OSTOMY CARE EXAMINATION 2026
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WOC (Wound, Ostomy, Continence) – Ostomy Care
Examination Coverage
Full Exam Content Coverage (Detailed)
The WOC Ostomy Care Certification Exam evaluates
advanced clinical knowledge, critical thinking, and patient-
centered care in the management of ostomies. Core domains
include:
1. Anatomy & Physiology
Gastrointestinal system (small intestine, colon,
rectum)
Urinary system (kidneys, ureters, bladder)
Stoma formation and function
Fluid and electrolyte balance
,2. Types of Ostomies
Colostomy (ascending, transverse, descending,
sigmoid)
Ileostomy (loop vs end)
Urostomy (ileal conduit, continent diversions)
Temporary vs permanent ostomies
3. Preoperative Care
Patient education and psychological preparation
Stoma site marking (considering body habitus, creases,
mobility)
Multidisciplinary collaboration
4. Postoperative Care
Stoma assessment (color, size, edema, output)
Monitoring complications (ischemia, necrosis,
retraction)
Pain and infection management
,5. Stoma & Peristomal Skin Assessment
Normal vs abnormal findings
Peristomal skin complications (dermatitis, candidiasis,
folliculitis)
Use of assessment tools and documentation
6. Ostomy Appliances & Products
One-piece vs two-piece systems
Convexity, barriers, rings, powders, pastes
Selection based on stoma type and patient needs
7. Ostomy Management
Pouch emptying and changing techniques
Odor and gas control
Diet modifications
Hydration and electrolyte balance
8. Complications & Management
Early: ischemia, mucocutaneous separation
Late: prolapse, hernia, stenosis
, High-output ileostomy management
Psychological adaptation issues
9. Patient Education & Psychosocial Support
Lifestyle adaptation (clothing, work, intimacy)
Cultural considerations
Support groups and counseling
10. Special Populations
Pediatric ostomy care
Geriatric considerations
Oncology patients
Patients with disabilities
11. Continence & Diversion Management
Continent ostomies (Kock pouch, Indiana pouch)
Irrigation techniques for colostomy
12. Evidence-Based Practice & Professional Role
Clinical guidelines