Colostomy Irrigation − an option worth considering

Having a permanent colostomy can be a devastating change in many aspects of a patient′s daily life, affecting confidence, lifestyle and relationships. Patients need to learn how to care for their stomas and adjust to a new routine of bowel function, altered physical appearance and body image. Patients′ ability and motivation to be self−caring and independent can have a positive effect on their recovery and adaptation (Black, 2004). Most of this adaptation will occur at home, supported by family, friends and healthcare professionals. Thus, nurses caring for this group of patients need to be able to inform, educate and support them during their recovery and future life. However, for some patients, achieving self−care with natural evacuation may not be enough, and to be able to have some control over when their bowel functions will further enhance their adaptation. Colostomy irrigation is a well−established procedure that can be used by patients at home to improve their confidence, achieve control over their bowel function and improve their quality of life and functioning (Karadağ et al, 2005). Although nurses inform patients about irrigation, and not all patients are suitable, it is thought that a minority (5%) of colostomists actually perform the procedure (Wade, 1989). Some nurses may therefore have little experience either teaching or supporting such patients, and may not have patients within their caseloads or local area.