Selecting convexity to improve and maintain peristomal skin integrity

2020 ◽  
Vol 29 (16) ◽  
pp. S8-S14 ◽  
Author(s):  
Moira Evans ◽  
Pamela White

Each person with a stoma is an individual who may react differently when faced with similar situations and, as such, each patient needs to be considered on a person-by-person basis to address their needs, support their acceptance of living with a stoma, as well as to encourage their rehabilitation. This article discusses the benefits that a convex flange can offer ostomates to reduce and minimise leakage episodes and in doing so support peristomal skin integrity and, in particular, the benefits of a convex pouch with a hydrocolloid flange containing medical grade Manuka honey. It reports on the findings of an independent nurse study, which included discussions about the varying types of convexity offered to ostomates, following an assessment of patients' needs.

2010 ◽  
Vol 29 (10) ◽  
pp. 1237-1241 ◽  
Author(s):  
R. A. Cooper ◽  
L. Jenkins ◽  
A. F. M. Henriques ◽  
R. S. Duggan ◽  
N. F. Burton

2020 ◽  
Vol 26 (3) ◽  
pp. 151
Author(s):  
AmitKumar Tyagi ◽  
Amit Kumar ◽  
Shweta Mittal ◽  
Hano Romesh ◽  
Saurabh Varshney ◽  
...  

2021 ◽  
Vol 32 ◽  
pp. P3-P4
Author(s):  
M. Yusuh ◽  
L. Lau ◽  
O. Abdelwahab ◽  
K. Garba ◽  
P. Sirikhansaeng ◽  
...  

2019 ◽  
Vol 17 (Sup9) ◽  
pp. S22-S28 ◽  
Author(s):  
Chantal Tielemans ◽  
David Voegeli

Peristomal skin complications (PSCs) are reported by 77% of people with a stoma, with a serious impact on their quality of life, as well as on healthcare resources. PSCs are usually caused by irritant contact dermatitis from stoma effluent or skin stripping from mechanical trauma to the stratum corneum caused by removal of the ostomy appliance. The risk of mechanical trauma is higher in neonates, young infants and older adults, who have more fragile, friable skin. The incidence and impact of PSCs can be reduced with an appropriate appliance change routine. Mechanical trauma is reduced by minimising the frequency of appliance changes and using an adhesive remover wipe or spray. In adults with a stoma, silicone-based solvents are considered the first choice, as they are skin-friendly and sting-free, and they release the adhesive from the skin quickly and evaporate within seconds, without leaving a residue. However, for neonates, wipes and specialist paediatric oil-based adhesive removers are advised instead. The efficacy of adhesive removers, and silicone-based solvents in particular, at maintaining skin integrity and reducing discomfort has been reported by both stoma care nurses and people with a stoma.


WCET Journal ◽  
2020 ◽  
Vol 40 (1) ◽  
pp. 10-17
Author(s):  
Fengzhi Yan ◽  
Mengxiao Jiang

2019 ◽  
Vol 28 (16) ◽  
pp. S24-S32
Author(s):  
Pamela White ◽  
Moira Evans

This clinical study focuses on peristomal skin complications (PSCs). For many patients, the causative factor behind peristomal moisture-associated skin damage was contact dermatitis caused by effluent leakage, resulting in sore and excoriated skin. PSCs are costly to the patient in relation to pain, time and worry and also impact nursing activity levels and healthcare costs. The study identifies the number of patients presenting with PSC, the causative factors and their resolution using medical grade Manuka honey flanges.


Planta Medica ◽  
2010 ◽  
Vol 76 (12) ◽  
Author(s):  
C Bäcker ◽  
K Wende ◽  
U Meyer ◽  
U Lindequist
Keyword(s):  

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