Registered Nurses' Association of Ontario

Practice Recommendations

RECOMMENDATION

STRENGTH OF THE RECOMMENDATION

1

The expert panel suggests that health providers implement the following interventions to prevent parastomal hernias for persons who anticipate or live with an ostomy:

  • Conduct a risk factor assessment related to body mass index and waist circumference.
  • Provide expert advice on weight management, as needed.
  • Perform stoma site marking preoperatively.
  • Provide postoperative education related to:
  • abstinence from heavy lifting postoperatively.
  • consideration of lightweight support garments.
  • abdominal exercises beginning within three months of surgery.

Conditional

2

In order to guide person-centred care, the expert panel recommends that health providers assess quality of life in persons who anticipate or live with an ostomy. Specific areas of focus should include the following:

  • Psychological distress (anxiety and depression).
  • Self-identity (sexuality and body image).

Strong

 

Clinical Management
Supporting Adults Who Anticipate or Live with an Ostomy
Practice Recommendations