References

Agarwal S, Erlich A. Stoma dermatitis: prevalent but often overlooked. Dermatitis. 2010; 21:(3)138-147 https://doi.org/10.2310/6620.2010.09103

Aminu SR, Hassan AW, Babayo UD. Another use of honey. Tropical Doctor. 2000; 0:(4)250-251

Bird A. Stoma care in a time of financial pressures: can we cut the costs?. Br J Nurs. 2017; 26:(22)S14-S16 https://doi.org/10.12968/bjon.2017.26.22.S14

Black P. The use of flange extenders to support patient care. Br J Nurse. 2016; 25:(5) https://doi.org/10.12968/bjon.2016.25.5.S12

Black P. Enhancing the quality of life for stoma patients with appropriate accessory use. Br J Nursing. 2018; 27:(16) https://doi.org/10.12968/bjon.2018.27.16.S14

Boyles A. Rethinking the language of peristomal skin assessment. Gastrointestinal Nursing. 2018; 16:(7)16-18 https://doi.org/10.12968/gasn.2018.16.7.16

Boyles A, Hunt S. Care and management of a stoma: maintaining peristomal skin health. Br J Nurs. 2016; 25:(17)S14-21 https://doi.org/10.12968/bjon.2016.25.17.S14

Opening the door to change NHS safety culture and the need for transformation. 2018. https://tinyurl.com/ycjqdxed (accessed 19 July 2019)

Operational productivity and performance in English NHS acute hospitals: unwanted variations. An independent report for the Department of Health by Lord Carter of Coles. 2016. https://tinyurl.com/y23kknvm (accessed 19 July 2019)

Cooper R, Jenkins L, Henriques A, Duggan RS, Burton NF. Absence of bacterial resistance to medical-grade manuka honey. Eur J Clin Microbiol Infect Dis.. 2010; 29:(10)1237-1241 https://doi.org/10.1007/s10096-010-0992–1

Erwin-Toth P, Thompson SJ, Davis JS. Factors Impacting the quality of life of people with an ostomy in North America: Results From the Dialogue. J Wound Ostomy Continence Nurs. 2012; 39:(4)417-422 https://doi.org/10.1097/WON.0b013e318259c441

Evans SH, Burch J. An overview of stoma care accessory products for protecting peristomal skin. Gastrointestinal Nursing. 2017; 5:(7)25-34 https://doi.org/10.12968/gasn.2017.15.7.25

Gottrup F, Apelqvist J, Bjarnsholt T. EWMA document: antimicrobials and non-healing wounds: evidence, controversies and suggestions. J Wound Care. 2013; 22:S1-89 https://doi.org/10.12968/jowc.2013.22.Sup5.S1

Gray M, Black JM, Baharestani MM Moisture-associated skin damage: overview and pathophysiology. J Wound Ostomy Continence Nurs. 2011; 38:(3)233-41 https://doi.org/10.1097/WON.0b013e318215f798

Hubbard G, Taylor C, Beeken R Research priorities about stoma-related quality of life from the perspective of people with a stoma: A pilot survey. Health Expect. 2017; 20:(6)1421-1427

Kelly O'Flynn S. Protecting peristomal skin: a guide to conditions and treatments. Gastrointestinal Nursing. 2016; 14:(7)14-19 https://doi.org/10.12968/gasn.2016.14.7.14

Lim SH, Chan SWC, He H-G. Patients' experiences of performing self-care of stomas in the initial postoperative period. Cancer Nurs. 2015; 38:(3)185-193 https://doi.org/10.1097/NCC.0000000000000158

Lindholm E, Persson E, Carlsson E Ostomy-related complications after emergent abdominal surgery: a 2-year follow-up study. J Wound Ostomy Continence Nurs. 2013; 40:(6)603-10 https://doi.org/10.1097/WON.0b013e3182a9a7d9

Recommendations for stoma prescribing in London, Medicines Optimisation and Pharmacy Procurement (MOPP) Workstream.: London Procurement Partnership; 2018

Maydick-Youngberg D. A descriptive study to explore the effect of peristomal skin complications on quality of life of adults with a permanent ostomy. Ostomy Wound Manage. 2017; 63:(5)10-23

