What You Need to Know: Skin Care for PatientsPrevention is a crucial part of a successful peristomal skin care regimen. You can help your patients living with an ostomy prevent peristomal skin issues by providing them with helpful skin care tips. Show
Common Causes of Peristomal Skin Damage: Leakage: Healthy skin exposed to fecal or urine output under the skin barrier can breakdown fast. Tips for Patients Peristomal Skin Care Routine:
As a general rule, healthy peristomal skin should look the same as skin anywhere else on the body. Often times, when the barrier is removed the patient will notice some redness from the adhesive. That's normal. If the redness does not go away, however, it could be the sign of a peristomal skin issue. Discomfort is another sign that their peristomal skin is not healthy. Help Your Patients Scale Their Peristomal Skin: What to Ask Your Patients:
Remember: It does not take much time or a large amount of effluent touching the peristomal skin for it to be damaged. The damage is not always easy to detect. That's why you should have your patients familiarize themselves with the importance of their peristomal skin, this way, they will know the warning signs and how to manage the skin issue. Ensure your patients receive the support, information and resources they need. Managing Peristomal Skin IssuesAt some point, you may encounter a patient who has unhealthy peristomal skin. Identifying the skin issue is the first step in management. Here are some common peristomal skin issues and general information about them,
including description, causes and symptoms: Candidiasis Description/Causes: Often caused by leakage, perspiration, antibiotic therapy, warm climates, broken skin. Symptoms:
Allergic Contact Dermatitis Description/Causes: Often caused by exposure to materials and compounds that irritate or sensitize the skin on contact (e.g., tape, skin barriers, soap, adhesives, powders, pastes, or pouch material). Symptoms:
Irritant Dermatitis Description/Causes: Inflammation of peristomal skin resulting from contact with stool or urine, usually from leakage under the pouching system. Symptoms:
Pseudoverrucous Lesions (Hyperplasia commonly called PEH) Description/Causes: Often caused by chronic exposure of the skin to urine due to an excessively large opening in the skin barrier. Symptoms:
Folliculitis Description/Causes: An inflammation within a hair follicle caused by traumatic hair removal (e.g., "ripping" skin barrier from skin, shaving too closely, or excessive rubbing or cleaning of peristomal skin). Symptoms:
Pressure Ulcer Description/Causes: An ulcer in the peristomal area caused by excessive pressure from an ostomy appliance belt, tight clothing, rigid faceplate, peristomal hernia, or work-related habits. Symptoms:
Psoriasis Description/Causes: A common skin disorder that can occur underneath ostomy pouching systems. Symptoms:
Pyoderma Gangrenosum Description/Causes: An inflammatory skin disease often seen in patients with inflammatory bowel disease ( IBD ) such as Crohn's disease or ulcerative colitis. Symptoms:
Caput Medusae Description/Causes: Refers to a bluish-purple discoloration of the skin caused by dilation of the cutaneous veins around the stoma (peristomal varices). Symptoms:
What is the best way to prevent skin breakdown around a stoma of a colostomy?Cover the irritated skin with a thin hydrocolloid sheet (dressing) or liquid skin protectant (such as MARATHON® Liquid Skin Protectant). Apply your pouching system over the thin hydrocolloid sheet or liquid skin protectant. Avoid using ostomy powder or skin prep wipes for more than a couple of days at a time.
When assisting a resident with a weak left side from a wheelchair the nurse aide should support the client's?Nursing. What is the nurses initial action when preparing to change a patients colostomy pouching system?1. What is the nurse's initial action when preparing to change a patient's colostomy pouching system? Assessing the surrounding skin for signs of irritation.
How often should an ostomy pouch be changed quizlet?The pouch should be changed every 3 to 7 days, not daily. To minimize skin irritation, avoid unnecessary changing of the entire pouching system, but if the effluent is leaking under the wafer, change it, because skin damage from the effluent will cause more skin trauma than will be caused by early removal of the wafer.
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