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Stoma care - 5(a) - Problem-solving

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VOL: 97, ISSUE: 19, PAGE NO: 43

CHRIS METCALF, GASTROENTEROLOGY ENDOSCOPY NURSE SPECIALIST, WEST HERTS NHS TRUST, WATFORD GENERAL HOSPITAL.

The cause of skin soreness in patients with a stoma must always be identified if long-term problems are to be avoided. Any soreness should be referred to a stoma care nurse for assessment. The stoma care nurse can advise and supervise the management of the patient's stoma.

The cause of skin soreness in patients with a stoma must always be identified if long-term problems are to be avoided. Any soreness should be referred to a stoma care nurse for assessment. The stoma care nurse can advise and supervise the management of the patient's stoma.

The main cause of sore skin around a stoma is leakage. Simple measures, for example, emptying the pouch regularly and changing the appliance regularly can prevent this. Excessive weight gain and weight loss may also result in leakage, as the stoma size and contours of the skin may change. Stoma size should therefore be checked periodically.

Skin soreness may be caused if patients develop a sensitivity to the skin-protective or base plate of their appliance. The reaction may only be short term and, after a period of time using a different product, patients may eventually be able to return to using their original appliance. If patients are reluctant to change their appliance it may be possible to use a skin-protective sheet under the skin-protective.

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