Schlagwort: eakin dot 2 piece

Using eakin dot® 2-piece soft convex for paediatric users with severe allergic dermatitis

Using eakin dot® 2 piece soft convex for paediatric users with severe allergic dermatitis

Case study submitted by: Amelie Carpentier, Stoma Nurse, CHRU, Lille, France

3 reasons to use:

  1. Skin friendly hydrocolloid for longer-life wear1
  2. Significant improvement in peristomal skin1,2
  3. Increased patient security1,2, comfort1,2 and emotional wellbeing2

Patient History:

  • 12 year old girl
  • Feb 2018: Subtotal colectomy with ileostomy anastomosis protected by ileostomy for severe acute colitis

Problems:

  • Severely excoriated, painful skin. Unwilling to see stoma nurse
  • Nov 2018: Proctectomy due to persistence of inflammatory proctitis

Nurse review:

  • Sep 2018: Diagnosed with severe allergic dermatitis. Treated with Inexium
  • Sep-mid Oct 2018: Failed trials with multiple 2-piece appliances due topersistent allergic reactions
  • Mid Oct 2018: Tried eakin dot® 2-piece flat* + convex seal + belt. Marked improvement in skin after 8 days.

Success with eakin dot® 2-piece soft convex:

  • Dec 2018: Switched to eakin dot® 2-piece soft convex + belt
  • May 2018: Skin healed. No need to use ostomy seal, protective
    spray or Inexium

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 pouches1

References

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

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

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

Problems:

  • 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
    staff
  • 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

References

  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.

Using eakin dot® 2-piece for severe sight impairment

Using eakin dot® 2 piece for severe sight impairment

Case study submitted by: HagaZiekenhuis, The Hague Barbara Weterings & Annette Gardien Stomal Therapy Nurses The Netherlands

4 reasons to use:

  1. Easy to use1 even in the event
    of severe sight impairment2
  2. Increased patient security,
    comfort and confidence1,2
  3. Flexible, fluted baseplate
    moulds to body contours1,2
  4. Large CTF and 80mm ring size
    ideal for large oval stoma2
eakin-dot

Patient History:

  • 64 year old man, registered blind.
  • Has guide dog for assistance.
  • 2010-2014: Temporary stoma due to colon cancer.
  • 2019: Ileostomy due to faecal incontinence. Large oval stoma and hernia.

Problems:

  • 2010-2014: Used 2-piece click system with non
    pop-up baseplate.
  • Difficulties in attaching.
  • Regular leaks, pouch often
    disconnected.
  • Dependent on community care
    up to 3 times per day for pouch
    changes. Thus, unable to leave
    home, despite having guide dogs.
  • 2019: Output very liquid. Unable to
    use drainable pouch as too difficult
    to clean independently.
  • Desperate to avoid problems
    experienced with his 2-piece system
    during the 2010-2014 period.

Success with eakin dot® 2-piece

  • Nurse recommended eakin dot® 2-piece with closed pouch.
  • Patient practised prior to surgery and managed with no problems.
  • Post-surgery: managing pouch changes up to 3 times per day independently.
  • No leaks. Can manage occasional baseplate changes independently when needed.
  • Only 2 community care visits per week to change baseplate and review skin condition.
  • Confidence and independence restored.
  • Able to go out and socialize again.

Clinical evidence for choosing eakin dot® 2-piece:

  • Purple pop-up on baseplate, audible CLICK and “peel-down” to remove make pouch changes easier.1
  • hydrocolloid for longer-life wear clinically proven to offer greater security and pouch weartime compared to other market leading pouches.1

References

  1. eakin dot® 2-piece user evaluations. Data on file. 2017-2019
  2. eakin dot® 2-piece nurse case study. Data on file. 2020

Using eakin dot® 2-piece for sensitive skin

Using eakin dot® 2 piece for sensitive skin

Case study submitted by:

Marieke Muller, Stoma Nurse, Tergooi Hospital, Hilversum, The Netherlands

3 reasons to use:

