Author: Lauraine Martel, Client Care Counselor,wound and ostomy. CSSS Pierre-De Saurel
This case study examines the use of Eakin Cohesive® Seals, combined with other products, to treat severely excoriated skin.
Assessment details: 29th June 2010
Patient was assessed on his first admission to hospital and was previously using a Hollister 2 piece appliance
Stoma was round, flush and slightly retracted (peristalsis) with an opening at around 6 o’clock. The abdomen was round and deformed with multiple hernias and a crevice from 3-7 o’clock
Peristomal skin was excoriated and a wound had developed around the stoma causing serous redness and pain
To treat the patient, an Eakin Cohesive® Seal was applied from 3-12 o’clock. AQUACEL® Ag Hydrofiber® Dressing was applied on the wound from 3-9 o’clock with hydrocolloid (DuoDERM® Extra Thin) and the Stanley Procedure (powder and Cavilon™) also used. Reduced pressure was used to apply the ConvaTec Moldable Technology™ convex wafer 404593
This resulted in a weartime of 48 hours.
Step 3Eakin Cohesive® appliedBefore treatment
Assessment details: 9th July 2010
When the patient was assessed 10 days later, there was a significant improvement in the skin condition
The broken skin had disappeared after using powder, Cavilon™ and Cohesive®
There was a great improvement in skin lesions
Ulcerations near the stoma have remained the same, so use of AQUACEL® Ag Hydrofiber®
Dressing and Eakin Cohesive® was continued
Pouch weartime is still 2 days
As the patient has shown considerable improvement since his last assessment, the same treatment was continued.
9th July 2010: c9th July 2010: b9th July 2010: a
9th July 2010: e9th July 2010: d
Assessment details: 21st July 2010
21st July 2010: c21st July 2010: b21st July 2010: a
21st July 2010: d