Ostomy Assessment Systematic Integration of Studies (OASIS): Physical Assessment Scoping Review

Authors

  • Corey Heerschap Interprofessional Practice, Royal Victoria Regional Health Centre, Barrie, ON, CA; Nurses Specialized in Wound, Ostomy and Continence Canada, Ottawa, ON, CA https://orcid.org/0000-0001-7780-2528
  • Britney Butt Nursing Professional Development & Nursing Excellence, Keck Medical Center of USC, Los Angeles, California, United States
  • Daniel Franco Nursing, Georgian College, Barrie, ON, Canada
  • Gavin Hughes School of Medicine, University of Toronto, Toronto, ON, Canada; Graduate Department of Biomedical Engineering, University of Toronto, Toronto, ON, Canada
  • Ervis Musa Faculty of Medicine, University of Ottawa, Ottawa, Canada
  • Kiana McCauley Faculty of Health Sciences, Queens University, Kingston, ON, Canada
  • Angela Luan School of Medicine, Queens University, Kingston, ON, Canada
  • Matthew Karasmanis University of Ottawa, Ottawa, ON, Canada
  • Ella Bisset-Cavallin Department of Molecular and Cellular Biology, University of Guelph, Guelph, ON, Canada
  • Samantha Wiesenfeld Montreal General Hospital, McGill University Health Centre, Montreal, QC, Canada
  • Ryan Khosrovaneh Temerty Faculty of Medicine, University of Toronto, Toronto, ON, Canada
  • Fiona Hughes Faculty of Health Sciences, McMaster University, Hamilton, ON, Canada

DOI:

https://doi.org/10.63354/cjwoc.v2i2.18164

Keywords:

ostomy, nursing, nursing assessment, surgical stomas, physical examination, scoping review

Abstract

Background: Individuals living with an ostomy experience multiple physical changes that require ongoing assessment. While physical assessment remains vital for those living with an ostomy, synthesized data identifying assessment practices and outcomes are lacking. This review, part of the OASIS review, which sought to identify the extent of current literature on assessing individuals living with an ostomy, synthesizes what is known about physical assessment in this population.

Methods: This scoping review followed the Joanna Briggs Institute (JBI) and the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews (PRISMA-ScR) methodology. We searched the MEDLINE and CINAHL databases without filters or date restrictions. Data collection occurred in January 2021. We analyzed data using qualitative content analysis and synthesized outcomes using the PAGER Framework to identify patterns, advances, gaps, evidence,
and recommendations.

Results: This review included 74 studies published between 1951 and 2021. Most studies were retrospective in design. Themes in the data included demographics, stoma and peristomal assessment, stoma pouching systems, medical conditions and surgical risk, specialist support and knowledge for physical assessment, and diet and output.

Conclusions: Individualized holistic assessment is needed for those individuals living with an ostomy. Assessment should incorporate physical factors beyond the stoma alone, such as nutrition, hydration, and functional considerations. Standardized assessment frameworks and further research on assessment factors and outcomes are needed to enhance evidence-informed practice.

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2026-10-27

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Heerschap, C., Butt, B., Franco, D., Hughes, G., Musa, E., McCauley, K., … Hughes, F. (2026). Ostomy Assessment Systematic Integration of Studies (OASIS): Physical Assessment Scoping Review. Canadian Journal of Wound, Ostomy and Continence, 2(2), 39–50. https://doi.org/10.63354/cjwoc.v2i2.18164

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Vol. 2 No. 2 (2026): Canadian Journal of Wound, Ostomy and Continence

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Review Articles

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