Wound, Ostomy, and Continence/Enterostomal Therapy (WOC/ET) Nursing

  • Paula Erwin-Toth
  • Barbara Hocevar
  • Linda J. Stricker


The specialty of enterostomal therapy nursing (ET), now known as wound, ostomy, and continence nursing (WOC), was founded in 1958 at Cleveland Clinic, Cleveland, Ohio. Pioneering colorectal surgeon Rupert B. Turnbull, M.D., joined forces with former patient Norma Gill to improve care and rehabilitate people with ostomies and enterocutaneous fistulae.

Advances in medicine, surgery, pouching technology, and skin and wound therapies led to the expansion of the ET nurse role to include wound and continence care as well as ostomy and fistulae management. A holistic approach to the care of patients with wound, ostomy, and incontinence needs along with collaboration between the surgeon and WOC/ET nurse promotes cost-effective care with optimal patient outcomes.


Skin Barrier Negative Pressure Wound Therapy Enterocutaneous Fistula Stoma Site Fistula Management 
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Copyright information

© Springer Science+Business Media, LLC 2012

Authors and Affiliations

  • Paula Erwin-Toth
    • 1
  • Barbara Hocevar
    • 2
  • Linda J. Stricker
    • 3
  1. 1.The Rupert B. Turnbull School of WOC/ETCleveland Clinic/ETClevelandUSA
  2. 2.Nursing Institute/Digestive Disease InstituteCleveland Clinic/ETClevelandUSA
  3. 3.WOC Nursing EducationCleveland Clinic/ETClevelandUSA

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