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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.
There are different types of ostomies, including colostomies, ileostomies, and urostomies:

Tracheostomy Care I: Pre-procedural Steps

Tracheostomy Care I: Pre-procedural Steps

A tracheostomy is a surgical technique that involves making an incision in the neck to provide access to the trachea. It is frequently used in medical conditions such as airway obstruction and prolonged mechanical ventilation. Effective nursing management is crucial for the long-term success of a tracheostomy.
Required Equipment
The equipment necessary for tracheostomy care includes:

Tracheostomy Care II: Procedure

Tracheostomy Care II: Procedure

Tracheostomy care is an essential nursing skill that involves cleaning and maintaining a tracheostomy tube to prevent infection and other complications. Here's a step-by-step guide explaining each procedure with its rationale. Note that disposable gloves are to be worn at all times and changed as often as needed to maintain a sterile work environment, and to protect both patient and healthcare worker.
Step 1: Perform hand hygiene, and put on personal protective equipment: gown, gloves, mask...

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Related Experiment Video

Updated: Nov 2, 2025

Thin Film Composite Silicon Elastomers for Cell Culture and Skin Applications: Manufacturing and Characterization

Thin Film Composite Silicon Elastomers for Cell Culture and Skin Applications: Manufacturing and Characterization

Published on: July 3, 2018

Developments in silicone technology for use in stoma care.

Thomas Swift¹, Gillian Westgate², Julie Van Onselen³

¹Lecturer in Polymer Chemistry, University of Bradford.

British Journal of Nursing (Mark Allen Publishing)

|June 9, 2021

Summary

Novel silicone flanges manage moisture through evaporation, reducing skin damage and improving wear time for stoma patients. This innovation offers a better alternative to traditional hydrocolloids, minimizing complications like medical adhesive-related skin injury (MARSI) and moisture-associated skin damage (MASD).

Keywords:

Medical adhesive-related skin injury Moisture management Moisture-associated skin damage Silicone Transepidermal water loss

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Last Updated: Nov 2, 2025

Thin Film Composite Silicon Elastomers for Cell Culture and Skin Applications: Manufacturing and Characterization

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Published on: July 3, 2018

Design and Fabrication of an Elastomeric Unit for Soft Modular Robots in Minimally Invasive Surgery

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Published on: November 14, 2015

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Published on: June 27, 2014

Area of Science:

Biomaterials Science
Dermatology
Medical Device Technology

Background:

Soft silicone is widely used in therapeutic devices due to its favorable properties.
Silicone is utilized in wound care and stoma accessories for its protective and adhesive qualities.
Traditional stoma flanges face limitations in moisture management, potentially causing skin damage.

Purpose of the Study:

To introduce and evaluate novel silicone compounds for stoma appliance flanges.
To address limitations of traditional hydrocolloid stoma appliances regarding moisture management and skin complications.
To investigate a new evaporation-based moisture management system for peristomal skin health.

Main Methods:

Development of novel silicone compounds with an evaporation-based moisture management mechanism.
Utilizing colloidal separation to allow controlled passage of water vapor, mimicking normal transepidermal water loss.
Testing the efficacy of silicone-based flange extenders and prototype flanges in reducing skin complications.

Main Results:

The new silicone technology effectively manages moisture via evaporation, minimizing moisture-associated skin damage (MASD).
Silicone-based flanges demonstrated increased wear time and allowed for atraumatic removal without solvents.
Prototype silicone flanges aim to significantly reduce peristomal skin complications like medical adhesive-related skin injury (MARSI) and MASD.

Conclusions:

Novel silicone compounds offer an advanced solution for moisture management in stoma care.
This technology has the potential to reduce skin damage, increase appliance wear time, and improve patient quality of life.
Further development of silicone-based stoma appliance flanges is expected to enhance patient outcomes and reduce healthcare costs.