Preoperative care of patients undergoing stoma formation: what the nurse needs to know

Rationale and key points This article addresses preoperative care of patients for whom surgery to form a stoma is planned. It discusses conditions that may result in the formation of a stoma, explores preoperative investigations that may be necessary before surgery, outlines various types of stoma and stoma appliances, and offers guidance on preparing patients to manage this lifestyle transition. The stoma specialist nurse has the principal role in providing patient education. However, nurses in all practice settings may encounter patients who are due to undergo surgery to form a stoma, and can provide preoperative support and education. » Nurses require an understanding of the enhanced recovery pathway to support patients who are due to undergo surgery to form a stoma. » Optimal siting of the stoma is essential to enable patient self-care. » Effective preoperative care of patients undergoing planned surgery to form a stoma enables patients to gain independence quickly following stoma formation. » Enabling patients to self-care for their stoma is associated with improved quality of life and enhanced body image.