Using eakin dot^® 2 piece soft convex for a patient with cognitive impairment

Case study submitted by: Jan Fields, Stomal Therapy Nurse, Australia

4 reasons to use:

1. Secure coupling ensures pouch can’t be pulled off¹
2. Unique ‘peel-down’ to remove pouch discourages accidental removal¹
3. Longer pouch weartimes^1,2
4. Increased patient security and comfort^1,2

Patient History:

• 77 year old gentleman
• Colostomy since 2005 after continence issues post bowel resection
  and treatment for malignancy 20 years ago
• Living in an Assisted Care Facility
• Multiple complications including depression and hypertension
• Using 2-piece closed pouches and ‘click on’ flat baseplates

Problems:

• Cognitive decline /mental confusion leading to inability to selfmanage stoma changes
• Decreased stomal output, constipation, faecal loading and
  abdominal pain
• Frequent stoma pouch leakage under base and out of filter
• Peristomal skin issues
• Often distressed – requesting up to 6 pouch changes per day from
  staff
• Stoma almost flush to skin
• Large hiatus and incisional hernia and protruding abdomen

Success with eakin dot^® 2-piece soft convex:

• Secure coupling discouraged “accidental” removal by the gentleman
• Easy for staff to manage pouch changes
• 3-4 day weartime achieved with hydrocolloid for longer-life wear
• No leaks experienced
• Significant improvement in peristomal skin
• Comfortable to wear and fitted well over his hernia and abdomen

Clinical evidence for choosing eakin dot^® 2-piece soft convex:

• hydrocolloid for longer-life wear is clinically proven to offer greater security, pouch
  weartime and skin-friendliness compared to other market leading pouches²
• Soft convex insert provides greater support around the stoma compared to other 2-piece systems²
• 100% of users agree it flexes with body contours²

References

1. eakin dot^® 2-piece nurse case study, Data on File, 2019.
2. eakin dot^® 2-piece soft convex user evaluations, Data on File, 2019.