Stoma Site Complications: Steps to Successful Outcomes
Tuesday, September 1, 2015
by: Ferris Mfg. Corp.

Section: Corporate Partners




Sponsored by

Ferris Mfg. Corp.

www.polymem.com

  • 1 million people in North America have an ostomy2
  • Up to 80% experience peristomal complications2
  • Majority are urostomy and ileostomy patients2

The skin around the stoma* is called the peristomal skin and should be intact and free of injury. Some common peristomal complications that patients may experience are: mechanical injury, moisture-associated skin damage, fungal infection and allergic contact dermatitis. Complications can cause pain, burning, ulcerations, skin loss, maceration and may prevent the appliance from adhering, leading to more frequent pouch changes and further peristomal complication.1

Complications on peristomal skin may occur because of an inadequate pouching system, inappropriate use of a product, not changing the appliance when needed or if the patient has sensitivity to a product or products. Peristomal complications not only affect the quality of life of your patient but increase the number of nursing visits, time and cost associated with the patient with a peristomal complication.1

Successful Outcomes with PolyMem®:

  1. PolyMem Silver® effectively helps to heal fungus around the stoma site and reduces the problem of burning and pain associated with fungal infections.4
  2. PolyMem helps reduce inflammation, pain and swelling associated with tissue damage.3,4
  3. The absorbency of PolyMem helps reduce maceration and absorb fluid. 3,4
  4. PolyMem helps heal ulcerations and tissue damage that occurs from peristomal complications by helping to maintain the pouch seal. 3,4
  5. PolyMem can be used prophylactically to prevent reoccurrence of peristomal complications, such as pyoderma gangrenosum, and strengthen scar tissue. 3,4
  6. Fewer pouch changes allow patients to experience an improved quality of life.3,4
  7. PolyMem helps reduce costs associated with the management of peristomal complications. The costs associated are the increased use of pouches, supplies and time.

Please review the comparison chart from the case study: Positive outcomes caring for peristomal skin complications by Nicole Pettavino. Comparison of pouch changes was made with prior wound management before PolyMem and with PolyMem. Patients and their caregivers were able to do their own pouch changes with PolyMem and PolyMem was easy to use.3,4

PolyMem is an effective wound dressing to provide optimal healing to help manage peristomal complications, prevent further complications, heal peristomal complications and provide cost savings. Click here to see Nicole's poster.

References and Definition used in "Peristomal Complications - Steps to Successful Outcomes"

*Definition: A stoma is a surgically created opening in the gastrointestinal tract or in the urinary system and the word stoma comes from the Greek word for mouth.¹ Stoma construction helps to divert stool or urine to treat disease, repair or minimize effects of trauma and save lives. ¹ For example, an ileostomy is a fecal diversion from the small intestine, the ileum.

References:

  1. Carmel JE, Colwell JC, Goldbery MT eds. Wound Ostomy and Continence Nurses Society® Core curriculum. Ostomy management. Philadelphia, PA: Walters Kluwer; 2016.
  2. Curtin C. The ostomy tool guide: Prevent & Manage Ostomy Peristomal Complications. Presentation at WOW conference September 11-13, 2015. Las Vegas, Nevada.
  3. Jacob N. Long-stalled pressure ulcer at ostomy site closes quickly using thin cleansing absorbent dressings. Poster presented at the 23rd Annual Clinical Symposium on Advances in Skin & Wound Care. Poster #28, October 26-30, 2008. Las Vegas, Nevada.
  4. Pettavino N. Positive outcomes caring for peristomal skin complications. Poster presented at the Wound Ostomy and Continence Nurses Society (WOCN). Poster #6154, June 9-13, 2013. Charlotte, NC.
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