A Simple Guide to Managing An Ostomy with Confidence

Whether you’re new to ostomy care or looking for a refresher, our Step-by-Step Guide to Emptying & Changing the Ostomy Pouch provides clear, easy-to-follow instructions to help you feel comfortable and in control. Download your free PDF today and gain the confidence to navigate ostomy care with ease.

Infant & Toddler (0-3yrs)

  • Be prepared—have all supplies available and all material prepared and ready to go before starting a pouch change.
  • Stay calm—your child can sense when you are anxious so staying calm will help them stay calm.
  • Be aware of your facial expressions as your child can tell when you are upset, fearful or anxious.
  • Try not to be over-protective. Although your child has an ostomy they need to be allowed to live as normally as possible and participate in as many activities as possible as other children of the same age.
  • It is ok to mix and match products from different companies (Make sure they are compatible).

Support & Resources

Websites

American College of Surgeons Pediatric Ostomy Home Skills Program 

https://www.facs.org/education/patienteducation/skills-programs/ostomy-program 

This site provides written and video content to master ostomy care at home. 

Shadow Buddies: Ostomy Buddy Scoop Sheet 

https://shadowbuddies.org/wp-content/uploads/2016/06/OSTOMY 

Shadow Buddies Foundation is a non-profit organization that provides condition-specific dolls designed to help normalize medical conditions for children. There are over 30 different Shadow Buddies including a “Pre-op Buddy” to help prepare children for surgery. The Ostomy Buddy comes with a stoma and a pouch. Ostomy Shadow Buddies are sponsored by Hollister, Inc. Call for more information 1-888-808-7456. Shadow Buddies also offers activities such “Pink Parties” and “Superhero Parties” for boys and girls with medical conditions.  

Ostomy supply company educational materials

Coloplast: Life After Your Child’s Ostomy: 

https://www.coloplast.us/Global/US/Ostomy/Life%20After%20Your%20Child’s%20Ostomy%20Surgery.pdf 

ConvaTec: Caring for a Child with an Ostomy: https://meplus.convatec.com/article 

Hollister: https://www.hollister.com/en/ostomycare

**There are videos on Youtube that parents can visit. Many parents have posted videos on how to change the pouching system.**

Children’s support belts, ostomy wraps and pouch covers:

Benik ostomy belts: https://www.benik.com

BumBibs ostomy wraps: https://bumbibs.com/pages/ostomy-care

Ostomy Armor: https://ostomyarmor.com 

Gus Gear: https://gusgear.net

Nu-Hope Labs: https://nu-hope.com

Preschool (3-5yrs)

Advice for Parents & Caregivers

  • Be Prepared—Have all supplies available and all materials prepared and ready to go before starting the pouch change.
  • Stay Calm—Your child can sense when you are anxious so staying calm will help them stay calm.
  • Be Aware—Be aware of your facial expressions as your child can tell when you are upset, fearful, or anxious.
  • Try Not To Be Over-Protective—Although your child has an ostomy they need to be allowed to live as normally as possible and participate in as many activities as possible as other children of the same age.

Support & Resources

Websites

American College of Surgeons Pediatric Ostomy Home Skills Program.
This site provides written and video content to master ostomy care at home.

Shadow Buddies: Shadow Buddies Foundation is a non-profit organization that provides condition-specific dolls designed to help normalize medical conditions for children. There are over 30 different Shadow Buddies including a “Pre-op Buddy” to help prepare children for surgery. The Ostomy Buddy comes with a stoma and a pouch. Ostomy Shadow Buddies are sponsored by Hollister, Inc. Call for more information 1-888-808-7456. Shadow Buddies also offers activities such “Pink Parties” and “Superhero Parties” for boys and girls with medical conditions.

Ostomy Manufacturing company’s educational materials

Coloplast: Life After Your Child’s Ostomy This document from Coloplast covers a broad range of pediatric ostomy topics, from pouch selection and steps to pouch change, to diet and medication questions.

