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Coloplast Ostomy Skin Tool

Coloplast Ostomy Skin Tool. This is a standardised way to:. Score the peristomal skin through objective observations Categorise the peristomal skin disorders according to their cause. What is the tool meant to do?. This tool is designed to assess peristomal skin

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Coloplast Ostomy Skin Tool

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  1. Coloplast Ostomy Skin Tool

  2. This is a standardised way to: • Score the peristomal skin through objective observations • Categorise the peristomal skin disorders according to their cause

  3. What is the tool meant to do? • This tool is designed to assess peristomal skin • The tool is designed to assess the state of the peristomal skin at that particular point in time • Assess if there has been an improvement or a degradation over time • Reduce the amount of time nurses spend on evaluating a disorder • It is not meant to to predict deterioration of a current condition or predict the occurrence of an abnormal skin condition • It is not meant to assess the extent of care needed • The tool was developed in association with the Coloplast Global Advisory Board

  4. A closer look at scoring Examine the peristomal skin and evaluatethe skin based on the descriptions in three domains: • Discolouration • Erosion • Tissue overgrowth Maximum points in each domain: • Size of affected area: 3 points • Severity: 2 points Highest possible score = 15

  5. Assessing the affected area and severity Then assess the severity score • Severity should only be assessed when there is an area score from 1–3 • Assess the severity according to the descriptions within the three domains First assess the area that is affected

  6. Step 1: DET score

  7. Step 2: The diagnostic guide

  8. Scoring a skin disorder

  9. Normal skin Discolouration • There is no area of discolouration, therefore, the score is 0 • As there is no discolouration, the severity must also 0As there is no discolouration observed the score will also be 0 in the rest of the domains as follows: Erosion • There is no evidence of erosion, therefore, the score is 0 • As there is no erosion, the severity must also be 0 Tissue overgrowth • There is no tissue overgrowth, therefore, the score is 0 • As there is no tissue overgrowth, the severity must also be 0 Total score= 0

  10. Adhesion area Stoma Area of discolouration Domain 1: Area of discolouration The area of discolouration is 25–50% of the total adhesion area Therefore, the area score = 2 2

  11. Domain 1: Severity of discolouration The area is severely discoloured Therefore, the severity = 2 2

  12. Domain 2: Area of erosion The area of erosion is 25–50% of the total adhesion area Therefore, the area score = 2 2

  13. Domain 2: Severity of erosion The area is not severely eroded Therefore, the severity = 1 1

  14. Domain 3: Area of tissue overgrowth The area of tissue overgrowth is less than 25% of the total adhesion area Therefore, the area score = 1 1

  15. Domain 3: Severity of tissue overgrowth The area is not severely overgrown Therefore the severity = 1 1

  16. Total score = 9 Summary: Patient score Domain 12 + 2 = 4 Area of discolouration = 2 Severity of discolouration = 2 Domain 22 + 1 = 3 Area of erosion = 2 Severity of erosion = 1 Domain 31 + 1 = 2 Area of tissue overgrowth = 1 Severity of tissue overgrowth = 1

  17. The diagnostic guide

  18. How to use the diagnostic guide

  19. Observations • Discolouration • Loss of • epidermis • Hyperplasia

  20. The patient consultation

  21. Diagnostic category

  22. Please remember • Both DET score and diagnostic guide must be used every time you assess a patient • When scoring the peristomal skin you must go through the 3 domains every time

  23. How to use our Grid Place the grid covering the stoma & peristomal skin area The stoma should be in the center

  24. Draw the adhesive area on the grid

  25. Draw the stoma on the grid • And cut out the area

  26. Draw the area of skin disorder

  27. Calculate area of skin disorder By counting area of adhesive and area of skin disorder

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