Peristomal skin irritation and the use of a silicone-based barrier film

Abstract

Maintaining skin integrity is vital to ensure good adhesion of the stoma pouch, and to avoid discomfort for the person with a stoma, ensuring a good quality of life. However, there are many risk factors associated with potential peristomal skin soreness, and a large number of research studies have highlighted the vast number of patients who actually experience these problems ( Mahjoubi, 2005 ; Ratliff et al, 2005 ; Herlufsen et al, 2006 ; Lynch et al, 2008 ; Meisner and Balleby, 2008 ). Clinical nurse specialists in stoma care are responsible for ensuring that all patients are fully assessed, and also that patients are given appropriate evidence-based care to avoid peristomal skin irritation, where possible. This article will discuss the common causes of peristomal skin breakdown, the tools available to assist with assessment, and how to best treat peristomal skin irritation.

Management of Moisture-Associated Skin Damage: A Scoping Review

“…Establishing a secure pouching system postmaceration is the primary complication associated with peristomal MASD, because it perpetuates a vicious cycle: Eroded epidermis produces moisture that impedes the pouching system from adhering to the skin and forming a tight seal, leading to further effluent-skin contact that in turn causes greater maceration and pouching difficulties. 5 , 52 , 54 , 55 More than 50% of individuals with ostomies may experience leakage, and the probability of developing peristomal MASD over the life course for colostomates and ileostomates is approximately 17.4% and 34%, respectively. 56 , 57 …”

The Effect of a Skin Barrier Film on the Incidence of Dressing‐Related Skin Blisters After Spine Surgery

“…It is important to prevent adhesive-related skin injuries, specifically tension blisters. 7,8 Despite the common occurrence of postoperative skin blistering, there is scant research on wound blistering at dressing margins both in terms of preventive factors and best practices for effective treatment. A review of the literature on skin blisters specifically related to postoperative dressings found that the occurrence of dressing-related skin injuries varies according to multiple factors, including surgical specialty and type of dressing.…”

“…It is important to prevent adhesive‐related skin injuries, specifically tension blisters . Despite the common occurrence of postoperative skin blistering, there is scant research on wound blistering at dressing margins both in terms of preventive factors and best practices for effective treatment.…”

Using silicone technology to maintain healthy skin in stoma care

“…Manystudieshavebeenundertakentoshowtheincreased benefit of silicone products (Cutting, 2006;Rudoni, 2011). There is certainly more emphasis and awareness now around the increasing costs to the NHS of stoma products and accessories (Martins et al, 2012) and a cost-effective solution such as a silicone product will help to promote an economically effective approach to care.This is evident fromusingsiliconeremoverspraysbecausetheypreventskin stripping,therebyreducingtheneedforfurtherproductuse.…”