SMELLS
Offensive
smell is miserable and embarrassing for a patient. It is a
constant reminder of disease and isolates the patient from the
close contact of family and friends. It may be due to
fungation, fistula, stoma leakage, pressure sores or rectal
discharge.
Management options:
-
Change
dressings frequently
-
Use
charcoal pads
-
Treat
infection
-
Use
deodorant sprays
-
Use air
cleaners/extractors
1. Regular
cleaning and changing of the dressings and soiled beddings
is essential. Use of scented soaps, talcum powder and
colognes can help. (see Fungating Tumors)
2.
Charcoal pads in a dressing absorb smells. Some dressings
contain a layer of charcoal.
3. Most
odors are due to anaerobic infections. Metronidazole
500mg 3 times a day or chloramphenicol 500mg 4 times a day are
often extremely effective. Once smell is reduced it can be
controlled by continuing the medication at lower doses.
4.
Specialized deodorant sprays are available for use when
colostomy bags are emptied or dressings are changed. Scented
air fresheners should generally be avoided because they tend
to mix with existing smells rather than removing them.
5. Electric
air cleaners and extractors are helpful and can
be left on provided the noise does not unduly disturb the
patient.
The author and publisher have taken
precautions to ensure that the information in this book is
error-free. However, readers must be guided by their own
personal and professional standards of good practice in
evaluating and applying recommendations made herein. The
contents of this book represent the views and experience of
the author, and not necessarily those of the publisher.
