Currently on the MPharm course little is taught about the topic of colostomy, ileostomy and stomas, yet pharmacists are often required to supply patients with stoma products.

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It would be beneficial if pharmacists had more knowledge about this topic, and the problems patients face so they could give advise to patients if needed.

Pharmacys are often the first and easiest point of contact for patients so this would be very beneficial.

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Pharmacists could assist with common problems such as skin irritation, constipation, stoma function and how to fit stoma bags.

Pharmacists should also signpost to support groups, stoma nurses, and other members of the healthcare profession where appropriate.

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SKIN IRRITATION

This is one of the most common problems faced by stoma patients with about 70% experiencing some skin irritation.

Pharmacists should advise the patient to keep the area dry and clean, and can also refer the patient to a stoma nurse.

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STOMA OUTPUT

If a patients stoma output is too high it is essentially diarrheoa and can be managed by reducing the gut transit time.

Pharmacists could supply loperamide and codeine (or alter the dose if already being taken) to help relieve this problem. They should also stress the importance of hydration and suggest re-hydration sachets (or home-made solution) to replace electrolytes.

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If the stoma output is too low then dietary advise, drinking more fluids and using bulk-forming laxatives should be suggested.

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PSYCHOLOGICAL/SOCIAL ISSUES

Pharmacists should take the time to listen to any patient concerns and signpost to support groups that may be of help to the patient.

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MEDICATION ISSUES

If a patient is having any issues with their medication (for example tablets being found whole in the stoma bag) then pharmacists could look into changing the form, or dose.

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Below are links to booklets that patients may find useful:

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