Question: You Have Gathered All Needed Supplies, And D.S. Is As Comfortable As Possible. You Begin The Pouching Change. Using The Adhesive Remover, With The Push- Pull Method, You Gently Remove The Wafer. As You Lift The Wafer, You Note That The Peristomal Skin Has Severe Erythema Directly Encircling The Stoma. There Is Denudation (partial-thickness Breakdown) …

You have gathered all needed supplies, and D.S. is as comfortable as possible. You begin the pouching change. Using the adhesive remover, with the push- pull method, you gently remove the wafer. As you lift the wafer, you note that the peristomal skin has severe erythema directly encircling the stoma. There is denudation (partial-thickness breakdown) at the medial stoma-skin edge. 4. How should the skin around the stoma look? 5. Generally, there are four different causes of erythema or skin breakdown. Identify two. 6. After you discover the reddened skin, how will you proceed with the ostomy care?