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Case Study/Series
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Using a Catheter-Based Bowel System to Promote Skin Health First Author: Megan Hughes Authors: Megan Hughes, RN, BSN, CWOCN Problem Statement: Perineal dermatitis and pressure ulcer formation are potential outcomes of prolonged skin contact with stool, especially liquid stool, due to presence of active digestive enzymes. The availability of catheter-based systems for the management of stool in patients in all types of settings presents an opportunity for protection of intact skin and reduction of moisture and soiling of existing wounds in the sacral area. Past Management and Current Approach: Three clinical cases will be described, each with unique needs for skin protection. The impact on patient, family members and nursing staff will be evaluated, using a comparison between traditional management techniques and a catheter-based system*. Conclusions: The catheter-based system* has applications in acute, long-term care, and home-care settings. Careful patient selection and timely education of caregivers were integral steps to achieving successful outcomes. Keys to success included development of resource staff, patient selection guidelines, and individualized plans of care. Skin health, staff satisfaction, time saved and decreased patient care costs were positively affected. *Zassi Bowel Management System, Hollister Incorporated, Libertyville, IL The support of Hollister Incorporated for this project is gratefully acknowledged |
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