References

Association of Coloproctology of Great Britain and Ireland. Ileoanal pouch report 2017. 2017. https://tinyurl.com/3a62bzex (accessed 12 March 2025)

Bowles TM, Moses C, Perry-Woodford ZL The voice of ostomates. Br J Nurs.. 2022; 31:(16)S4-S15 https://doi.org/10.12968/bjon.2022.31.16.S4

Burch J An overview of stoma-related complications and their management. Br J Community Nurs.. 2021; 26:(8)390-394 https://doi.org/10.12968/bjcn.2021.26.8.390

Justiniano CF, Temple LK, Swanger AA Readmissions with dehydration after ileostomy creation: rethinking risk factors. Dis Colon Rectum.. 2018; 61:(11)1297-1305 https://doi.org/10.1097/DCR.0000000000001137

Tyler JA, Fox JP, Dharmarajan S Acute health care resource utilization for ileostomy patients is higher than expected. Dis Colon Rectum.. 2014; 57:(12)1412-1420 https://doi.org/10.1097/DCR.0000000000000246

Exploring the needs of ostomy and ileoanal pouch patients

20 March 2025
Volume 34 · Issue 6

Abstract

The journey of stoma and ileoanal pouch patients, following discharge, requires ongoing support as they accept their new elimination model and the loss of what is considered ‘normal evacuation’. Although a lot is done to support these patients, often patients' feedback reveals significant disparities in care across different areas of the country, as well as disparities between private and public care, with some significant gaps in healthcare support. Despite the complex physical and emotional adjustments these patients face, current systems provide professional care that may not always be sufficient for everyone's individual needs, and may even be limited, especially in the critical months following discharge. This leaves some patients reliant on non-clinical resources such as support groups and online forums. Although these sources can offer camaraderie, they may lack the medical and nursing experience required to address individual needs.

The journey of stoma and ileoanal pouch patients, following discharge, requires ongoing support as they accept their new elimination model and the loss of what is considered ‘normal evacuation’. Although a lot is done to support these patients, often patients' feedback reveals significant disparities in care across different areas of the country, as well as disparities between private and public care, with some significant gaps in healthcare support. Despite the complex physical and emotional adjustments these patients face, current systems provide professional care that may not always be sufficient for everyone's individual needs, and may even be limited, especially in the critical months following discharge. This leaves some patients reliant on non-clinical resources such as support groups and online forums. Although these sources can offer camaraderie, they may lack the medical and nursing experience required to address individual needs.

Although many patients may find the current established follow-up of an average of three or four stoma and pouch nurse reviews in the first 2 to 3 months following stoma formation sufficient, many patients report that they needed more support, especially in those crucial first few months. Furthermore, many patients also report that they would have preferred to be seen in the comfort of their homes more often, although, depending on where they live, they may be asked to attend community clinic venues instead.

Register now to continue reading

Thank you for visiting British Journal of Nursing and reading some of our peer-reviewed resources for nurses. To read more, please register today. You’ll enjoy the following great benefits:

What's included

  • Limited access to clinical or professional articles

  • Unlimited access to the latest news, blogs and video content