title: Orchestrating the management of patients with high-output stomas.
abstract: Working in isolation, managing high-output stomas can be stressful and difficult, with patient outcomes varying significantly. For the stoma care clinical nurse specialist, managing the choice of stoma appliance is only a small part of the care provided. To standardise and improve outcomes for patients with high-output stomas, team working is required. After contacting other stoma care services and using guidance from the High Impact Actions for Stoma Care document ( Coloplast, 2010 ), it was evident that the team should put together an algorithm/flow chart to guide both specialists and ward nursing staff in the evidence-based and standardised management of patients with high-output stomas. This article presents the flowchart that was produced and uses case studies to demonstrate improvements.
authors.affiliation: Stoma Care Clinical Nurse Specialist, Ayrshire and Arran Health Board, University Hospital Ayr, Scotland.
authors.forename: Alison
authors.initials: A
authors.lastname: McDonald
mesh_terms: D000328:Adult; D000465:Algorithms; D005260:Female; D006801:Humans; D007410:Intestinal Diseases / Q000451:nursing* / Q000601:surgery; D008297:Male; D008875:Middle Aged; D009720:Nurse Clinicians; D010348:Patient Care Team; D017592:Skin Care / Q000451:nursing*; D054047:Surgical Stomas
keywords: Communication; High-output stomas; Multidisciplinary team; Standardised management; Stoma nurse specialist