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A Consensus on Stomal, Parastomal, and Peristomal Complications.
Keryln Carville1, Emily Haesler, Tania Norman
1At Curtin University, Perth, Australia, Keryln Carville, PhD, RN, STN(Cred), is Associate Professor and Emily Haesler, PhD, is Professor. Tania Norman, RN, STN, BCN, is Stomal Therapy Nurse, St John of God Hospital, Murdoch, WA, Australia; Pat Walls, RN, STN, Cert Wound Mt, is Stomal Therapy Nurse at St Vincent's Private Hospital, Brisbane, Queensland, Australia. Leanne Monterosso, PhD, RN, is Professor and Chair of Nursing (Clinical Nursing) at the University of Notre Dame Australia, Fremantle. Acknowledgment: The authors gratefully acknowledge the research grant awarded by the Australian Association of Stomal Therapy Nurses that enabled this study; the stomal therapy nurses and colorectal surgeons who participated in the Delphi process and willingly gave of their time and expertise; and Paul Haesler, who designed and managed the project-specific online consensus voting platform. The authors have disclosed no financial relationships related to this article. Submitted to the World Council of Enterostomal Therapists Journal April 19, 2022; accepted May 2, 2022. Copyright Advances in Skin & Wound Care and the World Council of Enterostomal Therapists.
Australian experts reached a consensus on terminology for stomal, parastomal, and peristomal complications. This agreement aims to improve communication and education regarding these common patient issues.
Area of Science:
- Wound care and ostomy nursing
- Colorectal surgery
- Medical terminology consensus
Background:
- Stomal, parastomal, and peristomal complications are common issues for patients with ostomies.
- Inconsistent terminology hinders effective communication and education among healthcare professionals and patients.
- A standardized vocabulary is needed to accurately describe and manage these complications.
Purpose of the Study:
- To establish a consensus on terminology for stomal, parastomal, and peristomal complications in Australia.
- To develop a standardized list of terms and definitions for clear clinical communication.
- To facilitate national benchmarking and educational initiatives.
Main Methods:
- A comprehensive literature review identified potential terms for stomal complications.
- An expert panel of Australian wound, ostomy, and continence nurses and colorectal surgeons participated in an online Delphi process.
- Ten terms, supported by clinical knowledge and photographic evidence, were presented for consensus over multiple rounds.
Main Results:
- Agreement was reached on seven of the ten terms in the first round.
- Allergic dermatitis was refined to allergic contact dermatitis, achieving consensus in round two.
- Two pairs of terms were combined: mucocutaneous/mucosal granuloma into 'granuloma', and skin stripping/tension blisters into 'medical adhesive-related skin injury'.
Conclusions:
- A consensus on stomal, parastomal, and peristomal complication terminology was achieved.
- Standardized terminology will enhance communication among patients and healthcare providers.
- This consensus will advance education and national benchmarking of stomal, parastomal, and peristomal complications.
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