Contents Page
Chapter One - Abstract…………………………………………………….Pages 3 -4
Chapter Two –Introduction and Rationale ………………………..….…Pages 4 - 6
Chapter Three – Search Strategy…………………………………………Pages 6 – 9
Chapter Four – Theme One………………………………………..………Pages 9 -13
Chapter Five – Theme Two…………………………………….…………..Pages 13 - 17
Chapter Six – Theme Three…………………………………………….….Pages 17 - 20
Chapter Seven – Conclusion and Recommendation…..………….……..Pages 20 - 25
Reference List and ……………………………………………………………Pages 26-32
Tables
Table One – Inclusion and Exclusion Criteria…………………………..….Page 7
Table Two – Search Strategy…………………………………………….….Page 8
Appendices
Appendix One – Kurt Lewin (1951) Force Field Analysis………………....Page 33
Appendix Two – Change Management Driving and Restraining Forces…Page 34
Appendix Three – Change Management Timeline………………………....Page 35
Appendix Four- Kurt Lewin (1951) Theory Model Change…………………Page 36
Appendix Five – Research Articles……………………………………………Page 37-39

Chapter One: Abstract
Aims of the literature review
An extensive literature review has been explored to discuss the topic of what is the impact a colostomy or ileostomy has on a patient’s quality of live. The findings will be concluded and an appropriate change will be suggested in regards to future practice.
Rationale
Ileostomy and colostomy procedures are known to be common within the UK according to NHS Choice (2013). It is suggested that over 9,000 ileostomy procedures are conceded each year and approximately 6,400 colostomy procedures. The Colostomy Association (2012) state that there are specialist nurses in ostomies to educate and support patients although NHS Choices (2013) suggest that living with a colostomy or ileostomy and adjusting to life after can be extremely challenging for patients. Therefore, the rationale of exploring what impact it has for patient’s quality of life has been