Keywords

ostomy guidelines, stoma, peristomal skin problems, stoma site marking, preoperative teaching, stoma care

Authors

1. Stelton, Susan MSN, RN, ACNS-BC, CWOCN
2. Zulkowski, Karen DNS, RN
3. Ayello, Elizabeth A. PhD, RN, ACNS-BC, CWON, ETN, MAPWCA, FAAN

Abstract

PURPOSE: To provide an overview of the 2014 World Council of Enterostomal Therapists International Ostomy Guideline recommendations.

TARGET AUDIENCE: This continuing education activity is intended for physicians and nurses with an interest in skin and wound care.

OBJECTIVES: After participating in this educational activity, the participant should be better able to:

1. Describe the anatomy and physiology of ostomies and their complications.

2. Identify evidence-based best practice interventions to prevent and manage ostomy complications.

ABSTRACT: All persons with an ostomy are at risk for development of peristomal skin problems. This is true regardless of the person's nation of residence, type of stoma, or supplies available for stoma care. There are measures that can be taken to lessen the potential for peristomal skin problems. These measures include preoperative stoma site marking, preoperative education, appropriate pouch/barrier fitting, and pouch maintenance. The 2014 World Council of Enterostomal Therapists International Ostomy Guideline includes recommendations that can be implemented to prevent situations that may lead to peristomal skin complications.