Case studies
The following case studies were developed by Sally Matson, RN, BSN, MS, CWOCN of the Orlando Regional Medical Center in Orlando, Florida, USA. During a six week period, Sally and her team evaluated ConvaTec Moldable Technology™,a skin barriers on fourteen patients. The following case studies demonstrate her success across a wide variety of patient and stoma types.
CASE 1: PREVENTION OF SKIN IRRITATION
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Clinical challenge:
- Colostomy patient
- Routine post-operative visit
- Maintain healthy skin around stoma
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Clinical action:
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Results:
- Pictures taken on follow-up visit one week later
- Hydrocolloid collar was well in place and skin was healthy upon removal
- Skin barrier seal around stoma was still protected
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- Upon removal, skin barrier showed a mild turtlenecking effect and adhesive taking form to shape and size of stoma
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- Skin condition upon removal of ConvaTec Moldable Technology™,a Stomahesive® Skin Barrier with Hydrocolloid Flexible Collar
- Skin Barrier helped maintain healthy skin around the stoma
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CASE 2: FLUSH STOMA WITH MUCOCUTANEOUS SEPARATION
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Clinical challenge:
- 74 year old female
- Unsuccessful takedown of a small bowel fistula, resulting in a colostomy
- Oval, flush stoma
- Mucocutaneous separation occurred week 1 post-operatively
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Clinical action:
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Results:
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Before
After
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CASE 3: COLOSTOMY AND SMALL BOWEL FISTULA
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Clinical challenge:
- 74 year old female
- Underwent transverse loop colostomy after colon perforation
- Developed small bowel fistula at the lower midline incision
- Colostomy functional of liquid stool
- Husband primary caregiver for managing ostomy
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Clinical action:
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Results:
- Caregiver was pleased with simplicity of moldable convex on fistula because it eliminated complexity of using paste and barriers into skin creases and depressions
- The molded adhesive helped prevent leakage and skin erosion as well as providing comfort and security for the patient
CASE 4: COLOSTOMY IN CREASE
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Clinical challenge:
- First day post-op, large amount of liquid mucous
- Colostomy located in a crease
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Clinical action:
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Results:
- Revisited 2 days later, patient still maintained a good seal and felt comfortable.
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Summary:
- Peristomal skin integrity is vital for successful adhesion and quality of life.
- The skin barrier is the first line of defense in maintaining good healthy skin.
- ConvaTec Moldable Technology™,a skin barriers provide an individualized fit minimizing risk of effluent and urine coming into contact with the peristomal skin.
- This technology is simple for patients and is more convenient as it eliminates the need for cutting and additional accessories to get an ideal fit helping to prevent skin complications.
Notes [+]
- A ConvaTec Moldable Technology™ Flat Skin Barrier was used in this case study, however ConvaTec would generally recommend a ConvaTec Moldable Technology Convex Skin Barrier for stomas that are flush and do not protrude from the abdomen.