The ostomy skin tool: tracking peristomal skin changes.
The Ostomy Skin Tool is a standardized measuring instrument for assessing the extent and severity of peristomal skin change in terms of discolouration (D), erosion (E), and tissue overgrowth (T) (DET). The reliability and validity of this tool has been determined in a previous study. The purpose of this article is to highlight the study's most important findings, and to demonstrate the usefulness of the DET score by evaluating three examples of peristomal skin changes. Additionally, a simplified categorical severity scale (defining 'mild', 'moderate', and 'severe' conditions) is introduced that may improve clinical interpretation of the DET score. It is reasonable to conclude that the DET score may empower the ostomy care nurse with an evidence-based platform to make qualified decisions on evaluation and treatment of peristomal skin disorders.
Enterostomal Therapy Nurse London Health Sciences Centre, Ontario.
Lina
L
Martins
Elizabeth A
EA
Ayello
Ineke
I
Claessens
Anne
A
Steen Hansen
Lis
L
Hentze Poulsen
R Gary
RG
Sibbald
Gregor B
GB
Jemec
D003718:Denmark; D006801:Humans; D009730:Nursing Assessment / Q000379:methods*; D010030:Ostomy / Q000009:adverse effects / Q000451:nursing*; D015203:Reproducibility of Results; D016037:Single-Blind Method; D012871:Skin Diseases / Q000473:pathology / Q000517:prevention & control*; D013030:Spain