Convatec: Caring for a Child with an Ostomy  Convatec provides multiple resources, including common questions about caring for a child with an ostomy and returning to school.

Hollister: Summertime Care for Children with Ostomies This resource provides information on caring for children with ostomies during summertime activities including swimming, as well as summertime clothing, play and vacation prep

Books

Elementary School (6-9yrs)

Educational Materials

Coloplast: Life After Your Child’s Ostomy This document from Coloplast covers a broad range of pediatric ostomy topics, from pouch selection and steps to pouch change, to diet and medication questions.

Convatec: Caring for a Child with an Ostomy  Convatec provides multiple resources, including common questions about caring for a child with an ostomy and returning to school.

Hollister: Summertime Care for Children with Ostomies This resource provides information on caring for children with ostomies during summertime activities including swimming, as well as summertime clothing, play and vacation prep

Ostomy support belts and guards: these provide addition support and protection 

Books & Dolls

Pre-Adolescent (10-13yrs)

Advice for parents

Ask your child what is working well for them about their life with an ostomy and see if you can work together to make things easier or better for them.

  • Are there things we can do to make it easier to change your ostomy pouch. Ask your child what information they are comfortable with you, to share with others about their health. It might not always be possible to respect their wishes, but this can be a good start for understanding how best to respect their privacy.

Encourage your child to participate in visits with healthcare providers by letting them answer questions first and filling in details if needed:

  • If your child is nervous to talk with strangers, practicing what they want to say before appointments can be helpful.
  • Practice asking questions~ have the healthcare provider talk to your child and then you.

Write notes about what you would like to address with providers before going to appointments or calling. Schedule time for you and your child to talk about your feelings in a safe, non-judgement space where you can both share and learn how the other is feeling (you might not always have the same feelings or understand each other’s feelings and that’s okay! It is much easier to respect someone’s feelings when you are aware of them).

It’s okay to feel great OR really bad about the ostomy and that can change often.

Try to join a support group! Email pediatric.ostomy@gmail.com to learn more about Pediatric Ostomy Group Support (POGS) that meets on Zoom once per month for parents and kids.

Support & Resources

Books

Mullen, BA & McGinn, KA. (Third Edition). The Ostomy Book: Living Comfortably withColostomies, Ileostomies, and Urostomies, Bull Publishing.

Teen Life with an Ostomy
www.ostomy.org/teen-life-with-an-ostomy/
Download a free copy of this teen resource here:
www.coloplast.us/landing-pages/teen-booklet/

Toolkits

A Guide to Gutsy Living, Patient Advisory Council for the Improve Care Now Network (ICN): Network’s website bit.ly/2EnkIBX

Talking to your Kids about Ostomy Surgery. Vegan Ostomy.
www.veganostomy.ca/explain-ostomy-to-kids/

Facebook

Awesome Ostomy Kids, Ostomy Support Group for Kids,
GI/Ostomy Group for Teens

Adolescent (14-18yrs)

Work Together To Make Things Easier

Ask your teen what is working well for them about their life with an ostomy and see if you can work together to make things easier or better for them:

  • Are there things we can do to make it easier to change your ostomy pouch or appliance?
  • Ask your teen what information they are comfortable with you to share with others about their health. It might not always be possible to respect their wishes, but this can be a good start for understanding how best to respect their privacy.
  • Your teen should now be able to handle the day to day needs of ostomy care. Ask them how things are going.
  • Your teen should participate in visits with healthcare providers by asking questions and giving information.
  • You and your teen could write notes about what you would like to address with providers before going to appointments or calling.

Schedule time

Schedule time for you and your teen to talk about your feelings in a safe, non-judgement space where you can both share and learn how the other is feeling. You might not always have the same feelings or understand each other’s feelings and that’s okay! It is much easier to respect someone’s feelings when you are aware of them.
It’s okay to feel great OR really bad about the ostomy and that can change often. There are several blogs, forums, and groups available:

  • Encourage your teen to join a support group! Email pediatric.ostomy@gmail.com to learn more about Pediatric Ostomy Group Support (POGS) that meets on Zoom once per month for parents and kids.
  • Encourage your teen to check out sites like Girls with Guts, Ostomy Tips for Teens on Youtube and others.

