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Jun 14, 2018

The Disrespectful Use of "Bag" for Ostomy Pouches

This topic is about the terminology used to describe ostomy pouching systems, specifically the debate between using the words "bag" and "pouch." The discussion centers on the importance of respectful and accurate language when referring to these medical appliances, which are crucial for many people's health and well-being.

Here are some helpful insights and advice on this topic:

1. Respect individual preference:
- Always ask or use the term that the person with an ostomy prefers. Some people dislike the term "bag," while others are indifferent or even prefer it.
- Each person has the right to call their appliance whatever they choose; there is no one-size-fits-all term.

2. Communication, education, and advocacy:
- Using terms like "pouch" or "pouching system" can help educate others that an ostomy involves a complete system, not just a "bag."
- The terminology can also affect insurance coverage, as terms like "pouching system" or "prosthetic" may be better recognized.
- Politely correcting others by saying, "It's a pouch, not a bag," can raise awareness and reduce insensitive jokes.

3. Practical language considerations:
- "Bag" is the most commonly recognized term and can prevent confusion, especially for those unfamiliar with ostomies.
- Other terms include pouch, appliance, pouching system, prosthetic, sleeve (for irrigators), plug (for daytime use), "bling," "dress," "onesie/twoonie."

4. Coping strategies:
- Humor, such as naming the stoma or using playful terms, can help many people accept their situation.
- Focusing on being alive and functional rather than on the terminology can reduce stress.

5. Professional guidance:
- Ostomy nurses often teach the term "pouch" to promote dignity, though some humorously refer to themselves as "bag ladies."
- In non-English-speaking countries, neither term is common, indicating that the stigma issue is broader than just vocabulary.

6. Products and support:
- Sensura Mio (Coloplast) ostomy pouches are described as a plastic bag with a soft gray cover.
- The Stealth Belt is a product designed for secure and discreet wear during sports and physical activities.

7. Cultural and historical notes:
- Earlier devices were commonly called "bags," but as technology improved, "pouch" became more popular.
- Some see the debate over wording as "political correctness," while others view it as a matter of personal dignity.

8. The bottom line shared by many:
- Regardless of what it's called, the device is essential for collecting bodily waste and often represents survival after serious illness. The function is more important than the label.
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