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Evaluation of a cyanoacrylate dressing to manage peristomal skin alterations under ostomy skin barrier wafers.

Identifieur interne : 002376 ( PubMed/Curation ); précédent : 002375; suivant : 002377

Evaluation of a cyanoacrylate dressing to manage peristomal skin alterations under ostomy skin barrier wafers.

Auteurs : Catherine T. Milne [États-Unis] ; Darlene Saucier ; Chenel Trevellini ; Juliet Smith

Source :

RBID : pubmed:22101798

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English descriptors

Abstract

Peristomal skin alterations under ostomy barrier wafers are a commonly reported problem. While a number of interventions to manage this issue have been reported, the use of a topically applied cyanoacrylate has received little attention. This case series describes the use of a topical cyanoacrylate for the management of peristomal skin alterations in persons living with an ostomy.

DOI: 10.1097/WON.0b013e318234550a
PubMed: 22101798

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pubmed:22101798

Le document en format XML

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<title xml:lang="en">Evaluation of a cyanoacrylate dressing to manage peristomal skin alterations under ostomy skin barrier wafers.</title>
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<name sortKey="Milne, Catherine T" sort="Milne, Catherine T" uniqKey="Milne C" first="Catherine T" last="Milne">Catherine T. Milne</name>
<affiliation wicri:level="1">
<nlm:affiliation>WOC, Connecticut Clinical Nursing Associates, LLC, Bristol Hospital Wound, Ostomy, Lymphedema Center, Bristol, Connecticut 06011, USA. ccna2@juno.com</nlm:affiliation>
<country xml:lang="fr">États-Unis</country>
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<name sortKey="Saucier, Darlene" sort="Saucier, Darlene" uniqKey="Saucier D" first="Darlene" last="Saucier">Darlene Saucier</name>
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<name sortKey="Trevellini, Chenel" sort="Trevellini, Chenel" uniqKey="Trevellini C" first="Chenel" last="Trevellini">Chenel Trevellini</name>
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<name sortKey="Smith, Juliet" sort="Smith, Juliet" uniqKey="Smith J" first="Juliet" last="Smith">Juliet Smith</name>
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<term>Administration, Topical</term>
<term>Aged, 80 and over</term>
<term>Bandages</term>
<term>Cyanoacrylates (administration & dosage)</term>
<term>Humans</term>
<term>Male</term>
<term>Ostomy</term>
<term>Patient Satisfaction</term>
<term>Skin (pathology)</term>
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<keywords scheme="KwdFr" xml:lang="fr">
<term>Administration par voie topique</term>
<term>Bandages</term>
<term>Cyanoacrylates (administration et posologie)</term>
<term>Humains</term>
<term>Mâle</term>
<term>Ostomie</term>
<term>Peau (anatomopathologie)</term>
<term>Satisfaction du patient</term>
<term>Sujet âgé de 80 ans ou plus</term>
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<keywords scheme="MESH" type="chemical" qualifier="administration & dosage" xml:lang="en">
<term>Cyanoacrylates</term>
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<term>Cyanoacrylates</term>
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<term>Peau</term>
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<term>Skin</term>
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<term>Administration, Topical</term>
<term>Aged, 80 and over</term>
<term>Bandages</term>
<term>Humans</term>
<term>Male</term>
<term>Ostomy</term>
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<term>Administration par voie topique</term>
<term>Bandages</term>
<term>Humains</term>
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<div type="abstract" xml:lang="en">Peristomal skin alterations under ostomy barrier wafers are a commonly reported problem. While a number of interventions to manage this issue have been reported, the use of a topically applied cyanoacrylate has received little attention. This case series describes the use of a topical cyanoacrylate for the management of peristomal skin alterations in persons living with an ostomy.</div>
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<Volume>38</Volume>
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<Title>Journal of wound, ostomy, and continence nursing : official publication of The Wound, Ostomy and Continence Nurses Society</Title>
<ISOAbbreviation>J Wound Ostomy Continence Nurs</ISOAbbreviation>
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<ArticleTitle>Evaluation of a cyanoacrylate dressing to manage peristomal skin alterations under ostomy skin barrier wafers.</ArticleTitle>
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<AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">Peristomal skin alterations under ostomy barrier wafers are a commonly reported problem. While a number of interventions to manage this issue have been reported, the use of a topically applied cyanoacrylate has received little attention. This case series describes the use of a topical cyanoacrylate for the management of peristomal skin alterations in persons living with an ostomy.</AbstractText>
<AbstractText Label="CASE PRESENTATIONS" NlmCategory="METHODS">Using a convenience sample, the topical cyanoacrylate dressing was applied to 11 patients with peristomal skin disruption under ostomy wafers in acute care and outpatient settings. The causes of barrier function interruption were also addressed to enhance outcomes. Patients were assessed for wound discomfort using a Likert Scale, time to healing, and number of appliance changes. Patient satisfaction was also examined.</AbstractText>
<AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">Average reported discomfort levels were 9.5 out of 10 at the initial peristomal irritation assessment visit decreased to 3.5 at the first wafer change and were absent by the second wafer change. Wafers had increasing wear time between changes in both settings with acute care patients responding faster. Epidermal resurfacing occurred within 10.2 days in outpatients and within 7 days in acute care patients. Because of the skin sealant action of this dressing, immediate adherence of the wafer was reported at all pouch changes.</AbstractText>
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