Stories from the bedside. Whose goal of care is it? A colostomy patient with a peristomal lesion of uncertain aetiology.
This case involves a patient with a new colostomy who successfully managed her stoma for over 9 months. Suddenly she developed a peristomal lesion that became increasingly painful with time. The aetiology was not obvious. There was no prior problem with stoma management or history of non-healing wou...
| Published in: | World Council of Enterostomal Therapists Journal Vol. 27; no. 4; pp. 20 - 23 |
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| Format: | case study pictorial Journal Article |
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Cambridge Publishing
2007 Oct-Dec
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| Online Access: | View this record in EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=105896924&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 105896924 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 08194610 YUD jtl: World Council of Enterostomal Therapists Journal issn: 08194610 maglogo: N pubinfo: dt: 2007 Oct-Dec vid: 27 iid: 4 pid: 66266 pub: Cambridge Publishing artinfo: ui: 105896924 105896924 2009745309 105896924 ppf: 20 ppct: 3 formats: tig: atl: Stories from the bedside. Whose goal of care is it? A colostomy patient with a peristomal lesion of uncertain aetiology. aug: au: Schank JE sug: subj: Colostomy Ostomy Equipment and Supplies Adverse Effects Peristomal Skin Care Skin Ulcer Etiology Skin Ulcer Therapy Aged Female Obesity Complications Ostomy Equipment and Supplies Utilization Pressure Adverse Effects Recurrence Aged: 65+ years Female ab: This case involves a patient with a new colostomy who successfully managed her stoma for over 9 months. Suddenly she developed a peristomal lesion that became increasingly painful with time. The aetiology was not obvious. There was no prior problem with stoma management or history of non-healing wounds. It appeared that the wound might be caused by pressure from the ostomy appliance. Multiple treatments were tried. Initially each regimen was successful, then failed. The patient was referred to another clinician for a second opinion and subsequently treated for possible pyoderma gangrenosum. The lesion also improved with treatment, then deteriorated. Eventually the wound did heal. The determined cause of the peristomal ulcer was pressure from the flange of the ostomy appliance. This diagnosis was re-confirmed when the patient returned later with the same problem. pubtype: Academic Journal doctype: case study pictorial Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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