Practice Implications from the WCET® International Ostomy Guideline 2020

Abstract

The second edition of the WCET® International Ostomy Guideline (IOG) was launched in December 2020 as an update to the original guideline published in 2014. The purpose of this article is to introduce the 15 recommendations covering four key arenas (education, holistic aspects, and pre- and postoperative care) and summarize key concepts for clinicians to customize for translation into their practice. The article also includes information about the impact of the novel coronavirus 2019 on ostomy care. GENERAL PURPOSE To introduce the 15 recommendations of the International Ostomy Guideline (IOG) 2020, covering the four key arenas of education, holistic aspects, and pre- and postoperative care; and to summarize key concepts for clinicians to customize for translation into their practice. TARGET AUDIENCE This continuing education activity is intended for physicians, physician assistants, nurse practitioners, and nurses with an interest in skin and wound care. LEARNING OBJECTIVES/OUTCOMES After participating in this educational activity, the participant will: 1. Analyze supporting evidence for the education recommendations in the IOG 2020. 2. Identify a benefit of the International Charter of Ostomate Rights. 3. Distinguish concepts related to pre- and postoperative ostomy-related care. 4. Select a potential barrier to IOG 2020 guideline implementation.

Skin and wound care survey

“…5 The World Council of Enterostomal Therapists (WCET ® ) also published International Ostomy Guidelines in 2010 and then again in 2020. 6 The International Skin Tear Advisory Panel (ISTAP©) has developed a new classification system on the care and management of skin tears along with protocols including risk assessment, care modalities, and a simplified classification system. 7…”

“…Consult relevant ostomy guidelines for further information. 5,6 32. A pressure injury on the mucosa should be staged using the NPIAP staging/classification system.…”

“…In 2018, The Wound Ostomy & Continence Society (WOCN ® ) revised their clinical practice guidelines for managing adults with a fecal or urinary ostomy 5. The World Council of Enterostomal Therapists (WCET ® ) also published International Ostomy Guidelines in 2010 and then again in 2020 6…”

The Value of Applying a Continuous Nursing Model Based on Virtual Platforms for Patients with Colostomy or Ileostomy

“…However, patients are often hospitalized for only 1 week following stoma surgery, and many patients are not proficient in the necessary knowledge and skills for colostomy self-care. As emphasized in the 2020 World Council of Enterostomal Therapists international ostomy guide, the role of enterostomal nurses should be to engage in patient follow-up and education and serve as part of the interprofessional team 10 …”

“…As emphasized in the 2020 World Council of Enterostomal Therapists international ostomy guide, the role of enterostomal nurses should be to engage in patient follow-up and education and serve as part of the interprofessional team. 10 …”