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Does anyone know a person or an agency that just makes 30 minute house calls daily to change a stoma bag and do vitals? I have a dear friend that can’t use one of her arms to help her change her bag and the location is difficult for her to use one arm only to do this. Agencies want 2-4 hrs daily for care but she only needs this one service done. She lives in a retirement community that doesn’t offer these services. I appreciate any suggestions.


Thank you

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Sometimes it is due to health worker scope of practice within the state. I doubt a PCA can do this and it may require an RN who practices under the direction of a doctor. I had no problem with an agency doing 15 minute appointments with a PCA for bathing and med delivery, who had a large client pool within a 150 room independent living place. You can call around and you might get lucky, but ask the question to each one if they offer stoma care. If the answer is no because of state requirements, then it may be only at a skilled nursing home.
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You might try contacting local churches or volunteer EMT organizations to find a couple of retired nurses or EMTs in her area willing to help.
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Put an ad on at the retirement place and in Craigslist and call home health agencies...you can find someone. I use to work home health and they would have us doing wounds on the half hour...research and investigate...you'll find something.
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No, unfortunately, there are no agencies that will come in for 30 minutes only.
I agree re OT working with her to give her tips on how to change the bag. Usually the bag and stoma care are changed as needed &/or every 3 days as that’s the interval used to figure out how to order monthly supplies.
Is it a colostomy or ileostomy? Speaking from a nurses’ view, Ileostomies require much more care than a colostomy because of where it is anatomically. Ileostomies are done in the small intestine and stool is pretty much fluid like in consistency. If the enzymes in the bowel fluid ooze around the stoma they can cause major skin breakdown. The stool is more formed with a colonoscopy because a colostomy is a conduit for the large intestine and it is in the large intestine that the stool gets more formed due to absorption of water in the large intestine.
Your friend may have access to an “ostomy “ nurse who can work with her to review her technique and and have the person teach back the procedure, as well as access to new technology that may be available to work around her disability.
Good luck to you and your friend.
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Before you give up on your friend's doing it for herself, she could ask her doctor to prescribe occupational therapy for her. An OP therapist might be able to figure out a way for your friend to do it for heself with one arm, or to make a device she could use for assistance, using that one arm. This is exactly the kind of thing OP therapists are trained to do. Your friend sounds as if she is fine cognitively at this time, so that would help.
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My Aunt lives in a house in a community where there is an AL and LTC. If, as a person living in IL, if she needs some help she can get someone to come from the AL to help her at a small cost. Have you checked to see if her IL can help.

Maybe her doctor can order homecare.
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worriedinCali Oct 26, 2019
“Have you checked to see if her IP can help”. The OP says her friends community doesn’t offer that kind of help.
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