the aim of this qualitative research was to get to know the sharing of knowledge and practices with ostomized clients on intestinal and urinary elimination stoma maintenance in the outpatient context, and to discuss its possible repercussions in the home context. the subjects were 17 adult and elderly ostomized clients under outpatient follow-up in campos dos goytacazes - rio de janeiro. the convergent care research method and thematic content analysis were applied. the confection of the care plan was the product obtained through experience and knowledge exchange at the clinic. during the education process, the problematizing pedagogy facilitated the ostomized clients' learning. when the clients returned to the clinic, the success deriving from the adopted pedagogy could be observed. their critical and reflexive conditions were sharpened, practicing stoma maintenance care with more security and autonomy, at the same time as they assessed and modified habits and transformed reality.