Care of your ileostomy

This information is a reminder of the skills you will have learned in the practical sessions with your nurses. It is meant only as a guide and as you become more confident you will need to refer to it less. Keep it with your appliances so that you have it at hand to refer to.

Preparing to change your appliance/pouch/bag

• A sink with clean warm water
• Disposable washcloths or kitchen towel
• Kitchen towel
• New appliance
• Plastic disposal bag
• Adhesive remover spray

You may also be using:

• Seals
• Powder
• Barrier Wipes

How to change your pouch

• Gather together equipment listed above – this will differ between individuals
• Using a small amount of adhesive remover, slowly remove used appliance and place in disposal bag
• Wipe any soiling from around the stoma and skin
• With cloths and warm water, wash the stoma and surrounding skin
• Dry the skin gently but thoroughly
• Check the skin for any red or sore areas. Use barrier wipe/powder/seal if instructed to do so
• Remove the backing paper and apply the new pouch, holding down the adhesive area with a warm hand for a few seconds to ensure good adhesion.
• Don’t forget to close the Velcro area
• Dispose of all rubbish and used pouch, clear away your equipment and wash your hands

Any problems?

For common issues people with an ileostomy experience, please refer to our discharge information for ileostomy patients leaflet and contact your stoma care nurse if you remain concerned.