The patient should be prepared for:
- anatomical and physiological changes following the operation
- what a stoma involves
- stoma equipment and how it functions
- the stoma is edematous the first weeks after the operation and that it will normalize
The patient is informed of the purpose of the stoma marking. The goal is to find appropriate placement in order for the patient to maintain the stoma.
It is important to see the patient, lying, sitting, standing, and during movement. By seeing the abdomen in different positions, the abdomen's shape is emphasized such that individual considerations are taken during marking. The patient should be able to address their own wishes and desires.
Factors influencing the location
- the stoma should be visible to the patient.
- the stoma should be placed within the rectus muscle
- the stoma disc and stoma should not come in conflict with skin folds, groin, hollow areas, iliac crest, scars, hernias, the navel, or straps for prosthesis or binder
- the stoma should not hamper the clothing
- choice of stoma type
- The rectus muscle is identified on the side where the stoma will be placed
- The appropriate stoma location is adjusted by using a piece of tape which is moved about on the abdomen when the patient lies down, sits, and stands.
- The patient must be offered to walk with the disc and bag to check that the stoma marking is optimal.
- Final marking for placement is done with a waterproof marker.