References

Burch J, Boyles A, Maltby E Keep it simple: peristomal skin health, quality of life and wellbeing. Br J Nurs. 2021; 30:S1-S24 https://doi.org/10.12968/bjon.2021.30.Sup6.1

Lager P, Loxdale L. Use of breathable silicone technology in an ostomy appliance flange. Br J Nurs. 2021; 30:S25-S25 https://doi.org/10.12968/bjon.2021.30.Sup8.25

LeBlanc K, Whiteley I, McNichol L, Salvadalena G, Gray M. Peristomal medical adhesive-related skin injury: results of an International Consensus Meeting. J Wound Ostomy Continence Nurs. 2019; 46:(2)125-136 https://doi.org/10.1097/WON.0000000000000513

Payne D. Skin integrity in older adults: pressure-prone, inaccessible areas of the body. Br J Community Nurs. 2020; 25:(1)22-26 https://doi.org/10.12968/bjcn.2020.25.1.22

Trio Healthcare. Genii™ the worlds first silicone-adhesive stoma bag. 2022. https://trioostomycare.com/products/trio-genii/ (accessed 7 March 2022)

Voegeli D, Karlsmark T, Hans Eddes E Factors influencing the incidence of peristomal skin complications: evidence from a multinational survey on living with a stoma. Gastrointestinal Nursing. 2020; 18:S31-S38 https://doi.org/10.12968/gasn.2020.18.Sup4.S31

A new approach with a novel silicone adhesive stoma bag: a clinical study on peristomal skin and quality of life

24 March 2022
12 min read
Volume 31 · Issue 6

Abstract

The care of peristomal skin is a major challenge for people living with a stoma, as well as stoma care nurses. Peristomal skin complications include medical adhesive-related skin injuries/skin stripping, moisture-associated skin damage and contact dermatitis. There is also a limited choice of hydrocolloid adhesive stoma bags. This article reports on the introduction of Genii™, a new stoma bag that sticks with a unique breathable silicone adhesive. The study investigated the experiences of 61 colostomates over a 6-week period, examining the effect on their peristomal skin and their quality of life, in terms of sleep, self-image, social confidence and exercise, and overall product performance. The majority of study participants reported a positive experience when using the stoma bag.

Good skin integrity is vital to good health. It acts as a barrier to microbes and toxins, and any breaches in the skin can have a negative impact on the overall health of patients, as well as cause pain and discomfort (Payne, 2020).

The vulnerability of the skin surrounding a person's stoma (peristomal skin) presents a major challenge for people living with a stoma, as well as stoma care nurses (SCNs).

Healthy peristomal skin is intact and does not cause distress, nor impair the quality of life (QoL) of the person living with the stoma (Burch et al, 2021). However, the peristomal skin is highly vulnerable to damage and this is reflected by the fact that more than 80% of ostomates have skin problems around their stoma within 2 years of surgery (LeBlanc et al, 2019).

Some examples of peristomal skin complications that ostomates may experience include medical adhesive-related skin injuries/skin stripping (MARSI), moisture-associated skin damage (MASD) and contact dermatitis (Burch et al, 2021). Such complications are often a result of leakage (Voegeli et al, 2020), as well as ostomates' limited choice of stoma bags, with a hydrocolloid adhesive flange/baseplate, potentially leading to detrimental effects on their peristomal skin (Lager and Loxdale, 2021).

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