  1. Increased patient security,
    confidence and comfort1,2
  2. Skin friendly
    hydrocolloid for longer-life
    wear1,2
  3. Significant improvement in
    peristomal skin condition1,2
eakin-dot

Patient History:

  • 13 Mar 2019: Acute rectosigmoid resection with end colostomy due to sigmoid perforation (tumour)
  • Very large post-op stoma
  • Patient discharged to nursing home on an adhesive 2-piece system with closed pouch

Nurse review:

  • 29 Mar 2019: Attended hospital –
    hypersensitive severely excoriated skin.
    Evidence of skin stripping and blisters
    requiring adhesive remover to remove baseplate
  • Stoma reduced in size – changed to smaller 2-piece system
  • Blisters treated with powder. Flange extender used around edge
    of baseplate
  • Discharged to nursing home.
    Advised to change baseplate
    3 x per week and closed pouch
    1 x per day. Revisit in 1 week
  • 2 Apr 2019: Painful broken skin with
    blisters. Leakages under baseplate
    at left and right sides. Baseplate
    worn for 4 days. Pouch changed
    once per day

Nurse recommends eakin dot® 2-piece:

  • 2 Apr 2019: Attended hospital – recommended to change to eakin dot® flat 80mm ring size with eakin Cohesive StomaWrapTM and flange extender on right side. Drainable pouch used due to loose output. Discharged to nursing home with recommendation to change baseplate 2 x per week and continue with daily pouch changes
  • 5 Apr 2019: Baseplate changed in nursing home with daily pouch changes and emptying throughout the day

Outcome:

  • 8th Apr 2019: Significant improvement
    in peristomal skin
  • 9th Apr 2019: Hospital appointment.
    Gentleman able to change
    baseplate himself using adhesive
    remover spray and reported
    reduced pain
  • 12th Apr 2019: Nursing home
    changed flange
  • 15th Apr 2019: Returned to using
    closed pouch, changing 1-2 times/day. No leakages, output is
    thicker and skin has healed within 2 weeks of switching to
    eakin dot® 2-piece flat system

Clinical evidence for choosing eakin dot® 2-piece:

hydrocolloid for longer-life wear is clinically proven to offer greater security, pouch weartime and skinfriendliness compared to other 2-piece hydrocolloids tested.1

References

  1. eakin dot® 2-piece user evaluations. Data on file. 2017-2019
  2. eakin dot® 2-piece nurse case study. Data on file. 2019

Using eakin dot® 2-piece in the management of stoma and long term health conditions

Using eakin dot® 2 piece in the management of stoma and long term health conditions

Case study submitted by: Kelly Vickers, Stomal Therapy Nurse, Lyell McEwin Hospital, Adelaide, South Australia.

4 reasons to use:

  1. Choosing the correct appliance is an important aspect in a person’s overall recovery after ostomy surgery.1
  2. The goal of both nurse and patient is to achieve a predictable, reliable wear time.2
  3. A long-term health condition can have a significant impact on a persons ability to live a normal life.3
  4. Long term health conditions are likely to affect the person’s ability to manage their own care independently. There will be careful consideration to the specific condition and the individual restrictions when recommending an appropriate product to promote optimum selfcare, management and independence for the ostomate.3
eakin-dot

Patient History:

  • 75 year old gentleman with poor mobility who lives alone
  • Diagnosed with Rectal Cancer
  • APER with formation of end colostomy
  • History of chronic illness including Parkinson’s
    Disease, bipolar disorder, hypertension, aortic stenosis
    and osteoarthritis

Nurse recommends eakin dot 2-piece:

  • Stoma care nurse assessed individual ability and recommended eakin dot® 2-piece immediately post-op
  • Reviewed patient 3 weeks post operatively

Nurse review:

  • He reports no leakages with eakin dot® 2-piece system
  • This has had a considerable positive impact on building his confidence
  • Peristomal skin is healthy
  • Self-managing his stoma care and appliances
  • He only needs to change the base every 3-4 days
  • He states he ‘loves his bags’ and particularly likes the easy coupling system that he can hear ‘click’ when pouch is applied

