The Journal of Stomal Therapy Australia - Australian Association of ...

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Reasons For Choosing The Convex Appliance • ConvaTec’s Surfit - Plus Durahesive® convexity appliance system was chosen as the unique turtle necking effect of the wafer ensured a snug fit and secure seal around the stoma, minimising peristomal skin exposure and promoting peristomal skin healing. • Pre-cut size was chosen for ease of use and to further simplify stoma management. • The design of the flexible Durahesive convexity wafer provided appropriate contouring to the abdomen and created a secure seal. • The large surface area of the hydrocolloid wafer with the taped edges reinforced skin adhesion and added security. • ConvaTec’s high output pouch effectively contained the large amounts of effluent, preventing the pouch filling too quickly and thus allowing Ms H plenty of time to reach a toilet to empty it. • The tap on the ConvaTec high output drainable pouch allowed an overnight drainage bag to be attached, which in turn minimised sleep disturbances by not having to empty the pouch. • When changing the wafer, adhesive removers ensure atraumatic removal of the wafer. • Before applying a new wafer, a protective film wipe was applied to improve barrier adhesion, prevent risk of allergic skin reactions occurring from the wafer and to act as a moisture barrier. • Ms H was encouraged to wear an ostomy belt and hernia support pants for increased security 5 . References 1. Lyon CC, Smith AJ. 2001, Abdominal Stomas and Their Skin Disorders – An Atlas of Diagnosis and Management. UK:Martin Dunitz, 2001. 2. United Ostomy Associations of America Inc. Accessed 13 August 2006 www.uoa.org. 3. Shah S. Management of ileostomy and other GI fluid losses, New York: Kings County Hospital, 2005. 4. University of Michigan, Dehydration Prevention Teaching. Accessed 10 August 2006 www.med.umich.edu/1libr/aha/ dehydration%20handout.pdf. 5. Hampton BG, Bryant RA. 1992, Ostomies and Continent Diversions Nursing Management. USA:Mosby Year Book, 1992:31-100. • The superior adhesive properties of the Durahesive wafer ensured an extended wear time allowing appliance changes to reduce to once daily instead of several times daily, creating a more manageable routine of stoma care for Ms H. The Outcome • The ConvaTec Sur-fit convexity appliance provided a secure pouching system preventing skin irritation and erosion from the pooling of effluent on the peristomal skin. • No leakage problems were evident and the peristomal skin was protected • The effectiveness of ConvaTec’s Sur-fit appliance system helped to boost Ms H’s self-esteem, enabling her to develop a trusting relationship with her stomal therapy nurse and thus creating a positive learning environment with developing confidence to self-manage her ileostomy care. Photo 1 Assessment of stoma and peristomal skin prior to selecting appropriate appliance. Hints And Tips • To create a level pouching system by filling in the moat to achieve the correct degree of convexity around the peristomal skin, barrier seals (Eakin Cohesive® Seal) and paste (Stomahesive® Paste) were applied on the back of the wafer. Photo 2 Assessment of abdominal contours to determine most appropriate appliance required. • Prior to applying a new wafer, powder (Stomahesive) was applied to the broken peristomal skin areas to minimise further skin damage and to promote healing of the peristomal skin. JOURNAL OF STOMAL THERAPY AUSTRALIA 2007 27(3) 23
Page 1 and 2: The Journal of Stomal Therapy Austr
Page 3 and 4: President’s report It’s our AAS
Page 5 and 6: Challenges of managing a retracted
Page 7 and 8: S c i e n c e • S o l u t i o n s
Page 9 and 10: Survey research considered the rate
Page 11 and 12: Only 11.7% of clients were discharg
Page 13 and 14: The Elinor Kyte Research Grant Aust
Page 16 and 17: Risk management in stomal therapy p
Page 18 and 19: You say We asked STNs from Australi
Page 20 and 21: poor construction of the stoma pati
Page 24 and 25: Colorectal Surgical Society of Aust
Page 26 and 27: Beneath the waves Grant McLaren •
Page 28 and 29: one’s back in the bottom of the v
Page 30 and 31: YOU Inc President’s report March
Page 32 and 33: State reports Australian Capital Te
Page 34 and 35: Sue Delanty remains on the Educatio
Page 36: News updates A new super clinic has

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