A nurse is reinforcing teaching with a client about how to replace their two-piece ostomy pouching system. The client tells the nurse that
removing the skin barrier is painful. Which of the following strategies should the nurse suggest?
Break the seal by tugging gently on the bottom of the pouch.
Hold the skin taut while removing the barrier.
Pull one corner of the barrier quickly over the stoma.
Lift both sides of the skin barrier simultaneously.

To minimize pain when removing a skin barrier for an ostomy pouch, it is recommended to hold the skin taut, tug gently on the pouch's bottom, or lift both sides simultaneously.

Explanation:

Hold the skin taut while removing the barrier. This strategy helps reduce pain by minimizing pulling on the skin during the removal process. By keeping the skin firmly stretched, it can help loosen the barrier without causing discomfort to the client.

Break the seal by tugging gently on the bottom of the pouch. This approach can also assist in loosening the pouching system without causing unnecessary pain to the client.

Lift both sides of the skin barrier simultaneously. Lifting both sides together evenly distributes the pressure and can aid in the gentle removal of the barrier.

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