Your browser is no longer supported

For the best possible experience using our website we recommend you upgrade to a newer version or another browser.

Your browser appears to have cookies disabled. For the best experience of this website, please enable cookies in your browser

We'll assume we have your consent to use cookies, for example so you won't need to log in each time you visit our site.
Learn more

Stoma care - 4 - Fitting a 2-piece appliance

  • Comment

VOL: 97, ISSUE: 17, PAGE NO: 43

CHRIS METCALF, GASTROENTEROLOGY ENDOSCOPY NURSE SPECIALIST, WEST HERTS NHS TRUST, WATFORD GENERAL HOSPITAL.

Some patients choose to wear a two-piece appliance because it can provide better security than a one-piece appliance. It also has the advantage of not having to be changed as frequently as a one-piece appliance, thereby reducing the potential for skin soreness. Certain stoma management problems may necessitate the stoma nurse advising the use of a two-piece appliance; for example, managing a large stomal prolapse, or mucocutaneous separation.

Some patients choose to wear a two-piece appliance because it can provide better security than a one-piece appliance. It also has the advantage of not having to be changed as frequently as a one-piece appliance, thereby reducing the potential for skin soreness. Certain stoma management problems may necessitate the stoma nurse advising the use of a two-piece appliance; for example, managing a large stomal prolapse, or mucocutaneous separation.

Two-piece appliances are available with both closed (non-drainable) and open (drainable) pouches. When performing a pouch change, nurses should wear a plastic apron and gloves, and wash their hands before and after the procedure. Patients do not need to adopt universal precautions: thorough handwashing before and after the procedure is sufficient.

This Part describes the removal of a two-piece stoma appliance and the application of a new one. A drainable pouch should be emptied before changing the appliance (see Part 2). The base plate should be cut to fit snugly around the stoma (see Part 1b).

While carrying out the procedure, the patient's pyjama top or nightdress can be clipped out of the way using a clothes peg.

  • Comment

Have your say

You must sign in to make a comment

Please remember that the submission of any material is governed by our Terms and Conditions and by submitting material you confirm your agreement to these Terms and Conditions. Links may be included in your comments but HTML is not permitted.