Medical Surgical Crohn’s vs Ulcerative Colitis #5

Question

A nurse is providing teaching to a client with a new ostomy. The client expresses concern about the pouch odor. Which of these may be used to control pouch odor? Select all that apply.

Answers

  1. Empty the pouch when it is ⅓ to ½ full
    • Rationale:

      This answer is correct because emptying the pouch when it is ⅓ to ½ full will reduce odor and prevent leakage of the pouch. If it becomes too full, it can peel away from the skin. This will also result in leakage and odor.

  2. Use a filter in your ostomy pouch
    • Rationale:

      This answer is correct because filters not only minimize gas buildup, but also reduce odor. The filters have deodorizing carbon granules or charcoal to help alleviate the smell. Filters work by allowing the gas to gradually escape but the odor be neutralized by the filter.

  3. Change the pouch once a week
    • Rationale:

      This answer is not correct because each client is different and may need to change the pouch more often than weekly. Frequency of changes depends on output consistency and wafer wear time.

  4. Avoid gas-forming foods that can cause odor
    • Rationale:

      This answer is correct because certain foods are malodorous for the client with an ostomy pouch. Avoiding these foods will help reduce the odor. These foods include eggs, fish, alcohol, asparagus and the usual foods that cause the individual gas.

  5. Place odor-absorbing drops into the pouch
    • Rationale:

      This answer is correct because odor absorbing drops can be used to reduce odor associated with stool in ostomy bags. This is especially useful if placed in a clean bag when the bag is changed.

Overview

Pouch odor is a threat to body image for an ostomy client and one major concern for the client. Providing ways to combat the odor will assist the client in an acceptable body image and help reduce anxiety.

Explanation

Learning Outcomes

Pouch odor is a threat to body image for an ostomy client and is one major concern for the client. Providing ways to combat the odor will assist the client in an acceptable body image and help reduce anxiety. The first step to reduce odor is to make sure the bag is emptied before it becomes too full. Emptying the pouch when it is ⅓ to ½ full is essential to prevent bag leakage. A filter will decrease gas build-up and reduce odors. Changing the ostomy pouch every 3 to 5 days will help keep it clean, and reduce odor buildup from overuse. Avoiding foods that cause more gas and odor will help alleviate smells too.

Test Taking Tip

Good ole common sense will help the student answer the test questions. By maintaining cleanliness and utilizing filters, odors may be reduced and eliminated with ostomy pouches.

Video Rationale