Registered Nurses' Association of Ontario

Tools to aid quality of life assessment

  • Ostomy Guide. A Guide to Sex with an Ostomy: Ostomy and Intimacy

– Provides an overview of impact of ostomy on sexuality and sex tips for physical and psychological issues:


  • Quality of Life Questionnaire for a Patient With Ostomy (QOL-O)

– This ostomy quality of life tool (for structured assessment) provides with information regarding its components, reliability, and validity, and with instructions for scoring. Available at:


  • The PLISSIT model clinical tool

– This tool provides an overview of the four interventions of PLISSIT (Permission, Limited Information, Specific suggestions, and Intensive Therapy), which is a model to address sexuality issues with patients. For more information see:


  • Ostomy Canada Society

– This website includes outline of chapters, satellites, and peer support groups of Ostomy Canada Society by province. For more information see:


  • United Ostomy Associations of America, Inc. – Intimacy after Ostomy Surgery Guide

– Comprehensive guide to intimacy after ostomy surgery, including dispelling myths about sex and stoma, overview of common sexual problems, guidance on what to talk about with your partner, the effect of medicines on sex, tips on controlling gas and odor, and more.


Clinical Management
Supporting Adults Who Anticipate or Live with an Ostomy
Sample Tools