About Chuck Flynn

Chuck Flynn has been a member since September 23rd 2013, and has created 14 posts from scratch.

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How To Treat an illeostomy Blockage

 

HOW TO TREAT AN ILEOSTOMY BLOCKAGE
UOAA Patient Reference Card, UOAA Update 3/12

Symptoms: Thin, clear liquid output with foul odor; cramping abdominal pain near the stoma; decrease in amount of or dark-colored urine; or abdominal and stomal swelling.
Step One: At Home:

  • Cut the opening of your pouch a little larger than normal, because the stoma may swell.
  • If there is stomal output and you are not nauseated or vomiting, only consume liquids such as sodas, sports drinks, or tea.
  • Take a warm bath to relax the abdominal muscles.
  • Try several different body positions, such as a knee-chest position, as it might help move the blockage forward.
  • Massage the abdomen and the area around the stoma as this may increase the pressure behind the blockage and help it to pop out. Most food blockages occur just below the stoma.

Step Two: If you are still blocked, vomiting, or have no stomal output for several hours:

  • Call your doctor or WOC Nurse (ostomy nurse) and report what is happening and what you have tried at home to alleviate the problem.

∙Your doctor or WOC Nurse (ostomy nurse) will give you instructions
(e.g., meet at the emergency room, come to the office).
∙If you are told to go to the emergency room, the doctor or WOC Nurse (ostomy nurse) can call in orders for your care there.

  • If you cannot reach your WOC Nurse (ostomy nurse) or surgeon and there is no output from the stoma, go to the emergency room immediately.

Important: Take all of your pouch supplies with you to the Emergency Room (pouch, wafer, tail closure, skin barrier spray, irrigation sleeve, etc.)

 

Seeking Medical Assistance-Colostomy

SEEKING MEDICAL ASSISTANCE – COLOSTOMY
Edited by B. Brewer, UOAA Update 3/12

The most common problem after colostomy surgery is the development of a hernia around the stoma site. This is manifested as a bulge in the skin around the stoma, difficulty irrigating and partial obstruction. Heavy lifting should be avoided immediately after surgery.

You should call the doctor or ostomy nurse when you have difficulty with:

  • Severe cramps lasting more than two or three hours
  • Unusual odor lasting more than a week
  • Unusual change in stoma size and appearance
  • Obstruction at the stoma and/or prolapse of the stoma
  • Excessive bleeding from the stoma opening, or a moderate amount in the pouch
  • Severe injury or cut to the stoma
  • Continuous bleeding at the junction between stoma and skin
  • Watery discharge lasting more than five to six hours
  • Chronic skin irritation
  • Stenosis of the stoma (narrowing)

Your ostomy nurse is helpful in managing complications should they arise.

POUCH CHANGES – HOW OFTEN
via Green Bay (WI) GB News Review, Edited by B. Brewer, UOAA Update 3/12

This question about pouch changes is among those most frequently asked, particularly by ileostomates and urostomy patients. Like many other questions, there is no one answer that applies to all ostomates.
An informal survey revealed that some people change their pouching system as much as 3 times a day, and some as infrequently as every 2 to 4 weeks. Obviously, there must be reasons for this great variation. After pointing out that the great majority of ileostomy and urostomy patients change in the range of once daily to once a week, let us explore some of the reasons. People on either side of this spectrum can have a skin problem or skin which is nearly indestructible.

Some of the reasons for the variation in time between changes include:
Stoma length: A short stoma exposes the adhesive material to moisture which may decrease wearing time.
Amount or consistency of effluent: Profuse effluent tends to loosen the seal.
Skin Type: Moist or oily skin tends to decrease adhesion time.
Skin Irritation: Decreases adhesion. The pouch should be changed more frequently to evaluate the success of your attempts to heal the skin.
Experience: Good technique, such as allowing paste to dry well, will increase adhesion. Personal Experience: Preferences, convenience and odor control.

Just For Laughs

 

JUST FOR LAUGHS

UOAA UPDATE 11/12

 

An elderly gentleman had serious hearing problems for a number of years.  He went to the doctor and the doctor was able to have him fitted for a set of hearing aids that allowed the gentleman to hear 100%. The elderly gentleman went back to the doctor and the doctor said, “Your hearing is perfect.  Your family must be really pleased that you can hear them again.” The gentleman replied, “Oh, I haven’t told my family yet. I just sit around and listen to the conversations. I’ve changed my will three times!”

