Susan Reif, BSN, RN, CWOCN, Cleveland Clinic Home Care, Wound and Ostomy Care Nurse, 6801 Brecksville Raod, Independence, OH 44131 and Antje C. Bogart, RN, MSN, CWON, Cleveland Clinic Home Care, WOUND/OSTOMY NURSE FOR CLEVELAND CLINIC HOMECARE SERVICES, 6801 Brecksville Raod, Independence, OH 44131.
CREATIVE APPLICATION AND USE OF A NEW OSTOMY BARRIER RING
THE PURPOSE OF THIS POSTER IS TO SHOW THE EFFECTIVENESS OF A NEW OSTOMY
BARRIER RING IN HELPING CREATE A SECURE SEAL BETWEEN THE OSTOMY OR FISTULA POUCH
AND THE PATIENT’S SKIN.
OBJECTIVE:
FOR A PERSON WITH A FECAL OR URINARY OSTOMY, FISTULAS OR NEGATIVE PRESSURE
DRESSING , NOTHING IS MORE IMPORTANT FOR MAINTAINING THEIR DIGNITY AND COMFORT
THAN A SECURE SEAL OF THEIR OSTOMY POUCH OR WOUND DRESSING.
THE MOST VERSATILE TOOL IN THE RECENT HISTORY OF OSTOMY ACCESSORY PRODUCTS FOR
THE WORK OF THE WOUND OSTOMY NURSE, IS A VERY ADHESIVE, FLEXIBLE AND MULTI-
PURPOSE BARRIER RING.
THE RING WAS CREATED BY ITS PROPRIETARY COMPANY AS AN OSTOMY SEAL TO BE PLACED
AROUND ANY OSTOMY TO PROTECT THE MUCOCUTANEOUS JUNCTION AND PERISTOMAL
SKIN. TO THE TOTAL DELIGHT OF MANY WOUND-OSTOMY NURSES, IT CAN BE
USED AS A WEDGE IN A SKIN CREASE OR SKIN FOLD AS IT “STANDS UP” TO LIQUID EFFLUENT
AND URINE AND WOUND EXUDATE TO PROTECT THE SEAL OF THE APPLIANCE, LARGE OR
SMALL. IT HAS BEEN CREATIVELY PLACED INTO GLUTEAL FOLDS NEAR THE ANUS IN SECURING THE NEGATIVE PRESSURE DRESSING OF A PATIENT WHO HAS UNDERGONE MAJOR RECTAL SURGERY WHICH RESULTED IN A DEEP WOUND. CONQUERING THE COMPLEXITY OF THIS TYPE OF WOUND DRESSING WITH THE STRATEGIC PLACEMENT OF PIECES OF THE BARRIER RING TO ACHIEVE A
TIGHT SEAL , RESULTED IN COMPLETE CLOSURE OF THE DEEP RECTAL WOUND TO ENABLE THE
PATIENT TO RESUME HIS ACTIVE LIFE.
OUTCOMES:
THIS POSTER WILL SHOW VIA PHOTOS OF OUR PATIENTS FOR WHOM WE USED
THE OSTOMY BARRIER RING THAT IS DISCUSSED ABOVE, THAT USE OF THIS PRODUCT HAS
CLEARLY IMPROVED AND CHANGED OUTCOMES FOR PATIENTS WITH COMPLEX ABDOMINAL
AND OTHER PHYSICAL CONTOURS.
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