Peristomal skin complications

Preventive action and peristomal skin care

To prevent, recognize and treat initial skin changes, patient education is an essential preventive measure. Diligent skin care, thorough cleansing between bag changes, and even the right adhesive are cornerstones in avoiding and overcoming dermatological complications. The choice of suitable skin care products and stoma appliances to fit the individual needs is crucial. It is important that the ostomy bag has an effective and skin-friendly adhesive. Adhesion to the peristomal skin should be firm enough to prevent leakage, whilst also being easy to remove so that the user can avoid pain and skin damage. 

Holistic assessment

• Conduct a full holistic assessment of the patient – including complete medical history, diagnosis requiring stoma, mobility status, comorbidities, history of skin problems, and any previous interventions or treatments.
• Perform a visual inspection and physical examination of the stoma and peristomal skin – including general appearance, skin integrity, presence and distribution of hair; compare the peristomal skin to adjacent abdominal skin and check for any changes.
• Assess the patient’s current appliance and any effect this has on the skin. Consider changing to a different appliance if necessary and use appropriate accessories to protect the skin.
• Educate the patient on hygiene and bag application and removal. Provide information and support on self-care and ongoing management.