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- Title
Deep convexity: objective assessment for selection of convexity for an ileostomy in a skin fold.
- Authors
Garfield, Timothy M.
- Abstract
Optimising stoma appliances to manage stoma output to prevent leakage, associated peri-stomal skin damage and the subsequent negative impacts on quality of life is a key role for the stomal therapy nurse. Use of deep convex stoma appliances to achieve optimal management of stoma output is often required when stomas are retracted, in deep skin folds or with uneven skin surface due to abdominal scaring or underlying general body shape and tone. Assessment of convexity has been described as subjective using observation, based on clinical experience and at times trial and error to achieve appropriate appliance selection. This case study introduces an objective method for convexity assessment of depth and slope of convexity, individualised to the person's stoma in a skin fold.
- Subjects
CESAREAN section; ANTIBIOTICS; HOME care services; PATIENT compliance; INTESTINAL perforation; SURGICAL wound dehiscence; NURSING assessment; LAPAROSCOPIC surgery; ABDOMINAL surgery; PATIENT care; ULCERATIVE colitis; ORAL drug administration; TREATMENT effectiveness; NEGATIVE-pressure wound therapy; MEDICAL equipment; ILEOSTOMY; OSTOMY; SURGICAL site infections; PATIENT satisfaction; ENTEROSTOMY nursing; COLECTOMY
- Publication
Journal of Stomal Therapy Australia, 2024, Vol 44, Issue 2, p18
- ISSN
1030-5823
- Publication type
Article
- DOI
10.33235/jsta.44.2.18-23