Stomal and Peristomal Complications

Question 1

Appropriate routine skin care (cleansing w/ H20; gentle technique; no scrubbing, thorough rinsing if soap used)

Answer 1

x

Question 2

Characteristics of drainage that impact on level of skin protection required (eg. small bowel drainage is enzymatic & therefore requires most protection)

Answer 2

z

Question 3

Appropriate use of skin sealants and skin barriers and difference between Karaya and pectin barriers

Answer 3

x

Question 4

Crusting procedure and indications for use; “no-sting” options for “sealing” powder to skin

Answer 4

x

Question 5

Describe the following pathological states; describe correct management
Mechanical damage
Chemical damage
Allergic damage
Yeast Rash
Pyoderma Grangrenosum

Answer 5

Mechanical damage
Chemical damage
Allergic damage
Yeast Rash
Pyoderma Grangrenosum

Question 6

Indications for referral to dermatologist

Answer 6

x

Question 7

Time frame for development of stomal ischemia, also assessment and management guidelines

Answer 7

x

Question 8

Risk factors for mucocutaneous separation & how to manage

Answer 8

x

Question 9

Guidelines for prevention and management of peristomal hernia, including guidelines for “safe” irrigation

Answer 9

x

Question 10

Management of prolapse and importance of assessing for ischemia or obstruction when prolapse occurs

Answer 10

x

Question 11

How to assess for presence and severity of stenosis and how to apply assessment finding to management plan (including indications for surgical consult)

Answer 11

x