Outcome:

  • Once familiar with the ‘CLICK’ system, Mrs S became very comfortable and confident with coupling the bag and baseplate
  • They are now very happy with how the eakin dot® 2-piece is working for them and find it very
    secure, comfortable and easy to use

Clinical evidence for choosing eakin dot® 2-piece:

  • Improves peristomal skin problems
  • Ease of use
  •   hydrocolloid for longer-life wear 
  • Meets the individual needs of ostomates and their carers

References

  1. Williams J, Gwillian B, Sutherland N, Matten J, Hemmingway J, Ilsey H et al (2010) Evaluating skin problems in people with stomas. BJN19(17): s6-15
  2. Wound, Ostomy, Continence Nurses Society(WOCN). (2013) Colostomy and Ileostomy: Products and tips. Mt. Laurel, NJ:WOC
  3. Readding L (2016) Practical guidance for nurses caring for patients with long-term conditions. British Journal of Community Nursing21(2) 90-98

Using eakin dot® 2-piece from a carer’s perspective

Using eakin dot® 2-piece from a carer's perspective

Case study submitted by: Kate Slattery, Nurse Advisor, TG Eakin Ireland

4 reasons to use:

  1. Choosing the correct appliance is an important
    aspect in a person’s overall recovery after ostomysurgery.1
  2. The goal of both nurse and patient is to achieve a predictable, reliable wear time.2
  3. When independence is not possible, stoma care can be performed by a relative or health care professional.  Many carers worry about
    removing appliances as they feel that this may cause damage to the peristomal
    skin.3
  4. eakin dot® 2-piece meets the
    needs of ostomate and carer.

Patient History:

  • 80 year old married gentleman
  • Mr. S was diagnosed with bowel cancer in January
  • Anterior Bowel resection and formation of end ileostomy
  • Post operative complications led to delayed recovery and delayed discharge one month after surgery
  • Mr. S is independent with emptying pouch, but requires full assistance from wife with pouch changes

Nurse review:

  • Initially Mr. S was using a soft convex without a seal
  • Mr. S and wife were advised to change pouch every 2-3 days but often it was closer to 5 days when pouch was changed
  • Leaks and skin irritation occurred

Nurse recommends eakin dot 2-piece:

  • Trial of eakin dot® 2-piece with eakin Cohesive SLIM® seal commenced
  • Within two weeks skin is almost fully healed
  • No leaks experienced
  • Mr. S and wife change base plate every 4-5 days and change bag every day

Outcome:

  • Once familiar with the ‘CLICK’ system, Mrs S became very comfortable and confident with coupling the bag and baseplate
  • They are now very happy with how the eakin dot® 2-piece is working for them and find it very
    secure, comfortable and easy to use
carer pics3
carer 4

Clinical evidence for choosing eakin dot® 2-piece:

  • Improves peristomal skin problems
  • Ease of use
  •   hydrocolloid for longer-life wear 
  • Meets the individual needs of ostomates and their carers

References

  1. Williams J, Gwillian B, Sutherland N, Matten J, Hemmingway J, Ilsey H et al (2010) Evaluating skin problems in people with stomas. BJN 19(17):s6-15
  2. Wound, Ostomy, Continence Nurses Society(WOCN). (2013) Colostomy and Ileostomy: Products and tips. Mt. Laurel, NJ: WOCN
  3. Black P (2011) The role of the carer and patient in stoma care. Nursing and Residential Care 13(9) 432-436

eakin dot® 2-piece soft post parastomal hernia repair

eakin dot® 2-piece post parastomal hernia repair

Case study submitted by: Felicity Rackham / Liz Meakin, Clinical Nurse Consultants, Stomal Therapy, Epworth Eastern Hospital, Australia

4 reasons to use:

  1. Choosing the correct appliance is an important
    aspect in a person’s overall recovery after ostomy surgery.1
  2. The goal of both nurse and patient is to achieve a
    predictable, reliable wear time.2
  3. Parastomal hernias are one of the most common
    complications reported by ostomates.3 Occurance ranges from 25 to 50 %.4
  4. Postoperative recovery is not always straightforward with some ostomates requiring change of product due to post operative pain and wound management.

