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Caring for peristomal skin: what every nurse should know
1St Mark's Hospital, Harrow.
British Journal of Nursing (Mark Allen Publishing)
|March 12, 2010
Summary
Most nurses encounter ostomates with colostomies, ileostomies, or urostomies. This article addresses sore peristomal skin issues, including causes and treatments like improved stoma care and accessories.
Area of Science:
- Nursing
- Dermatology
- Gastroenterology
Background:
- Stomas, including colostomies, ileostomies, and urostomies, are common in patient care.
- Sore peristomal skin is a frequent complication for individuals with ostomies (ostomates).
Purpose of the Study:
- To explore common peristomal skin problems encountered by ostomates.
- To identify the causes and outline treatment options for sore peristomal skin.
Main Methods:
- Review of common peristomal skin complications.
- Discussion of treatment strategies for skin issues.
Main Results:
- Common problems include contact irritant dermatitis, parastomal hernias, and skin infections.
- Treatment involves ostomy care education and specialized accessories.
Conclusions:
- Effective management of peristomal skin is crucial for ostomate well-being.
- A combination of patient education and appropriate stoma care products can resolve many skin issues.
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Introduction
An ostomy is a surgical procedure that creates an artificial opening from the intestines to the outside of the body, allowing for the rerouting of effluent. This opening is known as a stoma. A stoma usually protrudes above the skin surface, appearing pink or red, moist, and round, and it lacks nerve sensations.
There are different types of ostomies, including colostomies, ileostomies, and urostomies:
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There are different types of ostomies, including colostomies, ileostomies, and urostomies:
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