title: Assessing the value of silicone and hydrocolloid products in stoma care.
abstract: Intact skin among many other functions provides a protective barrier between the body and its environment, which is critical in regulating transepidermal water loss (Wilkinson and Moor, 1982). The frequent application and removal of adhesives can damage skin by stripping away the outer epidermal layers. Older people, very young children and those with an underlying skin disorder may be particularly at risk (Gibelli et al, 1999; Lyons and Smith, 2003). Hydrocolloid adhesives, which hold moisture in the adhesive mass, are more skin friendly than the acrylic adhesives they now replace and have now become the material of choice for ostomy flanges and flange extenders (Smith et al, 2007). To understand stoma care nurses' awareness of the value of technologically advanced silicone and hydrocolloid products, the authors undertook a nationwide postal survey. The survey, commissioned by four companies in the United Kingdom, who make silicone and hydrocolloid products that can be used in stoma care, were keen to evaluate the awareness of these products to confirm their importance to the patient and why they should be appropriately categorized for reimbursement by the Department of Health.
authors.affiliation: Epsom Hospital, Surrey.
authors.forename: Jeanette
authors.initials: J
authors.lastname: Berry
authors.forename: Pat
authors.initials: P
authors.lastname: Black
authors.forename: Rory
authors.initials: R
authors.lastname: Smith
authors.forename: Barbara
authors.initials: B
authors.lastname: Stuchfield
mesh_terms: D000269:Adhesives / Q000009:adverse effects; D001458:Bandages / Q000009:adverse effects; D047070:Bandages, Hydrocolloid; D005260:Female; D006801:Humans; D008297:Male; D012828:Silicones / Q000009:adverse effects; D012867:Skin / Q000293:injuries*; D012879:Skin Physiological Phenomena / Q000187:drug effects*; D012997:Solvents / Q000009:adverse effects; D054047:Surgical Stomas; D011795:Surveys and Questionnaires; D006113:United Kingdom; D014870:Water Loss, Insensible
chemical_list: D000269:Adhesives; D012828:Silicones; D012997:Solvents