Patient History:

  • Mrs A – 73 year old female underwent a large paracolostomy hernia repair
  • This lady was keen to use her previous 2-piece convex system after the repair surgery as it was familiar and comfortable

Problems:

  • Persistent discomfort on the lateral left side
    of the stoma, suggesting the convexity was
    placing pressure on the internal mesh
  • Leakage due to the uneven plane of her
    refashioned stoma

Nurse review:

  • Skin damage around the stoma
  • Mild bruising and fragile skin at 3 o’clock from the convex flange
  • Signs of medical adhesive removal skin injury (MARSI) along the flange edges due to frequent changes of appliance

Nurse recommends eakin dot 2-piece:

  • Less pain and bruising on the lateral mesh side
    Mrs A felt comfortable managing this system at home

Outcome:

  • 2 weeks after using eakin dot® 2-piece with seal under base plate, Mrs A reported the skin as feeling much better
  • The skin continued to heal over the next few weeks

Clinical evidence for choosing eakin Cohesive® seals:

  • Improves peristomal skin problems
  • Ease of use
  •   hydrocolloid for longer-life wear 
  • Meets the individual needs of ostomates

References

  1. Williams J, Gwillian B, Sutherland N, Matten J, Hemmingway J, Ilsey H et al (2010) Evaluating skin problems in people with stomas. BJN 19(17):
    s6-15
  2. Wound, Ostomy, Continence Nurses Society(WOCN). (2013) Colostomy and Ileostomy: Products and tips. Mt. Laurel, NJ: WOCN
  3. Burch J, 2018 Nursing strategies for the prevention and management of parastomal hernias. Gastrointestinal Nursing 16(2) 38-42
  4. Thompson MJ, Trainor B (2005) Incidence of parastomal hernia before and after a prevention programme 3(2):23-27

Use of eakin dot® 2-piece soft convex for retracted stoma with parastomal hernia

Choose eakin dot® 2-piece soft convex for a retracted stoma with parastomal hernia

Case study submitted by: Pia Peterson, SN, Denmark

4 reasons to use:

  1. Extends pouch weartime1,2
  2. Greater support around the stoma1
  3. Increased patient security, comfort and confidence1,2
  4. Flexible, fluted baseplate that moulds to body contours1

Patient History:

  • 61 year old gentleman
  • 1978: Ileostomy formed due to ulcerative colitis
  • 1979-2012: Managed own care successfully using a 2-piece flat system
  • 2012: New ileostomy formed following Crohn’s disease diagnosis and other complications.

Problems:

  • New stoma periodically retracts to skin level
  • Multiple 1 and 2-piece convex products tried unsuccessfully
  • Patient stayed with his familar brand and tried a 2-piece mouldable convex with a seal
  • Continued to experience recurring leaks
  • Small hernia developed
  • Output consistency varied from soft to watery

Success with eakin dot® 2-piece soft convex:

  • Achieved weartime of up to 5 days with no leaks or skin problems (eakin dot® 2-piece soft convex and an eakin Cohesive SLIMS® seal)
  • Baseplate felt softer and more comforable to wear
  • Increased feeling of security
  • Fluted soft convex baseplated moulded well to his hernia

“After 40 years on another brand I’ve change to eakin dot®”  Kaj, Denmark

Clinical evidence for choosing eakin Cohesive® seals:

  •   hydrocolloid for longer-life wear is clinically proven to offer greater security, pouch weartime and skin-friendliness compared to other market leading pouches1
  • Soft convex insert provides greater support around the stoma*,1 with no ulcer causing pressure points3
  • 100% of users agree it flexes with body contours1

References

  1. eakin dot® 2-piece user evaluations, Data on File, 2019.
  2. eakin dot® 2-piece nurse case study, Data on File, 2019.
  3. Data on file, 2014