By Calum C Lyon, Amanda J Smith
This leading edge guide goals to bridge the distance among the colorectal health care professional, the stoma nurse and the dermatologist. It addresses the questions of what pathology is concerned, what may be performed through nurses, while to consult a dermatologist, and what could be performed via a dermatologist.
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Extra info for Abdominal Stomas and Their Skin Disorders: An Atlas of Diagnosis and Management
A number of patients with poor eyesight or poor manual dexterity prefer to continue using this 32 Abdominal Stomas and their Skin Disorders appliance because it is easy to see the position of the stoma through the bag when placing the appliance. More usually, the effluent from the stoma can be concealed using flesh-coloured or opaque ‘soft-to-touch’ pouches. As for other appliances, these products are available with the aperture pre-cut or ‘cut to fit’. 20) available for the patients and the nurse specialist to help in the management of ostomies.
Resuscitation facilities must be immediately available. 5 Usage testing, as applied to peristomal dermatitis, involves the patient placing an appliance and all other materials to the normal side of their abdomen, at the same time and in the same way as on the stoma side, for a period of 5 days. The patient illustrated developed a vesicular dermatitis as a result of an allergy. Usage testing is not diagnostic of allergy; it shows only that the patient is sensitive to some component of their stoma products.
G. 12 Stoma shape, appearance and function, especially soon after surgery, can be a cause of patient anxiety. 8). Reassurances should be given that changes will occur; any deviation from the norms, however, needs prompt attention. The earlier a problem is identified, the easier it is to rectify it. Patients are often concerned about their skin; reassurance should be given that most ostomy products are skin-friendly and allergy is rare (see Chapter 3). The pouch should be cut to the exact size and shape of the stoma to protect the peristomal skin and prevent leakage.
Abdominal Stomas and Their Skin Disorders: An Atlas of Diagnosis and Management by Calum C Lyon, Amanda J Smith