Seven complications of stomas are described in the Stoma Complications document. Each complication includes categories of: assessment with identifying characteristics; nursing interventions describing prevention and treatment; and patient/caregiver education. Newer research when available and additional references are included. This document will add to the knowledge of the WOC nurse and non-WOC nurse when caring for stoma complications.
Position Statements on Preoperative Stoma Site Marking for Patients
Marking the optimal location for a stoma preoperatively enhances the likelihood of a patient’s independence in stoma care, predictable pouching system wear times, and resumption of normal activities. Colon and rectal surgeons and certified ostomy nurses are the optimal clinicians to select and mark stoma sites, as this skill is a part of their education, practice and training. However, these providers are not always available, particularly in emergency situations. The purpose of this position statement, developed by the Wound, Ostomy and Continence Nurses Society (WOCN) in collaboration with the American Society of Colon and Rectal Surgeons (ASCRS) and the American Urological Association (AUA), is to provide a guideline to assist clinicians (especially those who are not surgeons or WOC nurses) in selecting an effective stoma site.
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