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Peristomal Skin Complications and Management

Woo, Kevin Y. RN, MSc, PhD, ACNP, GNC(C), FAPWCA; Sibbald, R. Gary BSc, MD, FRCPC (Med Derm), MACP, MEd, FAPWCA; Ayello, Elizabeth A. PhD, RN, ACNS-BC, ET, FAPWCA, FAAN; Coutts, Patricia M. RN, IIWCC; Garde, Dianne E. ET

doi: 10.1097/01.ASW.0000305497.15768.cb
Features: Clinical Management Extra

PURPOSE: To provide the wound care practitioner with an overview of practical approaches to prevent and treat common peristomal skin conditions.

TARGET AUDIENCE: This continuing education activity is intended for physicians and nurses with an interest in skin and wound care.

OBJECTIVES: After participating in this educational activity, the participant should be better able to:

1. Describe the common types of peristomal skin problems and their causes.

2. Identify treatment options for common peristomal skin problems.

In this continuing education activity, the authors discuss practical approaches to prevent and treat common peristomal skin conditions.

Kevin Y. Woo, RN, MSc, PhD, ACNP, GNC(C), FAPWCA • Clinical Scientist/Wound Care Specialist • Wound Healing Clinic • The New Women's Hospital • Toronto, Ontario, Canada

R. Gary Sibbald, BSc, MD, FRCPC (Med Derm), MACP, MEd, FAPWCA • Professor of Public Health Science and Medicine • University of Toronto • Ontario, Canada • Director • Wound Healing Clinic • The New Women's College Hospital • Toronto, Ontario, Canada • President, World Union of Wound Healing Societies • Clinic Associate Editor • Advances in Skin & Wound Care • Ambler, PA

Elizabeth A. Ayello, PhD, RN, ACNS-BC, ET, FAPWCA, FAAN • Faculty • Excelsior College School of Nursing • Albany, NY • Senior Advisor • John A. Hartford Institute for Geriatric Nursing • New York, NY • President • Ayello, Harris and Associates • New York, NY • Clinical Associate Editor • Advances in Skin & Wound Care • Ambler, PA

Patricia M. Coutts, RN, IIWCC • Wound Care Specialist and Clinical Trials Coordinator • Toronto Regional Wound Care Center • Ontario, Canada • President • Canadian Association of Wound Care, Toronto

Dianne E. Garde, ET • Enterostomal Therapist • Private Practice • Mississuaga, Ontario

Dr Woo has disclosed that he was a recipient of grant/research funding from Smith & Nephew; was a consultant/advisor to Smith & Nephew; was a member of the speaker's bureau for Smith & Nephew; is a recipient of grant/research funding from 3M, Mölnlycke, Coloplast, KCI, Covidien, Systagenix, the Government of Ontario, and the Registered Nurses of Ontario Association; is a consultant/advisor to 3M, Mölnlycke, Coloplast, KCI, Covidien, Systagenix, the Government of Ontario, and the Registered Nurses of Ontario Association; and is a member of the speaker's bureau for Smith & Nephew, 3M, Mölnlycke, Coloplast, KCI, Covidien, Systagenix, the Government of Ontario, and the Registered Nurses of Ontario Association. Dr Sibbald has disclosed that he was a recipient of grant/research funding from Smith & Nephew; was a consultant/advisor to Smith & Nephew; was a member of the speaker's bureau for Smith & Nephew; is a recipient of grant/research funding from Coloplast, 3M, KCI, Mölnlycke, Covidien, and Systagenix; is a consultant/advisor to Coloplast, 3M, KCI, Mölnlycke, Covidien, and Systagenix; and is a member of the speaker's bureau for Coloplast, 3M, KCI, Mölnlycke, Covidien, and Systagenix; other: Government of Ontario and the Registered Nurses' Association of Ontario. Dr Ayello has disclosed that she was a consultant/advisor for Gaymar, was/is a consultant/advisor for KCI, Hill-Rom, is a consultant/advisor for Baxter; is/was a member of the speaker's bureau for 3M Health, Healthpoint, Mölnlycke, Medline, was a member of the speaker's bureau for Smith & Nephew, and is a member of the speaker's bureau for Coloplast; other: New Jersey Hospital Association and Lippincott Williams & Wilkins. Ms Coutts has disclosed that she has no significant relationships with or financial interest regarding this educational activity. Ms Garde has disclosed that she has no significant relationships with or financial interest regarding this educational activity.

All staff in a position to control the content of this CME activity have disclosed that they have no financial relationships with, or financial interests in, any commercial companies pertaining to this educational activity.

Lippincott CME Institute has identified and resolved all faculty and staff conflicts of interest regarding this educational activity.

This continuing education activity will expire for physicians on November 30, 2010.

© 2009 Lippincott Williams & Wilkins, Inc.