An ileostomy pouch, also known as an ostomy pouch or stoma pouch, is a medical device used to collect waste after a person undergoes an ileostomy surgery. An ileostomy is a surgical procedure that involves creating an opening, or stoma, in the abdomen and attaching a part of the small intestine to the stoma, which allows waste to exit the body. Applying an ileostomy pouch can seem daunting at first, but with practice and patience, it can become a routine and manageable part of daily life.

Before applying an ileostomy pouch, it is important to gather all necessary supplies and ensure that the skin around the stoma is clean and dry. Supplies needed for applying an ileostomy pouch include the pouch itself, adhesive rings or paste, scissors, a skin barrier wipe or spray, and a measuring guide (if using a two-piece pouch system).

Here are the steps to apply an ileostomy pouch:

Step 1: Clean and dry the skin around the stoma

Use mild soap and warm water to clean the skin around the stoma. Avoid using any products that contain oils, lotions, or perfumes as they can interfere with the adhesive properties of the pouch. Rinse the skin well with water and pat dry with a clean towel.

Step 2: Measure the stoma (if using a two-piece pouch system)

If using a two-piece pouch system, measure the stoma with the measuring guide provided by the manufacturer. Place the measuring guide around the stoma and note the size of the opening needed for the pouch.

Step 3: Prepare the adhesive ring or paste

Adhesive rings or paste help to create a seal around the stoma and prevent leakage. If using an adhesive ring, remove the protective backing and mold the ring to fit the size and shape of the stoma. If using paste, squeeze a small amount onto your finger and spread it evenly around the stoma.

Step 4: Apply the skin barrier wipe or spray

A skin barrier wipe or spray helps to protect the skin around the stoma from irritation and damage caused by the adhesive. Apply the wipe or spray to the skin around the stoma and allow it to dry completely.

Step 5: Apply the ileostomy pouch

If using a one-piece pouch, remove the protective backing from the adhesive and carefully place the pouch over the stoma. Press firmly around the edges of the pouch to ensure a secure seal.

If using a two-piece pouch, attach the pouch to the adhesive ring by pressing the two pieces together. Then, carefully position the pouch over the stoma, ensuring that the opening in the pouch is aligned with the stoma. Press the adhesive ring firmly against the skin to create a seal.

Step 6: Cut the opening in the pouch (if using a one-piece pouch)

If using a one-piece pouch, use scissors to carefully cut the opening in the pouch to the size of the stoma. Be sure to leave enough space between the stoma and the edge of the pouch to create a secure seal.

Step 7: Check for leaks and adjust if necessary

After applying the pouch, check for any leaks by gently pressing around the edges of the pouch. If there are any gaps or areas where the seal is not secure, adjust the pouch as needed or apply additional adhesive rings or paste to create a better seal.

It is important to monitor the pouch regularly and empty it when it is about one-third to one-half full to prevent leaks and skin irritation. With time and practice, applying an ileostomy pouch can become a manageable and routine part of daily life. If you have any questions or concerns about applying an ileostomy pouch, talk to your healthcare provider or a trained ostomy nurse.