Conclusion and References

Conclusion

 

Key Takeaways

  • Peristomal skin damage is considered one of the five types of moisture-associated skin damage (MASD)
  • Patients and their families often need support and education to screen, prevent and manage peristomal skin complications
  • To begin with, a key strategy for the management of peristomal skin complications includes addressing why the skin barrier/pouch leaking
  • For persistent painful, purple rolled edges peristomal complications, consider active pyoderma gangrenosum

 

References

ASCN UK. Association of Stoma Care Nurses UK. ASCN Stoma Care National Clinical Guidelines. Nurses  Clinical Practice Guideline.  ASCN UK, 2016.

Berger, A, Inglese G, Skountrianos G, Croce D, Oguz M. Budget impact of ceramide-infused skin barriers versus standard of care skin barriers for new ostomates: a six-country analysis. WCET Journal. 41(2)):22-31, 2021.

Black JM, Gray M, Bliss D, et al. MASD part 2: incontinence-associated dermatitis and intertriginous dermatitis. J Wound Ostomy Continence Nurs. 2011;38(4):359-70.

Chabal LO, Prentice JL, Ayello EA. Practice implications from the WCET® International Ostomy Guideline 2020. Advances in Skin and Wound Care. 34(6):293-300, 2020.

Gray M, Black JM, Baharestani MM, et al. Moisture-associated skin damage: overview and pathophysiology. J Wound Ostomy Continence Nurs. 38(3):233-41, 2011.

Hedegaard C, Ajslev TA, Zeeberg R, Hansen AS. (2020). Leakage and peristomal skin complications influences user comfort and confidence and are associated with reduced quality of life in people with a stoma. WCET Journal, 40(4):23-29. 2020.

Johnston at al. Canadian Urinary Diversions Position Statement: Collaboration of Canadian Urological Association, Nurses Specialized in Wound, Ostomy and Continence Canada & Urology Nurses of Canada. (1st ed.). 2022.

McGrogan M. (2021). How holistic assessment and appropriate product selection will enhance quality of life for ostomates with cognitive impairment. WCET Journal. 41(1):33-35, 2021.

Nurses Specialized in Wound, Ostomy and Continence Canada (NSWOCC). Nursing Best Practice Recommendations: Enterocutaneous Fistulas (ECF) and Enteroatmospheric Fistulas (EAF). 2nd Ed. Ottawa: Nurses Specialized in Wound, Ostomy and Continence Canada; 2018.

RNAO. Registered Nurses’ Association of Ontario. Best Practice Guideline. Supporting Adults who Anticipate or Live with an Ostomy. 2nd ed. Toronto (ON): Registered Nurses’ Association of Ontario. 2019.

Russell S. Parastomal hernia: Improving quality of life, restoring confidence and reducing the fear. The importance of the role of the stoma nurse specialist. WCET Journal. 40(4):36-39. 2020.

Steele et al. The ASCRS Textbook of Colon and Rectal Surgery. ASCRS (American Society of Colon and Rectal Surgeons) 4d edition, 2020.

Stelton S. Stoma and peristomal skin care: A clinical review. AJN, 119(6): 38-45, 2019.

WCET. WCET International Ostomy Guideline (WCET® IOG 2020). Chabal LO, Prentice JL & Ayello EA (Eds.). Perth Australia: WCET. 2020

WCET. WCET Ostomy Pocket Guide: Stoma and Peristomal Problem Solving. Ayello EA & Stelton (Eds). Perth, Australia: WCET, 2016.

Whitehead A, Cataldo PA. technical considerations in stoma creation. Clin Colon Rectal Surg. 30(3):162-171, 2017.

WOCN. Wound Ostomy and Continence Nurses Society Guideline Development Task Force. Management of the Adult patient with a fecal or urinary ostomy- An Executive summary. JWOCN.  45(1):50-58; January/February2018.

WOCN. Basic Ostomy Skin Care: A guide for Patients and Health Care Providers. WOCN® Society, 2018.

WOCN, AUA and ASCRS. WOCN Society, AUA, and ASCRS position statement on preoperative stoma site marking for patients undergoing ostomy surgery. JWOCN. 48(6):533-536, 2021.

Woo, Sibbald, Ayello, Coutts, Garde (2009). Peristomal Skin Complications and Management.

Advances in Skin and Wound Care. 22(11): 522-32