Implementing and sustaining evidence-based practices in long-term care.

Ostomy: Care and Management

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    Supporting Adults who Anticipate or Live with an Ostomy is a best practice guideline (BPG) that provides nurses and the interprofessional team with evidence-based recommendations for the most effective strategies to support adults (18 years and older) who anticipate or live with an ostomy. The purpose of this BPG is to (a) promote self-management, (b) enhance access and delivery of care, and (c) lead to positive health outcomes in adults who anticipate or live with an ostomy.

    The BPG has 6 evidence-based recommendations that address the following: access to Nurses Specialized in Wound, Ostomy, and Continence (NSWOC) to support comprehensive care, the need for a standardized ostomy care program within health service organizations, guidance on the prevention of parastomal hernias, and quality of life assessments in adults who anticipate or live with an ostomy.

    This BPG can be used by nurses across the continuum of care and in all domains of practice—such as clinical, research, education, policy, and administration—and members of the interprofessional team. It can also be used by organizations in which they are employed. The evidence-based recommendations in this BPG are applicable to all practice settings where adults who anticipate or live with an ostomy are accessing services (such as, but not limited to, acute care, long-term care, community settings, and rehabilitation settings).

    Registered Nurses’ Association of Ontario. (2019). Supporting adults who anticipate or live with an ostomy. Toronto, ON: Author. Retrieved from 


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    A tool to assist with comparing your organization’s current practice with evidence-based RNAO best practice recommendations.

    Registered Nurses Association of Ontario (2022) Gap Analysis-Ostomy Care and Management. Toronto. ON


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    Having an ostomy procedure is a life changing experience for you and your family. Learning how to take care of your ostomy will help you to gain independence and live your life with comfort and confidence.

    Registered Nurses’ Association of Ontario. (2009). Caring for your Ostomy Health Education Fact Sheet. Toronto, ON: Author. Retrieved from: 

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    This open textbook chapter discusses the types of ostomies and ostomy appliances, reviews physical and emotional assessments, provides checklists with steps for changing ostomy and urostomy appliances, with photographs, and discusses safety considerations. Included is a video on evidence-based research on ostomy care and a video on illiostomy and urostomy care.

    Web Address or Source:  

    If you are an instructor who is using this book for a course, please let us know. For more information about this project, please contact

    Disclaimer The field of health care is constantly changing and evolving. Procedures and policies in schools and health care agencies will change in accordance with research and practice. This resource will require updates to remain in accordance with these changes, but the authors do not assume responsibility for these updates. Health care professionals must ensure that they have a strong foundation of knowledge in medical conditions and surgical procedures related to clinical skills and techniques before using this resource to guide their practice. Health care professionals should always put agency policy above the information in this resource and be mindful of their own safety and the safety of others. Any health care professional using this resource should do so in the appropriate environment and under the supervision of other relevant health care professionals, in accordance with their governing professional body and within their scope of practice. It is the responsibility of any health care professionals using this book to take all appropriate safety precautions and to determine best practice unique to the patient and the context of the situation. The authors do not assume responsibility for any injury or damage to persons or property pertaining to the use of the material and information in this resource.

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    Developed by Registered Dietitians, this short, easy to read document provides definitions related to ostomies and provides a nutritional guide for the first 6 – 8 weeks after ostomy surgery as well as for after 6 – 8 weeks. It includes foods that may be problematic for people living with ostomies.

    Reference: Eating Well after Ostomy Surgery. Jan 2013. Alberta Health Services. Retrieved from:  

    Copyright: This handout may not be reproduced without permission for non-profit education purposes. This handout may not be changed without written permission from 

    © Alberta Health Services (Jan 2013) D) Reference:

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    Hollister Education has developed an online course in Ostomy Care that offers healthcare professionals the opportunity to learn more about this specialized area of care. There are a total of five lessons that may be viewed in any order, with an assessment at the conclusion of each lesson. Topics include:

    • Lesson 1: Ostomy overview
    • Lesson 2: Pouching systems
    • Lesson 3: Ostomy accessories
    • Lesson 4: Problem solving
    • Lesson 5: Education and resources

    Each lesson contains a glossary of terms and reference resources.

