สาระความรู้ CoP แผลและออสโตมี (Wound and Ostomy)
Management of severely Peristomal Medical Adhesive Related Skin Injury

Tanyaluk Normrawee,
Varida Jongthan
Siriraj Hospital, Mahidol University, Thailand

Peristomal Medical Adhesive Related Skin Injury (PMARSI) are defined alteration in skin integrity with erythema, skin tears, stripping, erosion, bulla and vesicle. PMARSI is apparent after removal of adhesive ostomy pouching system.(Kimberly, Whiteley, McNichol, Salvadalena, & Gray, 2019) Its caused by shearing forces due to distension of the skin beneath an adhesive product that does not stretch. In aging decreases dermal thickness, elasticity and sensory perception, which can lead more rapid tissue injury. These damaged skin can range from partial thickness to full thickness skin loss. If peristomal skin have severely damaged that make difficult to pouching.

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