Stoma case study | Treating moisture-associated skin damage | eakin®
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Choose eakin Cohesive® seals when treating moisture associated skin damage

Case study submitted by: Ian Whiteley – Clinical Nurse Consultant, Concord, Australia

Patient history:

  • 83 year old male
  • Diagnosed with low rectal cancer
  • Ultra-low anterior resection with a loop ileostomy
  • Previous history of prostate cancer – treated with radiotherapy
  • High output stoma post operatively – treated with medication
  • Discharged home when output was <1000mls/24hrs
  • Follow up phonecall (Day 2)
    • no problems reported
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Nurse review (Day 12):

  • Patient presented with severe moisture-associated skin damage around the stoma

Problems:

ostomate with masd

  • Ostomy appliance had leaked due to a change in abdominal contours as distention had resolved
  • Patient had been cutting the flange too small
  • Stoma output was watery and corrosive to the peri-stomal skin

Nurse recommends:

  • Use of a Welland barrier film
  • Large eakin Cohesive® seal to cover the area of damaged, reddened, moist and painful peristomal skin
  • Change flange from flat to soft convex
  • Support belt for added security

Outcome:

stoma after using eakin cohesive seal

  • The large eakin Cohesive® seal successfully absorbed the moisture from the peristomal skin and protected it from further moisture related skin damage
  • The patient’s peristomal skin was essentially healed and the patient was now pain free

Reasons to use:

  • Smoothing out irregular skin and filling dips and creases 1,2,3,4
  • Encircling the stoma to prevent corrosive output from damaging the appliance flange2,3
  • Adding protection for people with a high output ileostomy 2,3,4
  • Protecting against contact dermatitis 1,2,3,4
  • Prevention of repeated stoma problems2,3

Clinical evidence for choosing eakin Cohesive® seals:

Superior absorption4
High protection against enzymes 3,4
Combats irritants3,4

References

  1. Boyles A (2010) Keeping up to date with stoma accessories: enabling informed choice. Gastrointestinal Nursing 8:6 28-42
  2. Evans S, Burch J (2017) An overview of stoma care accessory products for protecting peristomal skin. Gastrointestinal Nursing 15:7 25-34
  3. Kelly O’Flynn (2016) Protecting peristomal skin: a guide to conditions and treatment. Gastrointestinal Nursing 14:7 14-19
  4. Mc Groggan G, Haughey S and McDowell K (2018) An absorbent, enzyme-inhibiting seal reduces peristomal skin complications. Gastrointestinal Nursing 16:1 42-49