Elements and Performance Criteria
- Contribute to multi-disciplinary health care team in caring for the client with a stoma
- Contribute to the multi-disciplinary health care team in the holistic management of the needs of the client and their significant other/s
- Work with an understanding of the role of specialist nursing and medical services in long-term management of the client
- Collaborate with community agencies in partnership with the client to maintain continuity of care
- Assess health care needs of client with a stoma
- Initiate holistic health assessment and collect accurate client information in accordance with health unit policy
- Use a range of assessment tools relevant to client care requirements
- Identify the physiological, pathological and congenital conditions leading to stoma creation
- Work with an understanding of the psychological factors impacting on the client with a stoma and on their significant other/s
- Determine client understanding of their condition and self-management requirements
- Review the knowledge of identified significant other/s in relation to the client's condition, management and therapies
- Plan holistic care for the client with a stoma
- Ensure nursing care plan reflects specific stoma care requirements in accordance with health unit policy
- Ensure planned care and therapeutic interventions aim to assist client/s to achieve optimal health outcomes
- Identify health promotion, health education and discharge planning on the nursing care plan
- Regularly discuss care management plan with the registered nurse and other members of the health care team
- Discuss the plan of care with significant other/s, with consent of the client
- Provide comprehensive care for client with a stoma
- Apply principles of contemporary stoma management in the provision of client care within organisation policy and procedural guidelines
- Prioritise nursing interventions for clients according to their needs
- Use critical thinking and problem solving approaches in undertaking client care
- Communicate with registered nurses and other members of the health care team about alterations in conditions of client
- Promote partnership between nurse and client in implementation of health teaching
- Provide client education to promote health and self management
- Collaborate with other health professionals re discharge planning and ongoing client support
- Evaluate progress toward expected outcomes of care
- Critically analyse, evaluate and modify the care/management plan according to client progress toward planned outcomes in consultation/ collaboration with the registered nurse
- Evaluate client acceptance of specific health promotion initiatives prior to discharge
- Determine client understanding of their specific condition, management and therapies prior to discharge
- Evaluate, document and communicate outcomes of care to other members of the health care team in accordance with health unit policy