Page 312 - CHHA Binder 2.3.20
P. 312

2/2/2020









                                      Assessment Documentation












                                          Insert Lesson Title Here
                                         Document in Narrative






                             Retracted           Round           Prolapsed        Recessed


















                                     PERISTOMAL ASSESSMENT



                                Peristomal skin should be intact. To prevent or manage
                                  complications :

                                • Measure stoma to resize the appliance
                                • Assess patient sitting/lying down and standing to
                                  assess for abdominal folds and creases that can be
                                  complicating pouch adherence and resulting
                                  peristomal problems
                                • Product selection may entail use of convex or flat
                                  appliances. Accessory products to improve the fit of
                                  the appliance may also be required
                                • Refer to WOCN for assistance either by calling or
                                  request in HCHB coordination notes (Wound Consult
                                  Request).








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