Nursing responsibilities for colostomy care are comprehensive, focusing on assessment (stoma appearance, skin health, output, diet), patient education (self-care, appliance use, diet, complications), psychosocial support, and complication management, involving detailed stoma/peristomal skin care (cleaning, sizing pouch, barrier use), diet guidance, managing odor/leakage, and preparing patients for self-management or irrigation if ordered, all while promoting dignity and adjustment.  

Colostomy care involves managing different types of surgical connections (end, loop, double-barrel) and equipment (one-piece/two-piece bags, skin barriers) to handle fecal output, focusing on skin protection, regular emptying/changing, and keeping the moist, pink stoma clean with warm water and gentle drying. 

Colostomy care equipment includes the pouching system (one-piece or two-piece with flange/wafer and bag), accessories for skin protection like barrier rings, pastes, powders, and wipes to manage moisture and leaks, and tools like measuring cards, sharp scissors, and clips for changing the appliance, plus general cleaning supplies and deodorants to maintain hygiene and comfort.

 Need to change their pouching systems twice each week (every 3to 4 days). You may need to change your pouch and skin barrier more often if it is leaking or if your skin is irritated. If your skin around your stoma begins to itch, burn or feel wet you should change your pouching system.