Changes in Peristomal Skin Condition and User Experience of a Novel Ostomy Barrier Ring With Assisted Flow

Hunt, Rhona; Kelleher, Kevin; Coffey, J. Calvin; Moloney, Mary; Ahern, Mary; Conway, Elaine; Hannigan, Ailish; Erwin-Toth, Paula; O’Sullivan, Leonard

doi:10.1097/won.0000000000000463

Cited by 6 publications

(6 citation statements)

References 5 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In previous studies conducted using the study product, participants with ileostomies had an average baseline DET score of 5.4 (n = 5) 11 or 6.2 (n = 12). 12 The lower DET scores upon enrollment in the current study likely meant that demonstrating improvements in skin condition was not possible or necessary.…”

Section: Discussionmentioning

confidence: 94%

“…It is likely that compromised protective hydrocolloid material, compounded by the absorption of corrosive stomal output, results in skin irritation and peristomal MASD. 11,12 Although standard barrier rings can delay peristomal MASD, they cannot prevent stomal output from contacting the skin over an extended period of time. The output from an ileostomy is more liquid and corrosive than a colostomy because it is more alkaline and has more proteolytic enzymes.…”

Section: Introductionmentioning

confidence: 99%

“…However, the absorbent nature of the hydrocolloid material used in most protective barrier rings means that the barrier material absorbs the ostomy output and swells, compromising structural integrity and subsequently disintegrating. It is likely that compromised protective hydrocolloid material, compounded by the absorption of corrosive stomal output, results in skin irritation and peristomal MASD 11,12 . Although standard barrier rings can delay peristomal MASD, they cannot prevent stomal output from contacting the skin over an extended period of time.…”

Section: Introductionmentioning

confidence: 99%

“…This barrier ring has two essential components: (1) an open, moldable hydrocolloid ring that adheres to the user’s skin and easily wraps around the stoma and (2) a nonabsorbent spout with flexible side arms that prevent the hydrocolloid ring from absorbing stomal effluent while facilitating flow into the ostomy pouch. The primary aims of this innovative barrier ring are (1) to prevent the hydrocolloid in the protective barrier ring from disintegrating by limiting the absorption of stomal effluent; (2) to improve the application process of the protective barrier with a split in the hydrocolloid ring, eliminating the requirement for definitive knowledge of the user’s ileostomy shape and size; and (3) to simplify placement via use of the absorbent spout as a handling tab, which makes the barrier ring easier to handle and thus easier to accurately position 12 . The novel barrier ring has been evaluated in two previous studies 11,12 and demonstrated an average reduction in PSC levels in both studies, with positive scores reported for device comfort, security, and handling.…”

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Evaluation of a Novel Ostomy Barrier Ring with Assisted Flow for Individuals with an Ileostomy

Quigley¹,

Hannigan²,

Dowling³

et al. 2021

Adv Skin Wound Care

Self Cite

View full text Add to dashboard Cite

OBJECTIVE To determine the performance and user experience of a novel ostomy barrier ring over a 4-week period. METHODS This single-arm investigation conducted across three clinical sites included 25 adult participants with an ileostomy for 3 months or longer. The participants used their standard ostomy pouching appliance along with a novel barrier ring for a period of 4 weeks. Skin condition was assessed using the Ostomy Skin Tool. Change in skin condition over the study period was recorded for each participant. The participants’ experience in using the novel barrier ring was measured using a five-point Likert-type scale. RESULTS Twenty of the 25 participants (80%) completed the trial. Of those participants, the median Ostomy Skin Tool score at both the beginning (range, 0–8) and end was 0 (range, 0–6). In terms of skin condition, 7 participants experienced an improvement in skin condition, 11 experienced no change, and 2 got worse. A median score of 5 out of 5 was recorded for all questions relating to user experience. CONCLUSIONS Although not statistically significant, there was a clear trend toward improvements in peristomal skin condition using the novel barrier ring, even for participants who were already using a barrier ring. User feedback was positive with respect to comfort, device handling, and the perception of the device’s ability to protect the skin. Further, most participants who already used a barrier ring indicated that the novel barrier ring would result in a longer wear time.

show abstract

Section: Discussionmentioning

confidence: 94%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Evaluation of a Novel Ostomy Barrier Ring with Assisted Flow for Individuals with an Ileostomy

Quigley¹,

Hannigan²,

Dowling³

et al. 2021

Adv Skin Wound Care

Self Cite

View full text Add to dashboard Cite

show abstract

“…This feature is designed to decrease erosion and directs ostomy output into the pouch. Study findings suggest that the skin barrier ring significantly improves peristomal skin health in persons living with an ileostomy and have an existing PSC 16,19–22. This study examines the potential for the skin barrier ring with assisted flow to prevent PSCs in a group of participants with ileostomies.…”

