To cite this document: September (2024) Stoma Care Made Made Easy. Available from: www.woundsuk.com/made-easy Authors: Luxmi Dhoonmoon, Nurse Consultant Tissue Viability, London North West University Healthcare NHS Trust Ayesha Marshall, Nurse Consultant Tissue Viability, South Tyneside and Sunderland NHS Foundation Trust
This document is supported by Medicareplus International
References Burch J (2017) Care of patients undergoing stoma formation: what the nurse needs to know. Nurs Standard 31(41): 40–5 Burch J (2022) Stoma Care in the Community. Br J Comm Nursing 36(3): 36–41 Burch J, Marsden J, Boyles A et al (2021) Keep it simple: peristomal skin health, quality of life and wellbeing. Best practice consensus document on skin health. Br J Nurs 30(6Supp1): 1–24 Cole N, Waller S (2023) Challenges in skin tone assessment in moisture-associated skin damage. J Comm Nursing 37(3): 45–9 Colostomy UK (2022) What is a stoma? Available at: https://www.colostomyuk.org/information/ what-is-a-stoma/ (accessed 18.06.2024) Copson D, Freitas A (2021) A multi-centred retrospective analysis of 336 clinical evaluations of the Medi Derma Total Barrier Protection (TBP™) Product Range. Wounds UK 17:1: 66–74 Gunowa NO, Brooke J, Hutchinson M et al (2020) Embedding skin tone diversity into undergraduate nurse education: through the lens of pressure injury. J Clin Nurs 29(21–22): 4358–67 Hadfield G, De Freitas A, Bradbury S (2019) Clinical evaluation of a silicone adhesive remover for prevention of MARSI at dressing change. J Community Nurs 33(3): 36–41 Kelly-O'Flynn S, Mohamud L, Copson D (2020) Medical adhesive-related skin injury. Br J Nurs ;29(6):S20–6 Lacey V (2022) Importance of peristomal skin protection. J Comm Nursing 36(2): 44–50 LeBlanc K, Whiteley I, McNichol L et al (2019) Peristomal medical adhesive-related skin injury: results of an international consensus meeting. J Wound Ostomy Continence Nurs 46(2): 125–36 Maglio A, Malvone AP, Scaduto V et al (2021) The frequency of early stomal, peristomal and skin complications. Br J Nurs 30(22): 1272–6 Mthombeni F, Cawson M, Chan G et al (2023) The economic burden of stomas in the UK: a retrospective observational study of health records and hospital encounters. Br J Nurs 32(22): S12–20 National Health Service (2021) Bladder Cancer. Complications. Available at: https://www.nhs.uk/ conditions/bladder-cancer/complications/(accessed 18.06.2024) National Health Service (2020) Overview. Colostomy. Available at: https://www.nhs.uk/conditions/ colostomy/ (accessed 18.06.2024) National Health Service (2023) What is an ileostomy? Available at: https://www.nhs.uk/conditions/ ileostomy/what-is-an-ileostomy/ (accessed 18.06.2024) Nichols TR, Inglese GW (2018) The burden of Peristomal Skin Complications (PSCs) on an ostomy population as assessed by health utility and the physical component summary of the SF-36v2®. Value in Health 21(1): 89–94 Parnham A, Copson D, Loban T (2020) Moisture-associated skin damage: causes and an overview of assessment, classification and management. Br J Nurs 29(12):S30–7 Pietzsch JB, Geisler BP (2019) PSU9 Costs of stoma management post colorectal surgery in the UK healthcare system and implications of potential reduction in need for ostomy placement. Value Health 22(3): S893 Stelton S (2019) Stoma and peristomal skin care: a clinical review. AJN 119(6): 38–45 Swift T, Westgate G, Van Olsen J et al (2021) Developments in silicone technology for use in stoma care. Br J Nurs 30(6 Suppl 1): 7–18 Wounds UK (2021) Best Practice Statement: Addressing skin tone bias in wound care: assessing signs and symptoms in people with dark skin tones. Wounds UK alternative to other similar products available on the NHS. Table 3 summarises the percentage cost-saving with the Medicareplus barrier film range and Table 4 provides a similar analysis for the Medicareplus medical adhesive remover range. Conclusion Most people living with a stoma are likely to experience a peristomal skin problem at least once in their lifetime, affecting their health and quality of life (Rolls et al, 2020). In the UK, the healthcare resource used due to peristomal skin complications when compared with no complications, is estimated to be £258, £383 and £505 per each instance for mild, moderate and severe peristomal skin complications, respectively (Rolls et al, 2020). The Medicareplus stoma skincare product range provides ideal options for reducing the impact of PMASD and PMARSI through a two-pronged regimen. As well as improving patient outcomes and quality of life, the Medicareplus products provide a viable, cost-saving choice to the NHS for routine management of peristomal skin complications.
Table 3. Percentage cost-saving with the Medicareplus barrier film products Comparison of Medi Derma-S Barrier Film with alternative competitor product A Format Medi Derma-S Barrier Film Alternative competitor product A % Cost Saving 1ml £3.70 £4.09 9.5% 3ml £5.95 £6.62 10.1% 30ml £5.35 £5.85 8.6% 50ml £8.95 - - Wipe £19.40 £24.46 20.7% Comparison of Medi Derma-S Barrier Film with alternative competitor product B 1ml £3.70 £4.18 11.5% 3ml £5.95 £5.47 (2ml) 27.5% 30ml £5.35 £6.51 17.8% 50ml £8.95 £11.04 18.9% Wipe £19.40 £27.43 29.3% Table 4. Percentage cost-saving with the Medicareplus medical adhesive remover Comparison of Lifteez with alternative competitor product A Format Lifteez Medical Adhesive Remover Alternative competitor product A
% Cost Saving
50ml Spray/Aerosol
21.9%
£5.60 £8.50
£7.17 £9.35
Wipe
9.1%
Comparison of Lifteez with alternative competitor product B 50ml Spray/Aerosol £5.60 £10.24
45.3% 49.9%
Wipe
£8.50
£16.97
Lifteez vs alternative competitor product C 50ml Spray/Aerosol £5.60
43.6% 48.3%
£9.92
Wipe
£8.50
£16.45
Lifteez vs alternative competitor product D 50ml Spray/Aerosol £5.60
41.0% 46.0%
£9.49
Wipe
£8.50
£15.74
Lifteez vs alternative competitor product E 50ml Spray/Aerosol £5.60
41.0% 45.1%
£9.49
Wipe
£8.50
£15.47
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