Figure 8 fitness review skin#
We assert that objective and reproducible measurements for convex skin barriers are essential when comparing the performance of convex to flat skin barriers (skin barriers that do not incorporate convexity). Variability in the methods force clinicians to select convex skin barriers based on subjective assessment rather than objective criteria. As a result, manufacturers have adopted different means for measuring and describing specific characteristics of convex skin barriers such as depth, slope, or compressibility. Regulatory bodies do not set parameters for measuring certain ostomy product characteristics. 1 Selecting a convex skin barrier that achieves a secure seal or good fit depends on multiple components of skin barrier construction. The curvature of a convex skin barrier is designed to create a secure seal for a stoma that does not protrude above the peristomal skin plane or an ostomy surrounded by peristomal skin that has creases and folds.
Figure 8 fitness review free#
A flat skin barrier has a level or even adhesive surface and is ideally suited for a stoma that protrudes above a flat peristomal skin surface that is free of creases and folds. Ostomy skin barriers are available in different shapes. These statements provide a basis for quantifying the most clinically relevant characteristics of convex skin barriers and a framework for their application in clinical practice. The group reached consensus on 5 characteristics of convex skin barriers: depth, compressibility, flexibility, slope, and tension location. Twelve nurse panelists from 11 countries reviewed, discussed, and reached consensus on a group of proposed statements designed to provide standard definitions of convex skin barrier characteristics and clinically relevant application.
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The goal of the meeting was to define and establish consistency in convex skin barrier characteristics and their clinical application of the product based on these characteristics.
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In order to alleviate this confusion and encourage consistency in reporting product characteristics, an international meeting of clinicians with expertise in the care of persons living with an ostomy was convened. As a result, each manufacturer has a different way of measuring specific convex skin barrier characteristics that may create confusion among clinicians when selecting a product.
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The work cannot be changed in any way or used commercially without permission from the journal.
Figure 8 fitness review license#
This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial-No Derivatives License 4.0 (CCBY-NC-ND), where it is permissible to download and share the work provided it is properly cited. Kim Smitka is an employee and shareholder of Hollister Incorporated. The panelists and authors received sponsorship or payment from Hollister in relation to activities of the International Clinical Expert Forum (ICEF). Hollister Incorporated provided funding for the meeting.
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Mikel Gray, PhD, RN, FNP, PNP, CUNP, CCCN, FAANP, FAAN, Department of Urology, University of Virginia, Charlottesville, Virginia.Ĭorrespondence: Kimberly Smitka, RN, WOC nurse, Global Clinical Education, Hollister Incorporated, 2000 Hollister Dr, Libertyville, IL 60048 ( ). Kimberly Smitka, RN, WOC nurse, Global Clinical Education, Hollister Incorporated, Libertyville, Illinois. Mary Quigley, RGN, RM, ET, Dip Onc, Pgrad Health Sc Mgt., Wound, Ostomy and Continence Nursing Department, Galway University Hospital, Galway, Ireland. Yves Depaifve, MSN, RN, Wound, Ostomy, Continence Nursing Department, Jessa Hospital (Jessa Ziekenhuis), Hasselt, Belgium. Terri Cobb, BSN, RN, CWOCN, Wound Ostomy and Continence Nursing Department, Cleveland Clinic, Cleveland, Ohio. Laurie McNichol, MSN, RN, CNS, GNP, CWOCN, CWON-AP, FAAN, Clinical Nursing Support Cone Health, Greensboro, North Carolina.