Which non-surgical intervention involves adjusting the pouching system?

• A. Support the peristomal region
• B. Splinting of abdomen when coughing
• C. Evaluate and possibly change pouching system with hernia development
• D. Avoid lifting over 5-10 lbs after surgery

Answer: (C)

When a hernia develops around the stoma, the way the appliance fits can change, making it necessary to adjust the pouching system. This non-surgical approach focuses on evaluating the stoma and peristomal contours and then selecting a different flange or barrier configuration to maintain a good seal, protect the skin, and prevent leaks. options might include using a convex appliance, changing the flange size or shape, or tailoring the opening to accommodate the bulge so the skin stays secure and comfortable.

The other measures serve important roles but aren’t about adjusting the pouching system itself: supporting the peristomal region helps with comfort; splinting the abdomen during coughing reduces strain but isn’t an appliance modification; lifting restrictions after surgery are general recovery guidance. Evaluating and possibly changing the pouching system directly addresses the fit issues caused by the hernia.