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Peristomal Medical Adhesive-Related Skin Injury: Results of an International Consensus Meeting.
LeBlanc, Kimberly; Whiteley, Ian; McNichol, Laurie; Salvadalena, Ginger; Gray, Mikel.
Afiliação
  • LeBlanc K; Kimberly LeBlanc, PhD, RN, NSWOC, WOCC(C), Wound Ostomy Continence Institute, Association for Nurses Specialized in Wound Ostomy Continence Canada (NSWOCC), Ottawa, Ontario, Canada. Ian Whiteley, MNurs, NP, STN, Concord Repatriation General Hospital, Sydney, New South Wales, Australia. Laurie McNichol, MSN, RN, CNS, GNP, CWOCN, CWON-AP, FAAN, Cone Health, Greensboro, North Carolina. Ginger Salvadalena, PhD, RN, Clinical Affairs, Hollister Incorporated, Libertyville, Illinois. Mikel Gray, PhD, RN
J Wound Ostomy Continence Nurs ; 46(2): 125-136, 2019.
Article em En | MEDLINE | ID: mdl-30844869
Stomal and peristomal skin complications (PSCs) are prevalent in persons living with an ostomy; more than 80% of individuals with an ostomy will experience a stomal or peristomal complication within 2 years of ostomy surgery. Peristomal skin problems are especially prevalent, and a growing body of evidence indicates that they are associated with clinically relevant impairments in physical function, multiple components of health-related quality of life, and higher costs. Several mechanisms are strongly linked to PSCs including medical adhesive-related skin injuries (MARSIs). Peristomal MARSIs are defined as erythema, epidermal stripping or skin tears, erosion, bulla, or vesicle observed after removal of an adhesive ostomy pouching system. A working group of 3 clinicians with knowledge of peristomal skin health completed a scoping review that revealed a significant paucity of evidence regarding the epidemiology and management of peristomal MARSIs. As a result, an international panel of experts in ostomy care and peristomal MARSIs was convened that used a formal process to generate consensus-based statements providing guidance concerning the assessment, prevention, and treatment of peristomal MARSIs. This article summarizes the results of the scoping review and the 21 consensus-based statements used to guide assessment, prevention, and treatment of peristomal MARSIs, along with recommendations for research priorities.
Assuntos

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Pele / Adesivos / Estomas Cirúrgicos Tipo de estudo: Guideline / Prevalence_studies / Risk_factors_studies Limite: Humans Idioma: En Revista: J Wound Ostomy Continence Nurs Assunto da revista: ENFERMAGEM Ano de publicação: 2019 Tipo de documento: Article

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Pele / Adesivos / Estomas Cirúrgicos Tipo de estudo: Guideline / Prevalence_studies / Risk_factors_studies Limite: Humans Idioma: En Revista: J Wound Ostomy Continence Nurs Assunto da revista: ENFERMAGEM Ano de publicação: 2019 Tipo de documento: Article