Case Study Location
UK
Patient
65 year old lady.
Type of Stoma
An anterior resection and loop ileostomy for diverticular disease, 4 years ago. She was unable to have a reversal of her loop ileostomy, but it was converted to an end ileostomy.
Before Dermacol
Mrs X experienced problems with managing the stoma and, as a result, she lacked confidence. The stoma problems included:
- Burning Skin
- Leakages
- Loss of confidence
On assessment, the ileostomy was short spouted and the peristomal skin was sore but not broken. Due to loose effluent, it was seeping under the flange, causing the adhesive to dissolve and skin to burn. She was already using a convexity pouch with belt and did not want to try a different product. She was changing her appliance daily and using hydrocolloid powder to help with burning skin.
Trial
Mrs X was measured for the Dermacol stoma collar, using the Dermacol size guide. The Dermacol size was 29mm, which was different from her usual cutting size of 32mm for the one-piece pouch she was using. It was noted that the Dermacol collar was longer than the ileostomy spout by 1cm.
Results
On examination, the peristomal skin was healthy and Mrs X reported no burning or leaks. The pouch and stoma collar stayed in place for 24 to 48 hrs, but the patient would often change her pouch for a clean appearance.
Patient Says
Mrs X reported Dermacol had enhanced her stoma care and increased her confidence - but, most importantly, had improved her skin.