Abstract
The Colostomy Association (2013) estimates that there are 120 000 ostomates living in the UK, of which 65 000 have colostomies, 45 000 have ileostomies and 10 000 have urostomies. Peristomal skin issues pose a significant problem to stoma patients, and as many as one-third the number of colostomy patients and more than two-thirds that of ileostomy and urostomy patients can be affected ( Lyon and Smith, 2001 ). Skin problems can arise from the frequent application and removal of stoma appliances or from allergic reactions to the products being used. At times, it can be difficult to ascertain the cause of the allergy or sore skin, and this results in a lengthy process of elimination and a distressing time for the patient ( Burch and Sica, 2008 ). Often the treatment can be simple and the skin will heal quickly. At other times, the skills of a specialist stoma nurse will be needed. The problems arising from sore peristomal skin can have a detrimental effect on a patient's emotional, physical, and sexual wellbeing.
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