Marieke Muller, Stoma Nurse, Tergooi Hospital, Hilversum, The Netherlands
3 reasons to use:
Increased patient security, confidence and comfort1,2
Skin friendly hydrocolloid for longer-life wear1,2
Significant improvement in peristomal skin condition1,2
Patient History:
13 Mar 2019: Acute rectosigmoid resection with end colostomy due to sigmoid perforation (tumour)
Very large post-op stoma
Patient discharged to nursing
home on an adhesive 2-piece
system with closed pouch
Nurse review:
29 Mar 2019: Attended hospital – hypersensitive severely excoriated skin. Evidence of skin stripping and blisters requiring adhesive remover to remove baseplate
Stoma reduced in size – changed to smaller 2-piece system
Blisters treated with powder. Flange extender used around edge of baseplate
Discharged to nursing home. Advised to change baseplate 3 x per week and closed pouch 1 x per day. Revisit in 1 week
2 Apr 2019: Painful broken skin with blisters. Leakages under baseplate at left and right sides. Baseplate worn for 4 days. Pouch changed once per day
Nurse recommends eakin dot® 2-piece:
2 Apr 2019: Attended hospital – recommended to change to
eakin dot® flat 80mm ring size with eakin Cohesive StomaWrapTM
and flange extender on right side.
Drainable pouch used due to loose
output. Discharged to nursing home
with recommendation to change
baseplate 2 x per week and
continue with daily pouch changes
5 Apr 2019: Baseplate changed in
nursing home with daily pouch
changes and emptying throughout
the day
Outcome:
8th Apr 2019: Significant improvement in peristomal skin
9th Apr 2019: Hospital appointment. Gentleman able to change baseplate himself using adhesive remover spray and reported reduced pain
12th Apr 2019: Nursing home changed flange
15th Apr 2019: Returned to using closed pouch, changing 1-2 times/day. No leakages, output is thicker and skin has healed within 2 weeks of switching to eakin dot® 2-piece flat system
Clinical evidence for choosing eakin dot® 2-piece:
hydrocolloid for longer-life wear is clinically proven to offer greater security, pouch weartime and skinfriendliness compared to other 2-piece hydrocolloids tested.1
References
eakin dot® 2-piece user evaluations. Data on file. 2017-2019
eakin dot® 2-piece nurse case study. Data on file. 2019
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