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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...

Inflammatory Bowel Disease V: Surgical Management

Inflammatory Bowel Disease V: Surgical Management

Surgical interventions for inflammatory bowel disease (IBD), which includes ulcerative colitis and Crohn's disease, are essential in managing symptoms and addressing complications. The selection of surgical procedures is contingent upon the specific conditions and complications that stem from these illnesses.
Here are some common surgical interventions for IBD:

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Related Experiment Video

Updated: Jul 16, 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)

|September 21, 2023

Summary

Novel silicone flanges manage moisture through evaporation, reducing skin damage and improving wear time for ostomy patients. This innovation aims to decrease 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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Area of Science:

Biomaterials Science
Dermatology
Medical Device Technology

Background:

Soft silicone is widely used in therapeutic devices due to its flexibility, adhesion, and hypoallergenic properties.
Silicone is utilized in wound care and stoma accessories, but not traditionally in stoma flanges due to moisture management limitations.
Traditional hydrocolloid stoma appliances can lead to saturation, skin damage (MASD), and skin tears (MARSI) upon removal.

Purpose of the Study:

To introduce novel silicone compounds for stoma appliance flanges with advanced moisture management capabilities.
To address the limitations of traditional hydrocolloid stoma appliances in managing peristomal skin health.
To reduce the incidence of medical adhesive-related skin injury (MARSI) and moisture-associated skin damage (MASD) in ostomy patients.

Main Methods:

Development of novel silicone compounds utilizing an evaporation-based moisture management mechanism.
Utilizing colloidal separation to allow water vapor passage equivalent to normal transepidermal water loss.
Testing and application of these silicone compounds in prototype stoma appliance flanges and flange extenders.

Main Results:

The new silicone compounds effectively manage moisture via evaporation, minimizing moisture-associated skin damage (MASD).
The technology allows for increased appliance wear time and atraumatic removal without adhesive solvents.
Prototype silicone-based stoma appliance flanges are designed to significantly reduce peristomal skin complications like MARSI and MASD.

Conclusions:

Novel silicone technology offers a breakthrough in stoma appliance design for improved peristomal skin health.
This innovation has the potential to increase ostomy appliance wear time, reduce healthcare costs, and enhance patient quality of life.
Further development and clinical application of silicone-based stoma flanges are expected to significantly decrease skin complications in ostomy care.