Registered Nurses' Association of Ontario

Nursing Best Practice Guidelines

Core Recommendations
  1. Develop a therapeutic relationship with the client and family.
  2. Perform a comprehensive assessment of the client/family that includes: a) history and physical;b) psychosocial (coping and adaptation, altered body image, impaired quality of life, sexualityand sexual concerns); and c) cultural, spiritual and religious norms.
  3. Consult with interdisciplinary team members for assessment and intervention as needed forall clients requiring, or who already have, an ostomy.
  4. Design a mutually acceptable plan of care between the client/family and all health-careproviders, which optimizes health and self-efficacy in ostomy management.