Keeping up to date with stoma care accessories: Enabling informed choice

Boyles, Anna

doi:10.12968/gasn.2010.8.6.49020

Cited by 23 publications

(3 citation statements)

References 15 publications

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“…These may include additional medications or treatments, referral on to other specialities, such as dermatology and, importantly, nursing time and resources needed to assess and treat patients, and any issues they encounter often over a period of years. However, it is essential to keep in mind that any costs have to be weighed against the wider social and economic implications of patients being able to manage their stoma reliably and regain their confidence to resume their normal lives, as persistent complications can have immense physical, psychological and financial implications (White and Hunt, 1997;Persson and Helstrom, 2002;Williams, 2006;Boyles, 2010b). This was also examined by Rudoni and Dennis (2009) who questioned patients and stoma nurses over the use of accessories to manage problems.…”

Section: Quality Of Life and Wellbeingmentioning

confidence: 99%

Care and management of a stoma: maintaining peristomal skin health

Boyles

Hunt

2016

Br J Nurs

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It is estimated that around one in 500 people in the UK are living with a stoma, with approximately 21 000 operations that result in stoma formation being performed each year ( Colostomy Association, 2016 ). These people face a unique set of challenges in maintaining the integrity of their peristomal skin. This article explores the normal structure and function of skin and how the care and management of a stoma presents challenges for maintaining peristomal skin health. Particular focus is paid to the incidence of skin problems for those living with a stoma, whether it is temporary or permanent, and the factors that contribute to skin breakdown in this population. Wider factors such as the central role of the clinical nurse specialist and the impact of product usage on positive outcomes and health economics are also considered.

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Section: Quality Of Life and Wellbeingmentioning

confidence: 99%

Care and management of a stoma: maintaining peristomal skin health

Boyles

Hunt

2016

Br J Nurs

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“…[1][2][3][4][5] Living with an ostomy necessitates use of pouching systems (skin barrier and pouch) for safe collection of effluent from the ostomy. Since the inception of pouching systems in the 1950s, new features have gradually been implemented to better accommodate user needs, 6 such as filters for odor control, 7 skin barriers with different shapes for people with different peristomal body profiles, 8 various kinds of accessories, 9 and digital sensors for leakage control. 10,11 Peristomal body profiles vary from person to person and may change over time.…”

Section: Introductionmentioning

confidence: 99%

Body Fit With a Pouching System With Concave Contour for People With an Outward Peristomal Body Profile

Rolfsen,

Vestergaard,

Hansen

et al. 2024

Journal of Wound, Ostomy &Amp; Continence Nursing

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PURPOSE: The purpose of the study was to investigate the fit of a two-piece pouching system with a concave-shaped skin barrier on people with an outward peristomal body profile and its effect on leakage, wear time, and quality of life (QoL) related to using an ostomy product. DESIGN: Randomized, controlled, open-label, cross-over trial. SUBJECTS AND SETTINGS: The sample comprised 53 subjects with outward peristomal body profiles and problems with leakage of ostomy effluent from their pouching system. Participants were randomized to the concave two-piece pouching system or a comparator (two-piece pouching system with a flat skin barrier) for 3 weeks. Subjects were then crossed over to the opposite skin barrier for an additional 3 weeks. The study was conducted in Denmark, Norway, Germany, and the Netherlands; data were collected in multiple ambulatory clinics or during home visits. METHODS: The primary end point was the ability of the skin barrier to fit body contours; secondary outcomes were leakage of effluent from the pouching system, wear time, and QoL related to using an ostomy product via the validated Ostomy-Q questionnaire. Primary comparisons between concave and comparator pouching systems were evaluated using proportional odds models and mixed models taking test period into account. RESULTS: Analysis included randomized subjects who had been exposed to at least one product and with information on at least one end point (full-analysis-set, n = 52). The concave pouching system provided a better fit to body contours than the comparator (P< .001) and reduced the degree of leakage underneath the skin barrier (LS mean difference = −1.84, 95% CI −3.31 to −0.37; P = .016). Participants experienced fewer episodes of leakage outside the skin barrier when using concave versus comparator pouching system (13.0% vs. 26.7%, respectively). Participants reported significant improvements in QoL (LS mean difference = 14.3; 95% CI 9.4 to 19.2; P < .001). No significant difference in wear time between skin barrier shapes was reported. CONCLUSIONS: Study findings indicate that a pouching system with a concave skin barrier achieved a better body fit on people with an outward peristomal body profile and resulted in fewer leakage incidents and higher QoL compared to using a pouching system with a flat skin barrier.

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“…Owing to various problems from ostomy bags alone and its application to skin, ostomy patients commonly use a variety of methods for improved adhesion of ostomy bag and prevention of leakages. Diverse forms and materials of ostomy bag adhesives have been developed including adhesive pastes (Burch, 2011) and pectin‐based powders (Boyles, 2010). In this work, three commonly used pastes and powders were used as comparisons.…”

Section: Introductionmentioning

confidence: 99%

Biocompatible hydrogel ostomy adhesive

2020

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With 700,000 affected annually (Grant et al., 2013), ostomies are life-saving redirective surgeries for those who have defective waste systems (e.g. urinary and digestive) caused by acute diverticulitis, colorectal cancer, trauma or inflammatory bowel disease (Burch, 2005; Dabirian et al., 2010). As a result of these surgical interventions, the stoma (i.e. an artificial opening) is created through the abdomen wall from the bladder, ileum or colon. To collect the stoma effluent, most use a one-piece closed ostomy bag that is often adhered around the stoma and disposed daily (Voergaard et al., 2007). Current ostomy bags have two main limitations that lead to leakage: (a) face plates that are ineffective interfaces due to their overly stiff composition and (b) weak adhesion resulting in short wear time and difficult application. While various commercially available adhesive pastes and glues have been introduced to reinforce adhesion of ostomy bag to abdominal skin, existing adhesives for ostomy bags still lack the ability to form strong and stable adhesion, often resulting in premature failures and leakages. Such leaked digestive effluent can damage surrounding skin tissues, creating painful swelling and

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Keeping up to date with stoma care accessories: Enabling informed choice

Cited by 23 publications

References 15 publications

Care and management of a stoma: maintaining peristomal skin health

Care and management of a stoma: maintaining peristomal skin health

Body Fit With a Pouching System With Concave Contour for People With an Outward Peristomal Body Profile

Biocompatible hydrogel ostomy adhesive

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