Stoma case study | Managing long term health issues and a stoma | eakin®

Using eakin dot® 2 piece soft convex for a patient with cognitive impairment

Case study submitted by: Jan Fields, Stomal Therapy Nurse, Australia

4 reasons to use:

  1. Secure coupling ensures pouch can’t be pulled off1
  2. Unique ‘peel-down’ to remove pouch discourages accidental removal1
  3. Longer pouch weartimes1,2
  4. Increased patient security and comfort1,2

Patient History:

  • 77 year old gentleman
  • Colostomy since 2005 after continence issues post bowel resection
    and treatment for malignancy 20 years ago
  • Living in an Assisted Care Facility
  • Multiple complications including depression and hypertension
  • Using 2-piece closed pouches and ‘click on’ flat baseplates


  • Cognitive decline /mental confusion leading to inability to selfmanage stoma changes
  • Decreased stomal output, constipation, faecal loading and
    abdominal pain
  • Frequent stoma pouch leakage under base and out of filter
  • Peristomal skin issues
  • Often distressed – requesting up to 6 pouch changes per day from
  • Stoma almost flush to skin
  • Large hiatus and incisional hernia and protruding abdomen

Success with eakin dot® 2-piece soft convex:

  • Secure coupling discouraged “accidental” removal by the gentleman
  • Easy for staff to manage pouch changes
  • 3-4 day weartime achieved with hydrocolloid for longer-life wear
  • No leaks experienced
  • Significant improvement in peristomal skin
  • Comfortable to wear and fitted well over his hernia and abdomen

Clinical evidence for choosing eakin dot® 2-piece soft convex:

  • hydrocolloid for longer-life wear is clinically proven to offer greater security, pouch
    weartime and skin-friendliness compared to other market leading pouches2
  • Soft convex insert provides greater support around the stoma compared to other 2-piece systems2
  • 100% of users agree it flexes with body contours2


  1. eakin dot® 2-piece nurse case study, Data on File, 2019.
  2. eakin dot® 2-piece soft convex user evaluations, Data on File, 2019.