Hidden problems of stoma care

Sexual function: Understand the degree of excision that has taken place. Make sure that the patient fully understands the outcome of surgery. Be confident with your own sexuality. Be prepared to refer the patient if you cannot help. Do not wait for the patient to tell you about their sexual activity-they will not. Know what type of contraception would be best for the patient. Understand the possible problems of the homosexual patient after surgery. Ethnic minorities: Know where the patient comes from and which religion they follow. Understand how major religious fasts or feasts may affect the patient. Appreciate the patient's need for prayer at set times, which may be disruptive to ward routine. Understand dietary considerations. Be aware that translation may be needed and, if so, make sure that translator is acceptable to the patient. Find out about the patient's ethnic, cultural and religious background.