Nursing/clinical guidelines & best practices

Practice Implications for Peristomal Skin Assessment and Care (10 pages) – from the 2014 World Council of Enterostomal Therapists International Ostomy Guideline. This helpful illustrated guide covers everything you ever wanted to know about ostomy-related skin problems but were afraid to ask.

Stoma Complications: Best Practice for Clinicians  (25 pages) – Intended for medical clinicians, this publication by the Wound Ostomy and Continence Nurses Society in the US offers good descriptions of the identification, prevention, and management of parastomal hernias, laceration of the stoma, mucocutaneous separation, necrosis, prolapse, retraction, and stenosis. Warning: contains some pretty graphic photos near the end.

Supporting Adults Who Anticipate or Live with an Ostomy (140 pages) – A ‘Best Practice Guideline’ from the RNAO (Registered Nurses’ Association of Ontario). This is intended for nurses, so it’s a very thorough look at all aspects caring for an ostomy. I particularly love the many photos of stomas – healthy ones and those with problems – making it much easier to identify potential problems than simply reading about them.

The Difficult Stoma: Challenges and Strategies (8 pages – This informative article, from a 2016 issue of the Clinics in Colon and Rectal Surgery Journal, provides a good overview of stoma complications, including retraction, prolapse, and peristomal hernias.

Understanding stoma complications (5 pages) – Intended for wound care specialists, this journal article in a 2013 issue of  Wound Care Advisor explains “how to identify and manage stoma hernias, trauma, mucocutaneous separation, necrosis, prolapse, retraction, and stenosis.”

Understanding the role of convex skin barriers in ostomy care (6 pages) – This article, which appeared in a 2017 issue of the Nursing journal, reviews the advantages of convex skin barriers and their role in ostomy care.

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