Ostomy ring, each
HCPCS code
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
- Gather the necessary supplies: ostomy ring, ostomy appliance, and cleaning materials.
- Clean and dry the skin surrounding the stoma.
- Remove the ostomy ring from its packaging.
- Stretch or mold the ring to fit snugly around the stoma.
- Place the ring on the skin around the stoma, ensuring it adheres well.
- 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.