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The Ostomy Skin Tool 2.0: a new instrument for assessing peristomal skin changes
Lina Martins1, Gillian Down2, Birgitte Dissing Andersen3
1Clinical Nurse Specialist, Wound, Ostomy and Continence, London Health Sciences Centre, London, Ontario, Canada.
Background:
Peristomal skin complications (PSCs) are frequently reported postoperative complications. PSCs can present visibly or as symptoms such as pain, itching or burning sensations.
Aim:
To develop a new tool that can capture a range of sensation symptoms together with visible complications and an objective assessment of discolouration in the peristomal area.
Method:
Consensus from qualitative interviews with health professionals and people with an ostomy, and input from expert panels, formed the basis of a patient-reported outcome (PRO) questionnaire. A decision tree model was used to define a combined score including PRO and objectively assessed discolouration area.
Findings:
Six elements were included in the PRO questionnaire and four health states representing different severity levels of the peristomal skin were defined.
Conclusion:
The Ostomy Skin Tool 2.0 is a sensitive tool that can be used to follow changes in the peristomal skin on a regular basis and thereby help prevent severe PSCs.
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