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Race
Upset
Travelling
Angry
Unrealistic expectations
Poor vision
Poor hearing
Language
Age
Issues related to the operation
Planned
Expected
Unexpected
Cancer diagnosis
Curative
Temporary stoma
Permanent stoma
Emergency
Frustration for the nurse
Inability to cure
Not listening
Challenge to the nurse
Complex stoma
Complex ostomate
Complex family members/significant others
Scenario (1)
Young person with UC Recent diagnosis Pouch surgery/permanent ileostomy
Scenario 2
Older person with UC Recent diagnosis Pouch surgery/permanent ileostomy
Scenario 3
Emergency operation for trauma from a car accident
Other situations
Familial adenomatous polyposis (FAP) cancer
Sporadic cancer Bladder cancer Gynaecological cancer
Summary
It can be very rewarding and simple to care for some ostomates
It can also be a challenge and highly complex
We need to remember that we are human and may require support
Understand our own coping mechanisms