Join or Attend Support Group

Join a UOAA Chat room where teens with ostomies can come together and talk about their experiences and concerns.

NOTE: Youth Rally 5-night summer camp promotes wellness, self-confidence, friendships, and fun!

Trauma can accumulate and feelings related to trauma can be triggered unexpectedly:

  • Listening to your mind and body can help identify these triggers.
  • Talk to a parent, friend or counselor about your feelings and experiences.
  • Keep conversations positive. Point out strengths, when they do something well. Celebrate their successes.
  • Honor independence and individuality. Remind your adolescent that you are there to help when needed.

Support & Resources

Books

Mullen, BA & McGinn, KA. (Third Edition). The Ostomy Book: Living Comfortably withColostomies, Ileostomies, and Urostomies, Bull Publishing.

Teen Life with an Ostomy
www.ostomy.org/teen-life-with-an-ostomy/
Download a free copy of this teen resource here:
www.coloplast.us/landing-pages/teen-booklet/

Toolkits

A Guide to Gutsy Living, Patient Advisory Council for the Improve Care Now Network (ICN): Network’s website bit.ly/2EnkIBX

Talking to your Kids about Ostomy Surgery. Vegan Ostomy.
www.veganostomy.ca/explain-ostomy-to-kids/

Facebook

Awesome Ostomy Kids, Ostomy Support Group for Kids,
GI/Ostomy Group for Teens

Young Adult (18-25yrs)

Support & Resources

Books

Benirschke, R.  Great Comebacks from Ostomy Surgery (The inspirational stories of 15 people who have survived and thrived following ostomy surgery.) 

Benirschke, R. Embracing Life: Great Comebacks from Ostomy Surgery. (Follow-up to Rolf’s Great Comebacks from Ostomy Surgery and his autobiography Alive & Kicking)

Benirschke, R.  Alive & Kicking. (The true story an NFL star’s battle with ulcerative colitis, ostomy surgery and hepatitis C).

Elsagher, B. It’s in the Bag & Under the Covers. (People with ostomies that share dealing with dating, intimacy, sex and caregiving). 

Kupfer, B, Foley-Bolch, K, Kasouf, MF & Sweeney, WB.  Yes, We Can!  (Advice on Traveling with an Ostomy and Tips for Everyday Living).

Mullen, BA & McGinn, KA (2008). THE OSTOMY BOOK: Living Comfortably with Colostomies, Ileostomies and Urostomies

Prosser, E. & P. Unwanted Baggage. A Resource Guide for Ostomy Patients and Those Who Share Their Lives

Rayson, E (20120. Living with an Ostomy.  (Covers the practical aspects of ostomy care and coping).

White, CA. Positive Options for Living with Your Ostomy (Covers practical and emotional aspects and provides psychological adjustment advice that doctors, surgeons and nurses may not give). 

Toolkits

A Guide to Gutsy Living, Patient Advisory Council for the Improve Care Now Network (ICN): Network’s website bit.ly/2EnkIBX

Facebook + Twitter

Facebook: Life with an Ostomy, Ileostomy, colostomy, stoma and bowel support, Colostomy and Stoma Support Group.

Twitter: Everything Ostomy, Doctor with a Stoma

Hope, support, and finding community

Parent Stories

I sing during bag changes; this always makes him freeze and focus on my voice and lips. Once I’m done, we play for a minute before getting him dressed!

At first whenever I went swimming in the river, my bag would pop off and make a big mess. But then I figured out it was from being full of air, and air floats! Now I am careful to keep all the air out when I swim and it hasn’t been a problem.

Hollister

These webpages are funded by a grant from Hollister Incorporated.