Author: Jo Hoefl ok RN, BSN, MA, CETN(C), CGN(C), Advanced Practice Nurse, St. Michael’s Hospital, 416-864-5112
This case study looks at the use of Eakin Cohesive® Skin Barriers to protect the area around an open midline abdominal wound and fistula.
Goals of care:
Protect the skin
Control odor and drainage
Ensure patient comfort and mobility
Facilitate care for staff.
Step 2Step 1Application:
Step 4Step 3
Cut pieces of Eakin Cohesive® to fit side contours of the wound
There should be overlap with any adjacent pieces (about 2cm of overlap)
Build Eakin Cohesive® on both sides
Beware of fistula orifice, do not occlude with Eakin Cohesive® or paste.
Step 6Step 5
Begin to build the Eakin Cohesive® for the transverse wound, again overlapping pieces and starting from the inferior edge
Continue to build around the lateral edge and upper edge of the transverse wound with Eakin Cohesive®
Step 8Step 7
- Apply a bead of paste to all inner edges of the trough, with a “double” layer at the bottom of the lower midline wound
- Cover entire trough with long sheets of Tegaderm™
- Each piece should be overlapping as well.
Step 10Step 9
Step 12Step 11