Abdominal Stomas and Their Skin Disorders: An Atlas of by Calum C Lyon, Amanda J Smith

By Calum C Lyon, Amanda J Smith

This cutting edge guide goals to bridge the space among the colorectal health professional, the stoma nurse and the dermatologist. It addresses the questions of what pathology is concerned, what should be performed by way of nurses, whilst to consult a dermatologist, and what should be performed by means of a dermatologist.

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This is certainly true of ileostomy patients with a short bowel and of those with a jejunostomy. These more proximal stomas also produce a higher concentration of digestive enzymes in the effluent. As well as increasing the likelihood of skin corrosion, in some instances the effluent will rapidly dissolve the hydrocolloid of the stoma barrier, so that leakage on to peristomal skin is unavoidable. Primary peristomal skin diseases or physiological changes impair bag adhesion and consequently cause leaks Inflammatory skin diseases such as eczema or psoriasis interfere with normal bag adhesion to the skin, thereby causing leaks.

Education and professional development in specialist practice. Br J Nursing 1995;4:1005–7. 3. Royal College of Surgeons. Guidelines for the Management of Colorectal Cancer. London: Royal College of Surgeons, 1996. 4. Kelly M. Mind and body. Nursing Times 1994;90:48–51. 5. Wilkinson S. Confusions and challenges – communication skills. Nursing Times 1992;88:24–6. 6. Wade B. A Stoma is for Life. London: Scutari Press, 1989. 7. Metcalf C. Stoma care: exploring the value of effective listening. Br J Nursing 1998;7: 311–15.

23). 24 Application of Orahesive powder (ConvaTec, Uxbridge, UK) or sucralfate powder to (a) eroded peristomal skin. (b) Powder is sprinkled on to the skin and (c) the excess removed by lightly wafting. The powder remains adhering to the moist eroded areas only. For further protection in this case a secondary hydrocolloid wafer (d) was applied before (e) fitting the bag. (c) (a) (d) (b) (e) Stoma appliances and the specialist nurse Eroded faecal dermatitis This complication is discussed in Chapter 3.

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