Rationale and key points

This ‘How to’ article explains how to change a stoma bag in a safe, effective and supportive manner. Nurses undertaking this procedure must ensure they have the knowledge and skills to do so and work within the limits of their competence. The patient – and/or their carer where appropriate – should be involved in decision-making and trained in the procedure so they are eventually able to undertake it independently. This will increase the patient’s confidence and acceptance of their stoma.

• Optimal stoma care can assist in preventing leakage, skin soreness and irritation, thereby increasing the patient’s comfort, confidence and well-being.

• Understanding the different types of stoma will support the nurse in selecting the most appropriate stoma bag.

• Each patient will have different stoma care needs, which may include the need for psychological support.

Reflective activity

‘How to’ articles can help to update your practice and ensure it remains evidence-based. Apply this article to your practice. Reflect on and write a short account of:

• How this article might improve your practice when changing a stoma bag.

• How you could use this information to educate nursing students or your colleagues on the appropriate methods for changing a stoma bag.