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Assessment:

Ostomy Care

Ostomy Care

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.
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Updated: Feb 27, 2026

A Standardized Procedure of Dressing Management for Toxic Epidermal Necrolysis

A Standardized Procedure of Dressing Management for Toxic Epidermal Necrolysis

Published on: March 14, 2025

Management of a Complex Peristomal Calciphylaxis: A Case Study.

Mary Famorca¹, Debra Beauchaine, Nancy Angulo

¹Mary Famorca, MAN, RN, WCC, COCN, Mayo Clinic Arizona, Phoenix, Arizona. Debra Beauchaine, MN, RN, AGPCNP, CWOCN-AP, Mayo Clinic Arizona, Phoenix, Arizona. Nancy Angulo, BS, RN, CWOCN, Cancer Treatment Center of America, Goodyear, Arizona.

Journal of Wound, Ostomy, and Continence Nursing : Official Publication of the Wound, Ostomy and Continence Nurses Society

|July 7, 2017

Summary

Calciphylaxis, a rare vascular syndrome, presents significant challenges, especially in peristomal skin. Effective wound management and interdisciplinary collaboration led to successful patient discharge.

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Last Updated: Feb 27, 2026

A Standardized Procedure of Dressing Management for Toxic Epidermal Necrolysis

A Standardized Procedure of Dressing Management for Toxic Epidermal Necrolysis

Published on: March 14, 2025

Area of Science:

Vascular Medicine
Dermatology
Nephrology

Background:

Calciphylaxis (calcific uremic arteriolopathy) is a rare, high-mortality vascular syndrome.
Lesions require intensive wound management, posing challenges in peristomal skin cases.

Observation:

A patient with chronic kidney disease, diabetes, and paraplegia developed a peristomal calciphylaxis lesion (PCL).
The PCL complicated ostomy care and required intensive management alongside pressure injuries.

Findings:

The peristomal calciphylaxis lesion showed reduced surface area and improved appearance with wound care products.
Patient's medical condition improvement correlated with lesion healing.

Implications:

Skilled nursing and interdisciplinary collaboration are crucial for managing peristomal calciphylaxis.
Effective management facilitates safe patient discharge despite complex comorbidities.