Comparing the skin stripping effects of three ostomy skin barriers infused with ceramide, honey or aloe

Nichols, Thom R.; Houser, Tim; Grove, Gary L.

doi:10.33235/jsta.39.2.14-18

Cited by 4 publications

(6 citation statements)

References 8 publications

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“…Peristomal skin has been broadly defined as the abdominal skin surrounding the stoma, generally confined within the footprint of the ostomy skin barrier. 30 Panelists did not agree with the term "footprint" but were in agreement with using the phrase "beneath the adhesive portion of the ostomy pouching system" (barrier and tape). Another source defined the peristomal skin surface as 3 to 4 inches surrounding an abdominal stoma.…”

Section: Peristomal Skin Health Definitionmentioning

confidence: 89%

“…The ability to maintain healthy peristomal skin is related to the body's ability to respond to the ostomy skin barrier and adhesive materials, the health of the individual with the ostomy, and their skin care practices 33. Factors that may affect peristomal skin integrity include preexisting dermatoses such as psoriasis or eczema, “skin stripping” when a pouching system is removed frequently or roughly, hair on the peristomal skin, and skin creases or folds, which affect ostomy pouching system adherence 30…”

Section: Methodsmentioning

confidence: 99%

“…The peristomal skin begins at the stoma skin junction and extends outward to include the abdominal skin in direct contact with the skin barrier of the pouching system. 29,30 Healthy peristomal skin is intact and free of visible signs of infection or other complications such as inflammation (redness, warmth), loss of epidermis, or sensations such as itchiness, soreness, or pain. 31,32 Peristomal skin should have the same appearance as skin on the rest of the abdomen.…”

Section: Level Of Evidencementioning

confidence: 99%

“…33 Factors that may affect peristomal skin integrity include preexisting dermatoses such as psoriasis or eczema, "skin stripping" when a pouching system is removed frequently or roughly, hair on the peristomal skin, and skin creases or folds, which affect ostomy pouching system adherence. 30 Peristomal skin health is critical for successful rehabilitation of the individual after ostomy surgery. Abnormalities of the peristomal skin may reduce the ability of the pouching system to adhere, which leads to leakage and increased risk of peristomal skin breakdown.…”

Section: Level Of Evidencementioning

confidence: 99%

“…Nichols and colleagues 30 conducted a randomized, prospective, repeated-measures trial involving 24 healthy volunteers to determine the effect of a CIB compared to other infused skin barriers when changed once daily. Participants were randomized to wear 2 types of adhesive ostomy barriers, 1 product on each side of the abdomen.…”

Section: Level Of Evidencementioning

confidence: 99%

See 4 more Smart Citations

Peristomal Skin Health

Ratliff¹,

Goldberg²,

Jaszarowski³

et al. 2021

Journal of Wound, Ostomy &Amp; Continence Nursing

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The Wound, Ostomy, and Continence Nurses (WOCN) Society identifi ed the need to defi ne and promote peristomal skin health. A task force was appointed to complete a scoping literature review, to develop evidence-based statements to guide peristomal skin health best practices. Based on the fi ndings of the scoping review, the Society convened a panel of experts to develop evidence-and consensus-based statements to guide care in promoting peristomal skin health. These consensus statements also underwent content validation using a different panel of clinicians having expertise in peristomal skin health. This article reports on the scoping review and subsequent 6 evidenced-based statements, along with the generation and validation of 19 consensus-based statements, to assist clinical decision-making related to promoting peristomal skin health in adults.

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Section: Peristomal Skin Health Definitionmentioning

confidence: 89%

Section: Methodsmentioning

confidence: 99%

Section: Level Of Evidencementioning

confidence: 99%

Section: Level Of Evidencementioning

confidence: 99%

Section: Level Of Evidencementioning

confidence: 99%

See 3 more Smart Citations

Peristomal Skin Health

Ratliff¹,

Goldberg²,

Jaszarowski³

et al. 2021

Journal of Wound, Ostomy &Amp; Continence Nursing

View full text Add to dashboard Cite

show abstract

Peristomal Skin Issues and Their Management

White

McPhail²,

McDermott

2023

Stoma Care Specialist Nursing: A Guide for Clinical Practice

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Lessons Learned About Peristomal Skin Complications

Salvadalena

Colwell

Skountrianos

et al. 2020

Journal of Wound, Ostomy &Amp; Continence Nursing

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PURPOSE: The aims of this study were to (1) describe the demographic and clinical characteristics of the individuals with peristomal skin complications (PSCs); (2) describe the PSCs; (3) examine the relationship of PSC occurrence and severity with possible risk factors, and (4) describe how PSCs were managed clinically. DESIGN: Secondary analysis of data from randomized controlled study, the ADVOCATE trial. SUBJECTS AND SETTING: Study participants (n = 153) were divided into 2 groups: those who did not experience a PSC (n = 80) and those who did (n = 73). A participant was considered to have sustained a PSC during the original study if his or her Discoloration, Erosion, and Tissue score increased above the baseline score. METHODS: Demographic and pertinent characteristics of participants with and without PSCs were compared. In addition, data from the 73 participants who sustained PSCs were further analyzed to characterize and describe the PSCs, to investigate potential risk factors associated with the occurrence and severity of a PSC, and for clinical management. Group comparisons were made via t tests for continuous variables, χ2 test or Fisher exact test for categorical variables, and generalized linear models for identification of risk factors. RESULTS: The majority of the PSCs were mild or moderate in nature, and they were most commonly categorized by the investigators as irritant dermatitis. Two risk factors were associated with an increased likelihood of experiencing a PSC: stoma duration and peristomal skinfold or creases. Within the study period, the odds of sustaining a PSC increased over time and the presence of skinfolds or creases increased the likelihood of PSCs. Peristomal skin complication severity was likely to be worse with an ileostomy and less severe as stoma duration increased. Products used to manage PSCs consisted of barrier rings/seals, skin barrier powder, and paste or paste strips. CONCLUSIONS: Ileostomy is associated with higher risk of a severe PSC and peristomal skin creases or folds. Patient follow-up should be on a structured schedule beyond the first few weeks after surgery because the likelihood of getting a PSC increases over time. This approach may help improve outcomes, particularly for those with an ileostomy and challenging skin contours.

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Comparing the skin stripping effects of three ostomy skin barriers infused with ceramide, honey or aloe

Cited by 4 publications

References 8 publications

Peristomal Skin Health

Peristomal Skin Health

Peristomal Skin Issues and Their Management

Lessons Learned About Peristomal Skin Complications

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