A challenging patient: Homelessness and a new stoma

Ms Dannielle Barr1
1Royal Melbourne Hospital, Fitzroy, Australia

A new stoma is a challenge for anyone but what if  you are also homeless? It is unacceptable for these individuals to endure any more hardship and as stomal therapy nurses we must ensure that the task of stoma education is simple and achievable and thus reduce any chance of leaks or complications. It is important that these patients, with often complex social history’s, have every chance of integrating back into the community with their new stoma.

This poster will present the journey of Mr C. who struggled with stomal appliance leaks post emergency colectomy with end ileostomy and how the stomal therapy nurses engaged the extended team ( social work/psychiatry) at the Royal Melbourne to help achieve the best outcome for Mr. C. This case study is presented due to the complex issues associated with those ostomates enduring homelessness.


Dannielle Barr. Grad Cert (Stomal Therapy) Australian College of Nursing; Grad Cert (Healthcare Management) La Trobe University.



This conference is proudly hosted by the Australian Association of Stomal Therapy Nurses: www.stomaltherapy.com

One of the Association's major objectives is the promotion of quality care for a wide range of people with specific needs. These needs may be related to ostomy construction, urinary or faecal incontinence, wounds with or without tube insertion and breast surgery.

Patients/clients across the life span are provided with preventative, acute, rehabilitative and continuing care as required. Another objective is the maintenance and improvement of professional standards in relation to Stomal Therapy Nursing Practice to the highest degree possible. Recognition of the need for and encouragement of the development of specialist expertise in the field of Stomal Therapy Nursing underpins the Standards for Stomal Therapy Nursing Practice.

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