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Ostomy care and management: a systematic review
Stacy Recalla1, Kim English, Rishma Nazarali
1Stacy Recalla, RN, MN, Registered Nurses' Association of Ontario, Toronto, Ontario, Canada. Kim English, RN, MN, Registered Nurses' Association of Ontario, Toronto, Ontario, Canada. Rishma Nazarali, RN, MN, Registered Nurses' Association of Ontario, Toronto, Ontario, Canada. Samantha Mayo, RN, MN, Registered Nurses' Association of Ontario, Toronto, Ontario, Canada. Debbie Miller, RN, BScN, MN, CETN(C), Sunnybrook Health Sciences Centre, Toronto, Ontario, Canada. Mikel Gray, PHD, FNP, PNP, CUNP, CCCN, FAANP, FAAN, Department of Urology, University of Virginia, Charlottesville.
Abstract:
The frequency of ostomy surgery in Canada is not known, but it is estimated that approximately 13,000 ostomy surgeries are performed annually in Canada. This systematic review incorporates evidence for the assessment and management of colostomies, ileostomies, and urostomies, as well as the peristomal skin. The review was completed as part of a best practice guideline document generated by a task force appointed by the Registered Nurses' Association of Ontario.
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Ostomy Care
An ostomy is a surgical procedure that creates an artificial opening from the intestines to the outside of the body, allowing for the rerouting of effluent. This opening is known as a stoma. A stoma usually protrudes above the skin surface, appearing pink or red, moist, and round, and it lacks nerve sensations.
There are different types of ostomies, including colostomies, ileostomies, and urostomies:
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