Guest Editorial: Are You a Stomatologist and Other Ostomy Language Conundrums

  On a recent Google ostomy search, I came across the term stomatologist. Wondering whether this was the same as an enterostomal therapy nurse or ostomy nurse — ie, the nurses who specialize in the study and care of stomas — I then googled stomatologist. It turns out a stomatologist is a person who studies the mouth and its diseases; a dentist could be a stomatologist.

  In the age of Google and other search engines, the consistency and accuracy with which medical terms are used are critical. The goal should be to avoid confusing the clinician in search of evidence-based direction to care, as well as the consumer searching for solutions to a particular healthcare problem.   The importance of terminology to persons involved with ostomy care is not a new concept. In 1982, Broadwell et al1 extolled the role of terminology in ostomy care. They discussed the terms bag (which proliferates a mental picture of a trash bag), pouch (a term that may be unfamiliar except with regard to marsupials), and appliance (which gives the impression of something high-tech like an iPod or utilitarian like a refrigerator). Wound ostomy continence nurses still struggle with these terms almost 30 years after this article was written.

  Additional problematic language includes whether to use the term wafer or barrier. Currently, there are barrier rings, strips, pastes, and powders as well as solid barriers. Solid barriers or wafers can be standard or extended, cut-to-fit or precut, and flat or convex. Another term that can be confusing is good seal — ie, when the ostomy pouching system appears to be well adhered to the skin. However, how long does this adherence have to occur before a “good seal” turns into a “bad seal”? It is no wonder our patients can get confused.

  This issue of Ostomy Wound Management focuses on ostomy care and provides insights into preventing and, when necessary, addressing complications that occur as a result of ostomy surgery. Kalashnikova et al discuss some of the inconsistencies that can occur in the diagnosis and treatment of ostomy complications. Their detailed algorithms can help direct clinicians to appropriate care. Raber et al and Wright and Wright describe management of two complex ostomy cases; their reports underscore the need for diligence and ingenuity when closure systems and repair present extended challenges, as well as for global sharing of care experiences. Nutrition 411 offers dietary advice for ostomates concerned about the side effects of what they eat.

  Many terms are used to describe often very similar conditions, products, and procedures and each medical specialty has its own lingo. As healthcare providers, we must balance using terms common across broad audiences with those unique to our patients and that clearly describe the concept or product. We also must be cognizant that terminology will change right along with changes in products and procedures. Faceplate and baseplate once could be used interchangeably with wafer or barrier, but reusable faceplates are not employed much anymore. Health professionals must stay abreast of such developments in order to provide patients with the most current terms and information for the most current products and procedures.

1. Broadwell DC, Appleby CH, Bates MA, Jackson BS. Principles and techniques of pouching. In: Broadwell DC, Jackson BS (eds). Principles of Ostomy Care. St. Louis, MO: The CV Mosby Company;1982:565–643.