In fistula management, which of the following is a key objective for an OMS?

• A. Containment of output
• B. Increasing output volume
• C. Eliminating need for skin care
• D. Disregarding odor control

Answer: (A)

Containment of output is the central aim because keeping the fistula or stoma effluent securely contained protects the surrounding skin, prevents leakage onto clothing or bedding, and supports a reliable seal with the appliance. When output is well-contained, peristomal skin stays dry and less irritated, appliance changes are more straightforward, and the patient can maintain daily activities with greater confidence and comfort. Increasing output volume would complicate management and undermine skin protection. Eliminating the need for skin care isn’t realistic, since skin always needs monitoring and protection around a fistula. Odor control is important, but it fits within a containment and skin-care strategy rather than being the primary objective.