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WI Summit Home Care Colostomy Output Log 2011-2025 free printable template

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Colostomy Output Log Name: Date Time Output Stool condition Colostomy care Notes www.FreePrintableMedicalForms.com New baseplate (wafer)? Yes No.
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How to fill out WI Summit Home Care Colostomy Output

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How to fill out WI Summit Home Care Colostomy Output Log

01
Start by writing the date at the top of the log.
02
Record the time of each output during the day.
03
Note the consistency of the output (liquid, semi-liquid, solid).
04
Measure the output in milliliters (mL) or ounces (oz) and write it down.
05
If applicable, document any unusual observations such as color or odor.
06
At the end of the day, total the volume of output for easy reference.
07
Keep the log in a safe place to easily share with healthcare providers.

Who needs WI Summit Home Care Colostomy Output Log?

01
Patients with a colostomy who need to monitor their output.
02
Caregivers assisting patients with colostomy care.
03
Healthcare professionals tracking patient health and recovery.
04
Individuals needing to report output for insurance or medical evaluations.
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People Also Ask about

It can take a few days for your stoma to start producing any output. Your bowel will have gone into a shock like state following surgery.
About Your Wet Colostomy After your surgery, your urine (pee) and stool (poop) will leave your body through your wet colostomy stoma. Your stoma will have 2 parts (see Figure 1): A urinary diversion. Your urine will flow from your kidneys, through your ureters, and out of your body through your urinary diversion.
Know How to Describe your Effluent (output from stoma) For a stoma that drains urine: Color: Clear, cloudy, amber, straw, blood tinged. Odor: no odor, musty, fishy, fecal ( stool smell) Volume: No output, low output, high output.
The average daily output of a colostomy is about 500 ml per day, with a range of about 200-700ml. You should learn to monitor the amount and consistency of your bowel movements.
Output will depend mainly on which type of stoma you have: colostomy, ileostomy or urostomy. Like all output, it can also be affected by diet, liquid intake etc. For all types of stoma, it is important to drink plenty of fluids, about 6 cups of liquid a day (8-10 if you have an ileostomy).
Know How to Describe your Effluent (output from stoma) Color: Clear, cloudy, amber, straw, blood tinged. Odor: no odor, musty, fishy, fecal ( stool smell) Volume: No output, low output, high output. Substances other than fluid (e.g., grit, crystals, mucus).
What is a normal ileostomy output? A normal ileostomy output should be 400-600ml over 24 hours. Output should have the consistency of porridge or toothpaste.
The average daily output of a colostomy is about 500 ml per day, with a range of about 200-700ml. You should learn to monitor the amount and consistency of your bowel movements.

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The WI Summit Home Care Colostomy Output Log is a tool used to record the output and management of colostomy discharge for patients under home care services.
Caregivers, nurses, and healthcare professionals responsible for the care of patients with colostomies are required to file the WI Summit Home Care Colostomy Output Log.
To fill out the log, users should accurately document the date, time, type of output, quantity, and any comments regarding the patient's condition or changes in output.
The purpose of the log is to track the colostomy output, monitor patient health, facilitate communication among healthcare providers, and ensure proper care management.
The log must report the date and time of each output, the type and quantity of output, any abnormalities observed, and notes regarding the patient's overall condition.
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