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Encountering Ostomies in Acute Care: Peristomal Skin Changes

Julia C Paul1, Katherine Zimnicki, Barbara A Pieper

  • 1Julia C. Paul, PhD, RN, ACNS-BC, CCRN, CWS, NP, is Associate Professor, School of Nursing Oakland University, Rochester, Michigan. At College of Nursing, Wayne State University, Detroit, Michigan, Katherine Zimnicki, DNP, RN, ACNS-BC, CWOCN, is Associate Professor and Barbara A. Pieper, PhD, RN, CWOCN, ACNS-BC, FAAN, is Professor Emeritus.

Advances in Skin & Wound Care
|December 20, 2022
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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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