Stoma confidence before leaving home

Setting: A stoma nursing follow-up appointment

A patient can empty a pouch but needs prompts when replacing it. They are afraid of leakage outside the home. The prescribed pouch and skin-care plan are supplied.

Task

Explore the specific fear and its effect on activity.
Check which care step needs support.
Offer paced private practice without guaranteeing no leaks.
Agree supply follow-up and check understanding.

Stoma support and supply record

The patient can empty the pouch but needs prompts to measure the template and fit a replacement.
Offer private demonstration followed by observed practice; the physical pouch change follows this communication role-play under the existing specialist plan. No unsupplied procedure is tested here.
Do not promise that leakage can never occur.
Seven days of prescribed pouches are available at home. Registration with the supplier is submitted; delivery is unconfirmed. The stoma team will check delivery today and telephone the patient with the arrangement.
Partner teaching requires the patient’s agreement. The stoma team contact is on the supplied support card for equipment or care-plan questions.

Fictional scenario information supplied by the treating team; not medical guidance for real patients.