Question: CASE STUDY PROGRESS 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…

CASE STUDY PROGRESS 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. 13. How should the skin around the stoma look? 14. In general, there are 4 different causes of erythema or skin breakdown. Identify 2. 15. After you discover the reddened skin, how will you proceed with the ostomy care? 16. As you clean the site, D.S. tells you, “You need to scrub that with strong soap! It’s dirty!” How do you reply to D.S.?