Name of the Procedure:

Ostomy Ring Placement
Common Name(s): Ostomy Ring Placement, Barrier Ring Application
Technical/Medical Term: Ostomy Sealing Ring Placement

Summary

An Ostomy Ring, also referred to as a barrier ring, is a flexible, round adhesive device used to create a secure and leak-proof seal between the ostomy appliance (bag) and the skin surrounding a stoma (an opening on the abdomen created surgically for waste discharge).

Purpose

The procedure addresses issues related to the management and care of a stoma.
Goals: To provide a secure seal to prevent leaks, protect the skin around the stoma from irritation, and enhance the comfort and confidence of individuals with an ostomy.

Indications

• Frequent leakage of ostomy appliance
• Skin irritation or breakdown around the stoma
• Need for improved adhesion of the ostomy appliance
• Enhancement of comfort and fit of the ostomy appliance

Preparation

• Clean the skin around the stoma thoroughly.
• Dry the surrounding skin to ensure proper adhesion.
• No specific diagnostic tests are typically required.

Procedure Description

1. Gather the necessary supplies: ostomy ring, ostomy appliance, and cleaning materials.
2. Clean and dry the skin surrounding the stoma.
3. Remove the ostomy ring from its packaging.
4. Stretch or mold the ring to fit snugly around the stoma.
5. Place the ring on the skin around the stoma, ensuring it adheres well.
6. Attach the ostomy appliance over the ring, pressing firmly to ensure a secure seal.

No anesthesia or sedation is required for this procedure.

Duration

The procedure typically takes about 10-15 minutes.

Setting

The procedure is performed in a non-sterile environment such as a home, outpatient clinic, or hospital room.

Personnel

Patients or caregivers (with appropriate training), or healthcare professionals such as nurses or ostomy care specialists.

Risks and Complications

• Skin irritation or allergic reaction to the adhesive
• Incomplete sealing leading to leaks
• Potential infection if skin is not properly cleaned beforehand

Benefits

• Secure and leak-proof seal of the ostomy appliance
• Protection of the surrounding skin from irritation and breakdown
• Increased comfort and confidence for the patient
• Immediate realization of benefits upon correct application

Recovery

• Routine care involves monitoring the seal and skin condition.
• Follow-up might include regular checks with a healthcare provider to assess skin health and adapt ostomy care as needed.

Alternatives

• Ostomy paste: Used to fill in uneven areas for a better seal.
• Convex ostomy barriers: For patients with stomas that are flush or retracted.
• Moldable barriers: Customized for an individualized fit. Pros and Cons: Alternatives vary in ease of use, effectiveness, and suitability for different skin types and stoma shapes.

Patient Experience

• Patients might feel increased comfort and security with the use of an ostomy ring.
• Initial placement can be a learning curve but becomes easier with practice.
• Some may experience mild irritation or sensitivity during adaptation.
• Pain management or comfort measures generally involve ensuring proper fit and seal, and using gentle, skin-friendly products.