Overview of stoma care in the community

Colostomy and ileostomy are the most common forms of stoma, but a gastrostomy, jejunostomy, duodenostomy or caecostomy are not uncommon (National Institute for Health and Care Excellence (NICE), 2020).

A colostomy is a procedure to bring part of the colon to the surface of the abdomen. The opening made in the abdominal wall during this procedure is known as a stoma. This may be permanent or temporary. In the case that it is temporary, it is followed by a colostomy reversal at a later date. Surgeries include loop colostomy, whereby the individual has two stomas, or end colostomy, where the individual has only one stoma.

The stoma nurse will usually see the individual before and after the ostomy operation and will help choose their preferred equipment. They will also assist with prescription of supplies; in the case of a permanent ostomy, they are exempt from a prescription fee. In the case of a temporary ostomy, they can be purchased on a prepayment prescription certification.