    Web Address or Source:  

    Intellectual Property:

    Unless otherwise specified, all content and the intellectual property rights in such content included on this Web site, such as works, images, pictures, dialogues, music, sounds, videos, documents, drawings, figures, logos, menus, Web pages, graphics, colors, schemes, tools, fonts, designs, diagrams, layouts, methods, processes, functions and software (collectively, “Content”), are the property of Hollister. You may not reproduce, publish, distribute, display, modify, create derivative work from, or exploit in any way, in whole or in part, the Content without getting prior express written consent from us.

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    Ostomy Canada Society (OCS) is a non-profit volunteer organization for people with ostomies and their families. The OCS website has practical ostomy care information on a variety of topic with good visuals. Resources are aimed at patients and families, but are applicable to health care professionals.

    Reference: Ostomy Canada Society. 2017. Accessed Aug. 22, 2017

    Copyright © Ostomy Canada Society. All Rights Reserved.

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    This article on the Wound Care Advisor website provides clear and concise instructions for documenting the condition of ostomies. It reviews what to assess in an ostomy: general characteristics; stoma; effluent; peristomal skin; appliance and accessories; etc.

    Reference: Wound Care Advisor. 2016. Ostomy-Documentation-Tips. Accessed Aug. 22, 2017 at

    Copyright: Information in Apple Bites is courtesy of the Wound Care Education Institute (WCEI), © 2016. Apple Bites, Ostomy2016 Journal Vol5 No6, clinical journal, ostomy, tips, wound infections

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    Cette ligne directrice fournit des recommandations fondées sur les données probantes à l'intention des infirmières autorisées et des infirmières auxiliaires autorisées, relatives à l'évaluation et à la prise en charge de personnes ayant une colostomie, une iléostomie ou une urostomie, y compris l'évaluation et la prise en charge de la peau péristomiale. Cette ligne directrice met l'accent sur trois domaines des soins : préopératoire, postopératoire et suivi. Tous les individus stomisés, d'un bout à l'autre du continuum des soins, y compris les besoins de la famille et des fournisseurs de soins, sont pris en considération. Cette ligne directrice devrait s'appliquer à tous les domaines des soins infirmiers, y compris la pratique clinique, l'administration et l'éducation.

    Référence : Registered Nurses' Association of Ontario. (2009). les soins de stomie et de la gestion. Toronto, Ontario : auteur. Récupérée de :

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    This information from the Colostomy Association in Britain provides practical suggestions for the most common stoma problems such as Ballooning; Constipation/Diarrhoea; Odour; Pancaking; etc.

    Web Address: Colostomy Association. 2017. Stoma Problems. Accessed Aug. 22, 2017 at:

    Reference: Colostomy Association. 2017. Stoma Problems. Accessed Aug. 22, 2017 at: 

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    Management of Chronic Non-Cancer Pain – Center for Effective Practice
    “This tool is designed to help family physicians and nurse practitioners (primary care providers) develop and implement a management plan for adult patients with chronic non-cancer pain (CNCP). This tool applies to, but is not limited to pain conditions such as osteoarthritis, low back pain, musculoskeletal pain, fibromyalgia and neuropathic pain.”

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    This Hamilton Health Sciences patient education resource provides an overview of ostomies, signs of malnutrition and dehydration and offers food and fluid choices to try, explaining possible effects of these choices and the reasons for these choices.

    Reference: What to eat and drink when you have a high output ostomy. (Nov. 2009). Hamilton Health Sciences. Retrieved from:  

    © Hamilton Health Sciences, 2009 PD 6629 - 11/2009 dpc/pted/HighOutputOstomyWhatToEat-trh.doc dt/November 4, 2009