The outcomes of barrier protection in periwound skin and stoma care

Abstract

This article considers the anatomy and physiology of the skin,wound healing, excoriation, maceration, peristomal skin and the importance of periwound protection. The results of a 54-patient study of the use of barrier film forming skin protection in periwound skin are presented and a 10-patient healthy volunteer experimental evaluation. The results confirm the effectiveness of barrier protection in healthy skin in an experimental evaluation and a 54-patient study requiring periwound protection.

Identifying, managing and preventing skin maceration: a rapid review of the clinical evidence

“…Wulfhorst et al 23 demonstrated that by allowing excess fluid to escape, skin remained healthier and less likely to become macerated. The participants in Wulfhorst et al's study were wearing the gloves for only 20 minutes and already the TEWL measurement had increased, suggesting that patients wearing occluding wound dressings, or any type of occlusive skin covering such as a plaster cast for fractures, stoma care, 32 or prosthetic sockets for amputee patients 33 may experience moisture damage over a longer period. It would be interesting to see if semi-permeable garments capable of high moisture transfer and loss, or the moisture-wicking fabric used by Singh, 14 could be placed under plaster casts, medical devices or prosthetic sockets to pull moisture away from these occluded areas, thereby preventing maceration and improving patient comfort and wellbeing.…”

Calidad de vida en personas portadoras de una ostomía digestiva.

“…Se encontraron 19 estudios en los que se menciona la afectación directa de la calidad de vida de las personas ostomizadas a causa de los tratamientos médicoquirúrgicos e intervenciones de enfermería efectuados para disminuir las complicaciones de la ostomía (35)(36)(37)(38)(39)(40)(41)(42)(43)(44), la necesidad de contar con profesionales de enfermería entrenados en el manejo de los dispositivos de barrera para garantizar una adecuada educación y entrenamiento en el cuidado de la ostomía (45)(46)(47)(48), además de aspectos psicológicos, sexuales y religiosos relacionados con la presencia de la ostomía, los cuales generan alteración en el rol laboral y social, rechazo y problemas de exclusión en algunas poblaciones específi cas, cuya cultura difi culta vivir en sociedad con un estoma digestivo (49)(50)(51)(52).…”

“…Dispositivos de barrera-Rentabilidad, uso, evaluación a las enfermeras que atiende el estoma, tecnologías con silicona (45)(46)(47)(48). Aspectos psicológicos y sexualidad -Atención psicosocial por las enfermeras que atienden el estoma, aspectos psicológicos generados por la presencia del estoma (49)(50)(51).…”

Using silicone technology to maintain healthy skin in stoma care

“…The skin around the stoma should be clean, intact and dry andnotdifferinanywaytotheremainderoftheabdominal skin (Stephen-Haynes, 2014).Assessment of the peristomal skinshouldbeundertakentoassessthisaswellastheeffects oftheadhesiveandthepotentialeffectsoftheeffluentonthe skin. Toolsdoexisttoassistthenurseinassessingskinintegrity andcanbeusefulfornewlyqualifiedhealthprofessionalswho do not have the experience to assess independently.…”