____________

 

Morris, an 82 year old man, went to the doctor to get a physical.  A few days later, the doctor saw Morris walking down the street with a gorgeous young woman on his arm.  A couple of days later, the doctor spoke to Morris and said, “Wow, you’re really doing great aren’t you?” Morris replied, I’m just doing what you said Doc: “Get a hot momma and be cheerful.” The doctor said, “I didn’t say that! I said, you’ve got a heart murmur, be careful.”

________________

 

Marriage is a relationship in which one person is always right, and the other is a husband.

__________________

 

Fifty-one years ago, Herman James, a North Carolina mountain man, was drafted by the Army. On his first day in basic training, the Army issued him a comb.  That afternoon the Army barber sheared off all his hair. On his second day, the Army issues Herman a toothbrush.  That afternoon the Army dentist yanked seven of his teeth.  On the third day, the Army issued him a jock strap.  The Army has been looking for Herman for 51 years.

____________________

 

Is it my imagination but do buffalo wings taste like chicken?

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My weight is perfect for my height which varies.

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I used to be indecisive but now I’m not sure.

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One thing nice about egotists: they don’t talk about other people.

_____________________

What is a “free”gift? Aren’t all gifts free?

______________________

If swimming is so good for your figure, how do you explain whales?

 

The Most Powerful Prescriptions

 

The Most Powerful Prescription

UOAA UPDATE 11/12

A positive attitude toward negative situations is one of the most powerful forces in the world. It not only affects how we respond to hardships and difficulties, it can actually help to change the outcome. This can be seen first- hand in many ostomates and other people who have overcome potentially devastating diseases and gone on to lead full, productive, happy lives.

The physical aspect of life may be compromised greatly by illness or surgery, but with a positive mental attitude and a willingness to let go of self-pity and bitterness, life goes on and can even be enriched by a painful traumatic experience.

Stoma and Skin Stuff

 

Stoma and Skin Stuff

Edited by Bobbie Brewer UOAA UPDATE 11/12

Stoma…

  • Your stoma should be rosy red.
  • Use a hand mirror for a better view of your stoma
  • Don’t allow anything to be put in your stoma without your doctor’s personal supervision. Question any procedure that intrudes upon the stoma including suppositories.
  • Re-measure your stoma to ensure the correct size of pouch and skin opening. The stoma will shrink in the first few months after surgery.
  • Spot bleeding often occurs during cleaning and pouch changing.  Tiny capillaries are easily damaged and just as easily repair themselves. This is common to all ostomates.  Prolonged bleeding, increased amounts of bleeding, or very easy bleeding may indicate another problem and should be reported to your doctor.
  • If you participate in contact sports, cover your stoma with a “cap or shield” that are available from national manufacturers.

Skin…

  • Make sure your peristomal skin is clean and dry before applying the pouch.  It is not necessary to use sterile supplies.  Your peristomal skin is not steril.
  • Keep the skin clean with water.  If necessary, use mild soap (avoid oil based soap or soap containing lotion) and rinse very well.  Pat dry before applying the skin barrier or pouch.
  • Skin must be perfectly dry to receive and hold the pouching system. If your pouch doesn’t stick well, are you applying it right after showering in a high-humidity bathroom?
  • Skin rash or itchy skin may need to be checked out by your ostomy nurse.  It may be a fungal rash or allergic reaction that needs topical medication. Allow your skin to be perfectly dry before applying your new pouching system. You might want to use a hair dryer on cool setting.
  • If you are prone to fungal infections, don’t use antibacterial soap as this will alter the flora on your skin in favor of the fungus.
  • Many times any skin irritation will clear up under the pouch but prolonged wearing may cause the skin to break down again.  Change the pouch regularly.
  • If you cut your center holes, save the leftover pieces and use them to fill in any skin indentations around the stoma underneath the wafer.
  • Some men find it necessary to shave around their stoma.  They find that electric razors are better for the skin.  Protect the stoma when shaving.
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