9, 10, 11
Si CASE STUDY PROGRESS D.S. continues to complain of abdominal pain and cramping and becomes increasingly restless. You notic
the 9. How would you assess for a possible peristom 10. Why is a peristomal hernia a problem? CASE STUDY PROGRESS You note th

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Si CASE STUDY PROGRESS D.S. continues to complain of abdominal pain and cramping and becomes increasingly restless. You notice that the abdomen behind and around his stoma and pouch appears larger when compared with the other side of his abdomen. th BT a 9. How would you assess for a possible peristomal hernia? 10. Why is a peristomal hernia a problem? the 9. How would you assess for a possible peristom 10. Why is a peristomal hernia a problem? CASE STUDY PROGRESS You note the ostomy pouch has liquid brown effluent along the lateral edge of the wafer. You check to see that the pouch is properly attached to the wafer and discover that stool is indeed leaking from under the barrier. D.S. apologizes for not bringing any supplies with him, stating, “My ostomy nurse told me to always carry extra supplies for times like this.” Right now, D.S. cannot remember what size he needs. You note he is wearing a two-piece system with a plastic ring-flange that attaches to the pouch with a matching ring. 11. How will you determine the correct pouching size and system? CASE STUDY PROGRESS You finish your general head-to-toe assessment and order the annunriat
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