Accessories or necessities? Exploring consensus on usage of stoma accessories

Rudoni, Caroline; Dennis, Heather

doi:10.12968/bjon.2009.18.18.44551

Cited by 40 publications

(5 citation statements)

References 5 publications

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“…Some studies have reported that the proper use of orthostomy nursing products can reduce the risk of postoperative complications (Ameh et al, ). The choice of proper ostomy care products can avoid some of the problems associated with the skin around the colostomy (Burch, ; Rudoni & Dennis, ). Therefore, appropriate care products should be soft, skin‐friendly, low sensitizing and suitable for infants.…”

Section: Discussionmentioning

confidence: 99%

“…Currently, there are many types of ostomy care products commercially available. This variety makes it difficult for stoma caregivers to choose the best product to avoid damage to the skin The choice of proper ostomy care products can avoid some of the problems associated with the skin around the colostomy (Burch, 2011;Rudoni & Dennis, 2009). Therefore, appropriate care products should be soft, skin-friendly, low sensitizing and suitable for infants.…”

Section: Discussionmentioning

confidence: 99%

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Nursing care for infants after enterostomy: Experience with 483 cases over a 5‐year period

Li¹,

Wu²,

Yali³

et al. 2019

J Nurs Manag

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Aim To explore and improve nursing care for infants after enterostomy. Methods A total of 483 infants who underwent enterostomy from January 2014 to January 2019 were enrolled in this study. Results During hospitalization and follow‐up, there were 30 infants with peripheral skin complications, including 15 cases of allergic dermatitis, 13 cases of faecal dermatitis and two cases of avulsion injury. Conclusion Without proper and effective nursing care, the peripheral skin complications of enterostomy‐related can easily develop. Therefore, careful postoperative care and effective family follow‐up and guidance are essential after discharge, and using WeChat to follow‐up can provide timely and effective follow‐up and guidance to patients. Implications for Nursing Management This study summarizes the experience of nursing care for infants over a 5‐year period. Nurses must provide sound care for infants after enterostomy, timely and effectively address complications, guide nursing care performed by family members and strengthen follow‐up through the WeChat online support group to reduce the occurrence of complications.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Nursing care for infants after enterostomy: Experience with 483 cases over a 5‐year period

Li¹,

Wu²,

Yali³

et al. 2019

J Nurs Manag

View full text Add to dashboard Cite

show abstract

“…As regards the use of devices, the importance of having a wide range of devices available to choose from in function of each situation is highlighted, facilitating the patients daily life and improving their quality of life ( 18 , 20 ) .…”

Section: Discussionmentioning

confidence: 99%

Living with digestive stomas: strategies to cope with the new bodily reality

Bonill-de-las-Nieves

Celdrán-Mañas

Hueso‐Montoro

et al. 2014

Rev. Latino-Am. Enfermagem

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Objectivethe objective in this study was to describe the strategies developed by digestive stoma patients to cope with their situation.Methoda qualitative and descriptive study was undertaken, involving 21 stoma patients living in the provinces of Málaga and Granada (Spain). The informants were selected in accordance with criteria of appropriateness and diversity, through intentional sampling. The data were collected by means of semistructured interviews.Resultsthe content analysis revealed three categories around which the distinct strategies were developed: Self-care, Adaptation to the bodily change and Self-help.Conclusionthe strategies developed are focusing on achieving the effective management of the stoma and are closely linked with the achievement of autonomy. Discovering the strategies applied is fundamental for the nursing professionals to offer high-quality care, centered on people and their process.

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“…There is debate as to whether they should also be used as a preventative measure in healthy peristomal skin. This is an extra cost burden, but some stoma care nurses do encourage its use after hospital discharge (Rudoni and Dennis, 2009). Prevention is often better than cure, because, once peristomal skin becomes damaged, it is harder to control leakage and prevent further harm, and, once usage is stopped, the skin may again be exposed to damage.…”

Section: Silicone Barrier Films To Prevent Contact Dermatitismentioning

confidence: 99%

Developments in silicone technology for use in stoma care

et al. 2021

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Soft silicone's flexibility, adhesive capacity and non-toxic, non-odourous and hypoallergenic nature have made it an established material for adhesive and protective therapeutic devices. In wound care, silicone is a component of contact layer dressings for superficial wounds and silicone gel sheeting for reducing the risk of scarring, as well as of barriers for incontinence-associated dermatitis. Regarding stoma accessories, silicone is established in barrier films to prevent contact dermatitis, adhesive removers to prevent skin stripping and filler gels to prevent appliance leaks. Until recently, silicone has not been used in stoma appliances flanges, as its hydrophobic nature has not allowed for moisture management to permit transepidermal water loss and prevent maceration. Traditional hydrocolloid appliances manage moisture by absorbing water, but this can lead to saturation and moisture-associated skin damage (MASD), as well as increased adhesion and resultant skin tears on removal, known as medical adhesive-related skin injury (MARSI). However, novel silicone compounds have been developed with a distinct evaporation-based mechanism of moisture management. This uses colloidal separation to allow the passage of water vapour at a rate equivalent to normal transepidermal water loss. It has been shown to minimise MASD, increase wear time and permit atraumatic removal without the use of adhesive solvents. Trio Healthcare has introduced this technology with a range of silicone-based flange extenders and is working with the University of Bradford Centre for Skin Sciences on prototype silicone-based stoma appliance flanges designed to significantly reduce the incidence of peristomal skin complications, such as MARSI and MASD. It is hoped that this will also increase appliance wear time, reduce costs and improve patient quality of life.

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Accessories or necessities? Exploring consensus on usage of stoma accessories

Cited by 40 publications

References 5 publications

Nursing care for infants after enterostomy: Experience with 483 cases over a 5‐year period

Nursing care for infants after enterostomy: Experience with 483 cases over a 5‐year period

Living with digestive stomas: strategies to cope with the new bodily reality

Developments in silicone technology for use in stoma care

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