Research & Publications

Search Show Advanced Search
Category :

Total Items: 

One Little Circle - One Great Result One Great Result

Author:  Kristine Louis, Stomal Therapy, CNS, Royal Prince Alfred Hospital, Sydney.
 
Clinical Challenge
  • To eliminate maceration of skin around the insertion site of a PEG tube, as a result of previous intermittent seepage of gastric fluid.

Figure 2Figure 2Figure 1Figure 1

  • To minimise the ‘dragging’ effect of the PEG tube at the insertion site (Figure 1).
  • To eliminate significant pressure markings from the indentations on the underside of the PEG flange, which have the potential to cause skin ulceration (Figure 2).
 
Technique Implemented

Figure 5Figure 5Figure 4Figure 4Figure 3Figure 3

 

 

 

 

 

 

 

  • Clean and dry the peri tube area.
  • Cut a slit into a Eakin Cohesive® Slims™ (Figure 3)
  • Wrap the Slims™ around the PEG tube, under the flange (Figure 4)
  • Cut a slit halfway through a 10 x 10cm through a 10 x 10cm Coloplast Comfeel Plus Transparent Dressing (Figure 5)
Figure 6Figure 6
  • Remove backing and wrap around PEG tube, over the flange (Figure 6)
  • Slims™ and Comfeel Dressing changed twice weekly
 
Outcomes
  • Skin maceration eliminated
  • PEG tube tethered, therefore the ‘dragging’ effect was minimized
  • Pressure alleviated from the flange indentations