Our group helped a 15-year-old girl who had undergone a total cystectomy and ileal conduit after diagnosis of ChiariⅡ at the age of 12. She had been suffering from chronic parastomal dermatitis.　Her mother and nurses had been taking care of the stoma for 3 years. Our nursing staff's goal was to teach the patient self-stoma care. First we switched the non-adhesive appliance for an adhesive one,as we thought that she could use an adhesive appliance much more easily. Second we taught her to take care of the stoma step by step in accordance with her intellectual level and without her mother's support. Little more than one year later she could take care of the stoma by herself. This precious experience taught us that our persevering effort in accordance with the intellectual level enabled our patient to take care of the stoma on har own.

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