Used to gently remove pouches from the skin, they dissolve and remove adhesive residues from the skin. Skin must be washed thoroughly after using adhesive removers to prevent skin irritation. These do not contain alcohol.
A donut-shaped skin barrier that is used as caulking and to fill in peristomal dips and creases. See also: Flat Adapt™ ring , Brava™ Ring , Eakin® Seal.
Brava™ Ring or Brava™ Moldable Ring
A barrier ring made by Coloplast that is used as caulking and to fill in peristomal dips and creases.
Brown jug drainage
(see Brown jug/blue tubing drainage)
Brown jug/blue tubing drainage
A gravity drainage system pieced together using respiratory tubing, a 24-hour urine collection jug, tape, rubber bands, and hollihesive skin barrier; used when a patient has high-volume and thick ostomy output.
A drainable ostomy pouch that requires separate plastic clamp ("clip") to close the pouch. When the plastic clip from the manufacturer is not available, a binder clip is often used to clamp the pouch shut.
Used for colostomies that function 1-2 times in 24 hours. Following a bowel movement, the pouch is unsnapped from the wafer, the waste is emptied into the toilet, and the pouch is thrown away. A fresh pouch is then attached to the flange; Generally not used while in the hospital.
A somewhat antiquated term referring to a person with a colostomy; WOCNs prefer to say “a person with a stoma”.
A stoma made from the large intestine or colon.
Continent stoma (continent ostomy)
A urostomy or ileostomy that is managed using a catheter to drain effluent; the person does not need to wear an external pouch (also see Indiana pouch, Kock pouch).
Term used to describe a wafer that has a raised, rather than flat, adhesive surface; convexity may be soft or firm and comes in a variety of depths. Convexity is used to provide support, cause a stoma to protrude, or fill in saucering around a stoma.
Used for ileostomies and colostomies, bottom of pouch is opened for emptying. A drainable pouch is closed with either a clip or an inter-locking mechanism.
Eakin® Seal, Eakin® Cohesive Seal
A barrier ring made by Convatec that is used as caulking and to fill in peristomal dips and creases.
Urine, stool, or other bodily fluid that comes from a stoma, fistula, draining wound or drain.
Stands for “Enterostomal Therapist,” which is an older term used to describe the people who were the first stoma therapists. These original ETs were not necessarily RNs (also see “WOCN, WOC nurse).
“Enterostomal Therapist/Wound Ostomy Continence Nurse.” See also ET and WOCN.
The portion of a two-piece pouching system that adheres to the skin. The pouch attaches to the flange. Flange also refers to the plastic rings found on the wafer and the pouch of a two-piece system that allows the pouch to be attached to the wafer.
Flat Adapt™ ring
A barrier ring made by Hollister that is used as caulking and to fill in peristomal dips and creases.
Flat pouching system
The adhesive side of the wafer is level or flat as opposed to a convex pouching system; see also “convexity”.
A pouch with a spigot ending that can be attached to a gravity drainage bag; used when patients have high volume, liquid output from an ileostomy or colostomy.
A urinary stoma made using a small length of ileum.
A somewhat antiquated term referring to a person with an ileostomy; WOCNs prefer to say “a person with an ileostomy”.
A stoma made from a portion of the ileum of the small intestine.
A type of continent urinary diversion. Using a piece of intestine, an internal reservoir is formed. The outlet is formed in such a way as to be continent. A stoma, usually found in the umbilicus, is periodically catheterized to allow the urine to be emptied from the reservoir.
Daily procedure similar to an enema, used by some persons with colostomies to regulate bowel movements; special irrigation sets are made for this procedure.
A stoma made from the jejunum of the small intestine.
Developed by Nils Kock, a continent internal reservoir is formed from small intestine. The flush external stoma is catheterized several times a day to empty the reservoir’s contents. It is also called a K-pouch.
A procedure performed by the ET/WOC nurse or LIP in which normal saline is instilled into a an ileostomy to break up a food bolus obstruction.
A paper tool with precut circles of various sizes used to determine stoma size.
The area where the stoma tissue (mucosa) meets the skin; in surgery this area is sutured together and heals to be continuous.
A gap between the stoma and skin.
The adhesive wafer and the plastic pouch are integrated together.
An antiquated term referring to a person with an ostomy; WOCNs prefer to say “a person with an ostomy”.
A caulking material that comes in a tube or strip; a thin layer is placed around the pouch aperture or in dips and creases to help obtain/maintain a good seal (see also: Stoma Paste, Strip Paste).
All around or surrounding the stoma. Peristomal skin is the area of skin around the stoma.
A pectin- or karaya-based powder used to provide a protective barrier on open skin (also called Stoma powder).
A small plastic device placed during surgery that is temporarily used to support a stoma above the skin.
A material that protects the skin from the stoma output; usually a hydrocolloid-based product. Skin barriers come in sheets, strips, rings, or is applied directly to the back of a pouching system.
Small plastic tubes that are inserted into the ureters and extend out of the ileal conduit; they maintain ureter patency following surgery and usually stay in place 3-4 weeks following surgery.
An artificially made opening in the body, from the Greek word meaning “mouth” or “opening”.
A catheter that is placed into the ostomy by the LIP or ET/WOC nurse to help maintain patency.
Catheter is placed into the stoma.
A caulking material that comes in a tube or strip; a thin layer is placed around the pouch aperture or in dips and creases to help obtain/maintain a good seal (see also: Paste, Strip Paste).
A pectin- or karaya-based powder used to provide a protective barrier on open skin (also called Powder).
A thin bar-shaped skin barrier that is used for caulking and filling in peristomal dips and creases (see also: paste, stoma paste).
A type of pouching system in which the flange and pouch are separate. The flange adheres to the skin and has a rim or lip to which the pouch is attached.
A stoma made to allow urine to bypass the bladder and urethra, usually made from a portion of intestine, usually the ileum; see “ileal conduit”.
Made specifically for urine collection, this pouch has an anti-reflux mechanism that prevents urine from collecting around the stoma.
The portion of the pouching system that adheres to the skin. In a one-piece system, the wafer is permanently attached to the pouch; with a two-piece system, the pouch attaches to the flange of the wafer.
WOC RN, WOC Nurse
Stands for wound, ostomy, continence nurse; the preferred term for the RNs who are educated in these three areas and care for patients with ostomies (see also ET).