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- Title
Management of chronic peri-stomal dermatitis with hypergranulation: moisture associated skin damage (MASD) of a colostomy in a rural setting.
- Authors
Garfield, Timothy M.
- Abstract
Moisture associated skin damage (MASD) caused by stoma output, secretion, effluent and fluids onto peristomal skin is defined as peristomal dermatitis. It is a common occurrence post stoma formation and the corner stone of management is prevention of stoma output from contacting peristomal skin. Chronic exposure of stoma output to peristomal skin can result in erosion and wound healing by secondary intention. The proliferation phase of wound healing, if disrupted, can result in hypergranulation characterised by dark raised swollen tissue which bleeds easily and inhibits epithelialisation. Peristomal dermatitis and hypergranulation prevention requires the stoma pouching system to be fitted effectively with a combination of skin barriers, hydrocolloid powders, pastes and seals preventing output contacting peristomal skin. In rural settings frequency of treatment can impact on resolution of identified peristomal skin problems.
- Subjects
PREVENTION of chronic diseases; WOUND healing; NURSES; SKIN inflammation; TRAFFIC accidents; OCCUPATIONAL roles; SKIN care; SILVER nitrate; GRANULATION tissue; HUMIDITY; COLOSTOMY; OSTOMATES; RURAL conditions; WOUND care; ACTIVITIES of daily living
- Publication
Journal of Stomal Therapy Australia, 2024, Vol 44, Issue 1, p20
- ISSN
1030-5823
- Publication type
Article
- DOI
10.33235/jsta.44.1.20-24