Untreated peristomal skin complications among long-term colorectal cancer survivors with ostomies.

Carmit K. McMullen, Joseph Wasserman, Andrea Altschuler, Marcia L. Grant, Mark C. Hornbrook, Petra Liljestrand, Catherine Briggs, Robert S Krouse

Research output: Contribution to journalArticle

15 Citations (Scopus)

Abstract

This ethnography of family caregiving explored why peristomal skin complications are common and undertreated among colorectal cancer survivors with intestinal ostomies. Data were collected through in-depth interviews with 31 cancer survivors and their family caregivers, fieldwork, structured assessments, and medical records review, and analyzed with qualitative theme and matrix analyses. Survivors who received help changing the skin barrier around their stoma had fewer obstacles to detection and treatment of peristomal skin complications. Half of the survivors received unpaid help with ostomy care, and all such help came from spouses. Married couples who collaborated in ostomy care reported that having assistance in placing the ostomy appliance helped with preventing leaks, detecting skin changes, and modifying ostomy care routines. In addition, survivors who struggled to manage ostomy care independently reported more obstacles to alleviating and seeking treatment for skin problems. Oncology nurses can improve treatment of peristomal skin problems by asking patients and caregivers about ostomy care and skin problems, examining the peristomal area, and facilitating routine checkups with a wound, ostomy, and continence nurse.

Original languageEnglish (US)
Pages (from-to)644-650
Number of pages7
JournalClinical Journal of Oncology Nursing
Volume15
Issue number6
StatePublished - Dec 2011
Externally publishedYes

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Ostomy
Survivors
Colorectal Neoplasms
Skin
Caregivers
Nurses
Cultural Anthropology
Skin Care
Spouses
Medical Records
Therapeutics
Interviews

ASJC Scopus subject areas

  • Oncology(nursing)
  • Oncology

Cite this

McMullen, C. K., Wasserman, J., Altschuler, A., Grant, M. L., Hornbrook, M. C., Liljestrand, P., ... Krouse, R. S. (2011). Untreated peristomal skin complications among long-term colorectal cancer survivors with ostomies. Clinical Journal of Oncology Nursing, 15(6), 644-650.

Untreated peristomal skin complications among long-term colorectal cancer survivors with ostomies. / McMullen, Carmit K.; Wasserman, Joseph; Altschuler, Andrea; Grant, Marcia L.; Hornbrook, Mark C.; Liljestrand, Petra; Briggs, Catherine; Krouse, Robert S.

In: Clinical Journal of Oncology Nursing, Vol. 15, No. 6, 12.2011, p. 644-650.

Research output: Contribution to journalArticle

McMullen, CK, Wasserman, J, Altschuler, A, Grant, ML, Hornbrook, MC, Liljestrand, P, Briggs, C & Krouse, RS 2011, 'Untreated peristomal skin complications among long-term colorectal cancer survivors with ostomies.', Clinical Journal of Oncology Nursing, vol. 15, no. 6, pp. 644-650.
McMullen CK, Wasserman J, Altschuler A, Grant ML, Hornbrook MC, Liljestrand P et al. Untreated peristomal skin complications among long-term colorectal cancer survivors with ostomies. Clinical Journal of Oncology Nursing. 2011 Dec;15(6):644-650.
McMullen, Carmit K. ; Wasserman, Joseph ; Altschuler, Andrea ; Grant, Marcia L. ; Hornbrook, Mark C. ; Liljestrand, Petra ; Briggs, Catherine ; Krouse, Robert S. / Untreated peristomal skin complications among long-term colorectal cancer survivors with ostomies. In: Clinical Journal of Oncology Nursing. 2011 ; Vol. 15, No. 6. pp. 644-650.
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