Section: Introductionmentioning

confidence: 99%

Evaluation of a Skin Barrier Ring With Assisted Flow

Colwell,

Pittman,

Rider

et al. 2024

Journal of Wound, Ostomy &Amp; Continence Nursing

View full text Add to dashboard Cite

PURPOSE: The purpose of this study was to assess the effect of a skin barrier ring with assisted flow in preventing peristomal skin complications (PSCs) in patients with an ileostomy and to evaluate the participants' perceptions of the device. DESIGN: Single-group, prospective cohort study. SUBJECTS AND SETTING: Both inpatients and outpatients with newly created (n = 14) or established (n = 1) ileostomies were recruited from 2 clinical sites in the United States: one was an academic teaching hospital system in the Midwestern United States and the second was a teaching hospital located in the Southeastern United States. METHODS: Participants used the skin barrier ring with assisted flow after receiving education on its use. The pouching system was changed on a routine basis as determined by the ostomy nurse specialist. The Ostomy Skin Tool (OST) was used to assess each participant's peristomal discoloration (D), erosion (E), and tissue overgrowth (T) on admission to the study (baseline) and at final assessment (60 ± 33 days). Secondary outcomes (device handling, comfort, and discretion) were assessed through a questionnaire administered during the final data collection visit. RESULTS: The mean baseline DET score among the 14 participants with a new ileostomy was 2 or less, indicating no PSCs. The incidence of PSCs in this study was 40% (n = 6). Thirteen of 15 participants (86.7%) agreed that the skin barrier ring with assisted flow was easy to apply. Fourteen (93.4%) agreed that the device was comfortable and easy to remove. All 15 participants (100%) agreed it was discreet under clothing. CONCLUSIONS: Sixty percent of participants (n = 9) using the investigational device experienced a PSC. More than 90% of participants agreed that the device was comfortable and easy to remove, and all participants (100%) agreed it was discreet when worn under clothing.

show abstract

Scientific and Clinical Abstracts From WOCNext® 2022

2022

Journal of Wound, Ostomy &Amp; Continence Nursing

View full text Add to dashboard Cite

AIM: To explore the experiences of persons living with an intestinal ostomy using the adjunct of photo-elicitation with interviews. BACKGROUND: Th e creation of an intestinal ostomy results in the revision of an essential bodily function and an alteration of the body image and causes physical, psychological, and social changes in the lifestyle through the adjustment and management of the new condition (Knowles et al., 2014). Th ere are currently no ostomy studies that use photo-elicitation. METHODS: In this qualitative descriptive design, content analysis was used. Ten people living with intestinal ostomy each took part in 2 semistructured interviews that utilized the strategy of photo-elicitation to collect the data. Th e fi rst interview utilized preexisting photos, and the second interview utilized photos that the participants took specifi cally for the study. Meleis' transition theory was utilized as a sensitizing theory. RESULTS: Seven categories emerged from the data analysis. Th e categories were body, feelings, healthcare, coping, fi nances, life impact, and relationships. Th irty percent of the interview content was related directly to the photos shared, with each photo eliciting an average of 150 words. All phases and patterns of Meleis' transition theory were represented in the data (Meleis, 2010). CONCLUSIONS: Th is study highlights the impact of an intestinal ostomy has on people's lives. As participants transitioned to their new reality, it became apparent that they had to adjust to their sense of self, physical being, lifestyle, social and intimate relationships, and the fi nancial implications related to their illness and ostomy supplies. Participants in the study did experience a transition as coding results confi rmed the phases and patterns of Meleis' transition theory. Photo-elicitation is a benefi cial adjunct for data collection with persons living with an intestinal ostomy. REFERENCES

show abstract

Changes in Peristomal Skin Condition and User Experience of a Novel Ostomy Barrier Ring With Assisted Flow

Abstract: Study findings indicate the novel ostomy barrier ring may reduce levels of peristomal MASD in persons living with an ileostomy, though a more extensive trial with a control group is recommended.

Cited by 6 publications

References 5 publications

Evaluation of a Novel Ostomy Barrier Ring with Assisted Flow for Individuals with an Ileostomy

Evaluation of a Novel Ostomy Barrier Ring with Assisted Flow for Individuals with an Ileostomy

Evaluation of a Skin Barrier Ring With Assisted Flow

Scientific and Clinical Abstracts From WOCNext® 2022

Contact Info

Product

Resources

About