Assessing support garments in the management of parastomal hernia

Abstract

Many ostomates (people with a stoma) are affected by the complication of a parastomal hernia. The ostomate does not only need to adjust to the stoma but also to the presence of the parastomal hernia and its effect on the stoma function, appliance choice, and skin condition; moreover, it affects the ostomate's ability to manage his/her daily activities. The NHS spends over £1 million in the provision of support garments. While this is a cheaper management option compared with surgery to repair or refashion the stoma, it is important that the most appropriate type of garment is chosen. Selecting the most appropriate garment not only ensures that the person with a stoma can manage the garment easily but also avoids costly trial and wastage of NHS resources. Having knowledge of the type and range of support garments available enables the nurse to advise and assist people in the management of parastomal hernias.