Teaching the skills to cope with a stoma

Article Abstract:

Patients who are required to have a stoma as a result of a condition such as Crohn's disease may find it very difficult to deal with the stoma initially. They may be unable to accept their new body image, and frequently feel embarrassed and frightened. It is important that health professionals teach stoma patients to change the stoma appliance as soon as possible, so that the patient gains confidence in undertaking this procedure. Patients should not be discharged from hospital until they have the necessary knowledge and skills for self-care.

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Nutrition and stoma patients: Stoma patients need good-quality dietary information to deal with their condition and protect their quality of life

Article Abstract:

Stoma patients should have access to information that helps them to make choices for a healthy diet. Post-operative stoma output is often high and fluid for several days, with a need for frequent emptying of the stoma bag. This may lead to concerns about leakage, one of the main fears associated with stomas. An energy-dense diet is required and liquid nutritional supplements can be helpful to those with little appetite.

Health aspects

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Self-care at home: stoma patients can struggle to come to terms with their changed body

Article Abstract:

Stoma patients can suffer both physical and psychological problems following stoma surgery and nurses must teach patients how to manage their stomas. A programme of rehabilitation should be provided allowing the patient to achieve as much independence as possible, and assessing a patient's progress towards acceptance.

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