Case studies

The following case studies were developed by Sally Matson, RN, BSN, MS, CWOCN of the Orlando Regional Medical Center in Orlando, Florida, USA. During a six week period, Sally and her team evaluated ConvaTec Mouldable Technology™,a skin barriers on fourteen patients. The following case studies demonstrate her success across a wide variety of patient and stoma types.

Summary:

  • Peristomal skin integrity is vital for successful adhesion and quality of life.
  • The skin barrier is the first line of defense in maintaining good healthy skin.
  • ConvaTec Mouldable Technology™,a skin barriers provide an individualised fit minimising risk of effluent and urine coming into contact with the peristomal skin.
  • This technology is simple for patients and is more convenient as it eliminates the need for cutting and additional accessories to get an ideal fit helping to prevent skin complications.

CASE 1 PREVENTION OF SKIN IRRITATION

Clinical challenge:

  • Colostomy patient
  • Routine post-operative visit
  • Maintain healthy skin around stoma

clinicalChallenge

Clinical action:

Results

  • Pictures taken on follow-up visit one week later
  • Hydrocolloid collar was well in place and skin was healthy upon removal
  • Skin barrier seal around stoma was still protected

02

  • Upon removal, skin barrier showed a mild turtlenecking effect and adhesive taking form to shape and size of stoma

03

  • Skin condition upon removal of ConvaTec Mouldable Technology™,a Stomahesive® Skin Barrier with Hydrocolloid Flexible Collar
  • Skin Barrier helped maintain healthy skin around the stoma

04

CASE 2 FLUSH STOMA WITH MUCOCUTANEOUS SEPARATION

Clinical challenge:

  • 74 year old female
  • Unsuccessful takedown of a small bowel fistula, resulting in a colostomy
  • Oval, flush stoma
  • Mucocutaneous separation occurred week 1 post-operatively

05

Clinical action:

06

Results

07
Before

08
After

CASE 3 COLOSTOMY AND SMALL BOWEL FISTULA

Clinical challenge:

  • 74 year old female
  • Underwent transverse loop colostomy after colon perforation
  • Developed small bowel fistula at the lower midline incision
  • Colostomy functional of liquid stool
  • Husband primary carer for managing stoma

09

Clinical action:

10

Results

  • Carer was pleased with simplicity of mouldable convex on fistula because it eliminated complexity of using paste and barriers into skin creases and depressions
  • The moulded adhesive helped prevent leakage and skin erosion as well as providing comfort and security for the patient

CASE 4 COLOSTOMY IN CREASE

Clinical challenge:

  • First day post-op, large amount of liquid mucous
  • Colostomy located in a crease

11

Clinical action:

12

13

Results

  • Revisited 2 days later, patient still maintained a good seal and felt comfortable.

Colostomy in crease


Print this content
Send to a friend [+]
Thank you for sharing ConvaTec content across the internet. In order for us to send the request we will need you to provide the following information.
* Sender name:
* E-mail from:
* E-mail to:

13255
http://uk.live.nodeb.convatemp.dk/external-link.aspx
Other ConvaTec websites
Click here to exit

Cookies are needed for this website to work optimally. They also help us to know a little bit about how you use our website, which improves the browsing experience.  Cookies on this site are used for traffic measurement and optimisation of page content only. By continuing to browse on this website, you indicate your consent to the use of cookies.  You may block the use of cookies by following the "How to block and avoid cookies" instructions

Learn more about our Cookie policy