Helping older patients to adapt to stomas using an enhanced recovery programme

Stoma care in any patient should be adapted to the individual's needs. However, patients aged over 65 years are at increased risk of reduced mental wellbeing and decreased independence (National Institute for Health and Care Excellence (NICE), 2016). Older patients may have additional needs during stoma care education, including consideration of visual impairment or reduced dexterity (Colostomy UK, 2017). It is essential that a holistic assessment approach be adapted to the individual to optimise their acceptance of a stoma and engage them with postoperative and ongoing care, aiming to maintain their independent lifestyle and promote mental health and wellbeing.

The enhanced recovery programme after surgery (ERAS) is an evidence-based programme that uses a multidisciplinary approach to optimise patients’ health and wellbeing, both pre- and post-operatively, with the aim of reducing surgical stress on the patient (Gustafsson et al, 2012). By using such surgical methods, the length of hospital stay can be reduced, and patients can be supported to return home to continue recovery. This article aims to help community nurses understand the patient's journey before and after the operation, so they can continue to support patients at home.