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Best Practice Guidelines for Ostomy Care in Neonates, Children, and Adolescents: An Executive Summary
1Louise Forest-Lalande, MEd, NSWOC , Montreal, Quebec, Canada.
Insights
This study provides best practice guidelines for pediatric ostomy care, addressing clinical and psychosocial needs for neonates, children, and adolescents. Evidence-based recommendations aim to improve care for young patients with ostomies.
Area of Science:
- Nursing
- Pediatrics
- Surgical Care
Background:
- Pediatric ostomy care relies on best practices, but supporting evidence is limited.
- Ostomy care principles vary across age groups, from neonates to adolescents.
- Specific indications and clinical approaches differ in pediatric populations.
Purpose of the Study:
- To develop evidence-based best practice guidelines for pediatric ostomy care.
- To provide a comprehensive resource for healthcare professionals.
- To address both clinical and psychosocial aspects of ostomy care in children.
Main Methods:
- Literature review conducted by international pediatric ostomy care experts.
- Consensus development among expert panelists.
- Guidelines structured into clinical and psychosocial sections.
Main Results:
- Established best practice guidelines for pediatric ostomy care.
- Included clinical management of ostomies in neonates, children, and adolescents.
- Addressed psychosocial impacts on patients and families.
Conclusions:
- Guidelines offer a valuable resource for improving pediatric ostomy care.
- Comprehensive approach covers the full pediatric age spectrum.
- Emphasizes the need for evidence-based practice in this specialized nursing field.
Abstract:
Pediatric ostomy care nursing is primarily based on best practice principles; evidence supporting care remains sparse. Although many principles of ostomy care are similar across the life span, the indications for ostomy surgery and clinical approach differ when working with neonates, children, and adolescents. An international group of pediatric ostomy care experts was brought together to offer their expertise on caring for children with an ostomy. Best practice guidelines were developed based on literature review and consensus among expert panelists. The purpose of these guidelines is to provide a resource for best practices to health care professionals caring for pediatric patients with an ostomy. This article is divided into 2 sections: the first highlights clinical aspects of pediatric ostomy care, while the second addresses psychosocial aspects of ostomy care, including effects of an ostomy on the family. These guidelines address ostomy care and need within the full spectrum of the pediatric age groups, from neonates to adolescents.
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