Care of patients undergoing stoma formation: what the nurse needs to know
Jennie Burch Head of gastrointestinal nurse education, St Mark’s Hospital, Harrow, England
This article provides an overview of the various types of abdominal stoma and surgical procedures that result in stoma formation. It outlines the enhanced recovery pathway that is used to guide postoperative care, and some of the areas that should be incorporated in postoperative stoma care. These areas include training in the practical care of the stoma and its appliance, dietary advice and reintegrating lifestyle activities. In addition, the article briefly examines stoma reversal, and explores the role of the stoma specialist nurse.
Nurses require an understanding of the various surgical procedures that might result in the formation of a stoma.
An understanding of the stoma appliances that are available is essential to enable nurses to provide effective care for patients with a newly formed stoma.
Effective postoperative care that incorporates support and education enables patients to adapt quickly to having a stoma.
Enabling patients to understand changes that occur as a result of stoma formation will increase their confidence in managing their stoma alongside the effect on their quality of life.
Nursing Standard. 31, 41,40-45. doi: 10.7748/ns.2017.e10177
Received: 07 June 2015
Accepted: 09 March 2016
Published in print: 07 June 2017Peer review
This article has been subject to external double-blind peer review and checked for plagiarism using automated softwareConflict Of Interest