Planning

My placement is in local residential care home in Ayr. For completion of graded unit project I have selected a client who has a permanent colostomy and an attachment of colostomy bag at the site. A colostomy means a surgical opening into the colon. This project includes three stages called planning, development and evaluation of a practical activity where I will change a colostomy bag.This client is of 78 years old lady who has been cared for last six months and was transferred from Ayr General Hospital. Due to permanent colostomy bag attachment at the site her normal movement altered and as a result of this normal movement got a diversion. So she is required to change the bag from time to time. This changing of bag will minimize the risk of infection and tissue integrity. The constant moisture condition may aggravate the condition, so it’s important to maintain her hygiene and promote independence. While the bag is attached at the site an extra care has to be taken that the bag is well sealed and not leaking at all. As due to leakage she may have low self esteem, so the social need could be hindered. As a result of her existing condition she is totally confined to the specific area Around her .This affects her normal social life and she is emotionally depressed. In order to lift her emotional need it is necessary to talk to her from time to time and to give her a brief history of same types of clients and their prognosis. While I went through the client’s medical notes I kept that information confidential as Nursing and Midwifery Council states that you must treat information about patients and clients as confidential and use it for the purpose for which it was given (NMC-2004).I found that she had a poor educational background. As a result it took time for me to explain the medical terminology but I found she was much interested to learn so I could state that her cognitive need is moderate. By talking to number of relatives I came to know that she belongs to a