Abstract
There can be very little doubt that the quality of care stoma patients receive has improved over the years. This coincides with significant advances in stoma appliance technology and an increase in the number of specialist nurses. However, a lot of patients remain emotionally disturbed and express problems with social and sexual relationships long after the formation of their stoma. Patients experiencing these difficulties stay largely undetected, receiving very little, or no, professional support. An examination of the literature suggests that more patients would benefit if stoma therapists were trained to address uncomplicated social and psychological concerns, if patients were monitored for a longer period of time and if they were offered a choice of stoma appliances.
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