Part 1: General nursing care for colostomy designed to include (8) goals related nursing activities: (a) General abdominal surgery wound care of stoma. (b) Managing skin and stoma (emptying and cleaning). (c) Caring the mucus fistula of loop colostomy. (d) Changing the pouch. (e) Irrigation of colostomy. (f) Attainment of fluid balance. (g) Monitoring vital signs. (h) Assessing bowel sound.