Meisner S, Lehur PA, Moran B., Matrins L, Jemec GBE. Peristomal skin complications are common, expensive and difficult to manage: A population based cost modelling study. PLoS One. 2012; 7:(5) https://doi.org/10.1371/journal.pone.0037813

Merckoll P1, Jonassen TØ, Vad ME, Jeansson SL, Melby KK. Bacteria, biofilm and honey: a study of the effects of honey on ‘planktonic’ and biofilm-embedded chronic wound bacteria. Scand J Infect Dis.. 2009; 41:(5)341-347 https://doi.org/10.1080/00365540902849383

Medical devices: conformity assessment and the CE mark. 2016. https://tinyurl.com/y34g4ojj (accessed 19 July 2019)

Yellow card. 2019. https://yellowcard.mhra.gov.uk/ (accessed 19 June 2019)

Skin excoriation tool for incontinent patients.: Quality Improvement Scotland; 2009

Getting it right first time (GIRFT) recruits new clinical leads. 2017. https://tinyurl.com/yyrzpvlu) (accessed 19 July 2019)

The code: professional standards of practice and behaviour for nurses, midwives and nursing associates [Online]. 2018. http://www.nmc.org.uk/globalassets/sitedocuments/nmc-publications/nmc-code.pdf (Accessed 10 June 2019)

Peate I Well funded prevention is indeed better than cure. British Journal of Nursing. 2019; 28:(5)

Developing patient education to enhance recovery after colorectal surgery through action research: a qualitative study BMJ Open [online]. 2017. https://bmjopen.bmj.com/content/7/6/e013498 (accessed 18 July 2019)

Principles of nursing practice. 2019. https://tinyurl.com/y6zo7uw4 (accessed 25 July 2019)

Salvadalena G. The incidence of stoma and peristomal complications during the first 3 months after ostomy creation. J Wound Ostomy Continence Nurs. 2013; 40:(4)400-406 https://doi.org/10.1097/WON.0b013e318295a12b

Sica J. Helping ostomates choose the right appliance for their stoma. Gastrointestinal Nursing. 2018; 16:(7)20-22

White R. The benefits of honey in wound management. Nursing Standard. 2005; 20:(10)57-64

Woodward S. Moisture-associated skin damage: use of a skin protectant containing manuka honey. British Journal of Nursing. 2019; 28:(6)329-335

Clinical governance for ostomates at risk of peristomal skin complications

12 September 2019
15 min read
Volume 28 · Issue 16

Abstract

This clinical study focuses on peristomal skin complications (PSCs). For many patients, the causative factor behind peristomal moisture-associated skin damage was contact dermatitis caused by effluent leakage, resulting in sore and excoriated skin. PSCs are costly to the patient in relation to pain, time and worry and also impact nursing activity levels and healthcare costs. The study identifies the number of patients presenting with PSC, the causative factors and their resolution using medical grade Manuka honey flanges.

Boyles and Hunt (2016) suggested that while:

‘Many patients will have to deal with problematic skin at some point, it should not be considered the acceptable norm as it can have profound impact on an individual's optimal physical, psychological and social functioning.’

Improving the quality and safety of healthcare is a system-wide priority. In times when the NHS is under substantial financial pressures to deliver efficiency savings, Getting It Right First Time (GIRFT) has never been more important. According to the website, GIRFT is:

‘…A national programme, led by frontline clinicians, created to help improve the quality of medical and clinical care within the NHS by identifying and reducing unwarranted variations in service and practice.’

The NHS is expected to deliver efficiencies of 2-3% per year, effectively setting a 10-15% real-terms cost-reduction target for achievement by April 2021, with the aim to make the NHS the safest and most efficient healthcare system in the world (Carter, 2016).

Register now to continue reading

Thank you for visiting British Journal of Nursing and reading some of our peer-reviewed resources for nurses. To read more, please register today. You’ll enjoy the following great benefits:

What's included

  • Limited access to clinical or professional articles

  • Unlimited access to the latest news, blogs and video content