Encountering Ostomies in Acute Care: Peristomal Skin Changes.

Adv Skin Wound Care

Julia C. Paul, PhD, RN, ACNS-BC, CCRN, CWS, NP, is Associate Professor, School of Nursing Oakland University, Rochester, Michigan. At College of Nursing, Wayne State University, Detroit, Michigan, Katherine Zimnicki, DNP, RN, ACNS-BC, CWOCN, is Associate Professor and Barbara A. Pieper, PhD, RN, CWOCN, ACNS-BC, FAAN, is Professor Emeritus.

Published: January 2023

Up to 80% of individuals with an ostomy experience a peristomal skin complication, which can result in significant healthcare issues. All clinicians working with patients with stomas need to be aware of the signs and symptoms of peristomal skin complications and basic strategies to address the most common cause of skin complications: leakage of stool or other effluent onto the skin. Use of an evidence-based, standardized instrument to guide peristomal assessment and selection of appropriate interventions can improve patient outcomes and increase meaningful collaboration between all members of the healthcare team. This case study addresses dilemmas of care during a non-ostomy-related hospitalization.

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http://dx.doi.org/10.1097/01.ASW.0000897288.52973.e1DOI Listing

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