Name of the Procedure:

Ostomy Skin Barrier, Pectin-Based, Paste

Summary

An ostomy skin barrier, pectin-based paste is a type of medical product used to protect the skin around an ostomy (a surgical opening on the abdomen). The paste helps to create a secure seal between the skin and the ostomy appliance, preventing leaks and protecting the skin from irritation and infection.

Purpose

This paste is used to manage and protect the skin surrounding the stoma (the end of the ureter, ileum, or colon that has been brought through the abdominal wall). It aims to enhance the fit of the ostomy appliance, reduce skin complications, and improve the patient's comfort and quality of life.

Indications

• Patients with an ostomy (e.g., colostomy, ileostomy, urostomy).
• Frequent leakage of ostomy appliances.
• Peristomal skin irritation or breakdown.
• Need for a better seal around the stoma.

Preparation

• Clean the peristomal skin thoroughly but gently.
• Ensure the skin is dry before applying the paste.
• Check the ostomy appliance size and shape to ensure proper fit.

Procedure Description

1. Clean and dry the stoma and surrounding skin.
2. Gently squeeze the pectin-based paste from its tube.
3. Apply a thin layer of the paste around the stoma, directly onto the skin.
4. Smooth the paste to ensure an even layer.
5. Wait for a few moments to let the paste set slightly.
6. Attach the ostomy appliance over the paste, ensuring a secure fit.

Tools and Equipment:

• Pectin-based ostomy paste (such as the one coded A4406)
• Ostomy appliance (bag or pouch)
• Cleaning materials (soap, water, non-alcoholic wipes)

Duration

The application of the paste typically takes about 5-10 minutes.

Setting

This can be done conveniently at home by the patient or their caregiver. Initial guidance on application is usually provided in a hospital or outpatient clinic.

Personnel

Ostomy nurses or trained healthcare professionals initially teach the patient how to use the paste effectively.

Risks and Complications

• Allergic reactions to the paste components (though rare).
• Improper application leading to poor adhesion of the ostomy appliance.
• Potential skin irritation if the paste is not removed properly.

Benefits

• Better fit and adherence of the ostomy appliance.
• Reduced risk of leaks.
• Protection of the peristomal skin from irritation and breakdown.
• Improved comfort and confidence for the patient. These benefits are typically noticed immediately after proper application.

Recovery

No specific recovery time is required since this is an ongoing daily care procedure. Patients should monitor their skin condition and consult healthcare professionals if they notice signs of irritation or infection.

Alternatives

• Other types of skin barriers (e.g., rings, seals).
• Adhesive strips or tapes.
• Customized or more advanced ostomy systems. Compared to these alternatives, a pectin-based paste is often more moldable and can provide a firmer seal in challenging stoma shapes.

Patient Experience

Patients might initially find the application process unfamiliar, but with practice, it becomes a routine part of their ostomy care. They may feel more secure and experience fewer leaks, providing peace of mind. Pain is not typically associated with this procedure, and most patients find it a helpful addition to their ostomy care routine.