Stomal Care

  • Informs about the types of stomas using explanations and diagrammatic representations
  • Discusses pre-operative and post-operative care options
  • Includes a tabulated summary for the routine observation of new stomas
  • Provides guidelines for selecting an appliance
  • Includes a tabulated summary of the commonly used stomal accessories and pharmaceuticals
  • Suggests methods in changing an appliance
  • Assesses common concerns accompanying women with a stoma including; diet, sexual function, constipation and diarrhoea

Women with gynaecological cancer sometimes require stomas as a result of surgery for tumour removal or reduction, or as a result of progression and complications of a tumour (including obstruction, invasion, and erosion). If the underlying problem cannot be cured, a palliative stoma might be required to make the woman more comfortable. This chapter explores the role of stomas in the care of women with gynaecological cancer.

Contents include

  • Types of stomas
  • Use of stomas in gynaecological cancer
    • Ovarian cancer
    • Radiotherapy
    • Rectovaginal and vesicovaginal fistulas
    • Pelvic exenteration
  • Pre-operative care
    • Education and counselling
    • Stoma site selection and marking
  • Post-operative care
    • Bowel stomas
    • Urinary stomas
  • Selecting an appliance
    • Type of bag
    • One-piece or two-piece
    • Flat or convex
    • Composition of part attached to skin
    • Size and shape of the stoma
    • Opaque and transparent bags
    • Size and shape of patient
  • Skin care
  • Changing the appliance
  • Diet
    • Colostomy
    • Ileostomy
    • Urostomy
  • Sexual function
  • Colostomy irrigation
  • Constipation and diarrhoea
  • Before discharge from hospital
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Author / Editor Biographies

Julia Thompson is a registered nurse who holds post-basic certificates in cardiothoracic and stomal therapy nursing, a diploma in nurse education, a bachelor of arts degree (psychology), a graduate certificate in advanced clinical nursing, and a PhD. Her doctoral treatise focused on patient and nurse collaboration in long-term management of newly formed colostomies. Since 1978 most of Julia's work has been in stomal therapy as a Clinical Nurse Consultant and senior lecturer. She is now the Clinical Nurse Consultant in stomal therapy and palliative care at St Vincents Private Hospital (Sydney, ...

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