letter to editor

Consensus on the Prevention of Peristomal Skin Disorders

Burlando Martina1*, Guerra Eliana2, Angileri Luisa3, Ferrucci Silvia Mariel3, Caroppo Francesca4, Cioni  Margherita5, Belloni Fortina Anna4,  Parodi Aurora1, Maculotti Danila6

1IRCCS San Martino Polyclinic Hospital, Di.S.Sal. Section of Dermatology, Largo Rosanna Benzi 10, Genoa, Italy

2Ambulatorio riabilitazione enterostomale, ASST Spedali Civili Brescia, Italy

3Unit of Dermatology, Foundation IRCCS Ca’ Granda Ospedale Maggiore Policlinico, Milan, Italy

4Unit of Dermatology, Department of Medicine DIMED, University of Padua, 35128 Padua, Italy

5St Mary’s Hospital, Imperial College NHS Trust, London, UK

6Ambulatorio Stomizzati, Istituto Ospedaliero Fondazione Poliambulanza, Brescia, Italy

*Corresponding author: Martina Burlando, IRCCS San Martino Polyclinic Hospital, Di.S.Sal. Section of Dermatology, Largo Rosanna Benzi 10, Genoa, Italy

Received Date: 18 July, 2022

Accepted Date: 25 July, 2022

Published Date: 28 July, 2022

Citation: Burlando M , Eliana G, Luisa A, Mariel FS, Francesca C , et al. (2022) Consensus on the prevention of peristomal skin disorders. Int J Nurs Health Care Res 5: 1319. DOI: https://doi.org/10.29011/2688-9501.101319

Dear Editor,

The role of professional nurses with a specific training in peristomal skin lesions is well-recognized [1] as well as their collaboration with dermatologists for the management of patients with peristomal skin lesions. For this reason, an Italian panel of stoma therapists (n=20) and dermatologists (n=4) with documented expertise in stoma care was convened for a consensus meeting held in Milan, Italy, on 11 November 2021. The objective of the meeting was to develop a series of statements for preventing stoma damage. The method used to achieve consensus was the “nominal group technique” [2]. Thirty-one statements were developed and full consensus was reached for 29/31 statements, representing the opinion of the panel.

Briefly, the 29 items that gained full consensus regarded patients’ characteristics (age, sex, weight, BMI, presence of caregiver, cognitive impairment, physical limitations, phototype, comorbidities); patients’ habits; previous or current therapies; type of ostomy (the abdominal profile, the presence of laparocele, hernia or prolapse, surgical drawing); stoma care (type of device, type of accessories, products used for cleansing, timing of the device change and its correct execution); follow-up and presence of the stoma therapist during the entire course of treatment.

The 2 items that were discarded regarded, respectively, patients’ level of education and usefulness of haematochemical examinations.

This is the first time, to our knowledge, that stoma nurses and dermatologists have developed a consensual list of statements for prevention of peristomal complications. The upcoming goals of the panel will be: a) to apply these items in clinical practice; b) to observe/register the rate of peristomal complications; c) to create a joint risk chart. The latter could help prevent peristomal complications in order to improve quality of life in patients with peristomal skin lesions [3].

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International Journal of Nursing and Health Care Research