribution of the information contained herein is strictly prohibited.
Last Updated: 07/30/2013
Copyright © 05/21/2013 University of Wisconsin Hospitals and Clinics Authority. All rights reserved. Produced by the Department of Nursing. HF#7433
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