Use of Universal Catheter Access Port for Management of Leaking Tubes in the Palliative Care Setting (725)

Abstract

1.Discuss photos demonstrating use and application of universal catheter access port.2.Discuss photos of chemical damage/fungal rash on peri-tube skin secondary to leakage of effluent.3.Compare photos showing skin healing after treatment. I. Background. The use of tubes today is commonplace, especially in the palliative care setting. These tubes are used to help relieve symptoms, provide nutrition, and bypass obstructions, whether it is a gastrostomy, jejunostomy, biliary, suprapubic, or nephrostomy tube. Unfortunately many of these tubes leak and are unable to be replaced at the end-of-life. Painful chemical irritation and fungal infections can occur around a tube site due to leakage. II. Case Description. Photos will be used with written descriptions. Poster will demonstrate comparisons of skin integrity before and after using Universal Catheter Access Port. Also included will be examples of the versatility of this device (eg, containment of drainage from a tumor surrounding a suprapubic tube, containment of leakage around two Jackson-Pratt tubes). III. Conclusion. Our outcomes will show:1.rapid improvement of skin integrity as a result of effectively diverting effluent away from the skin;2.relief of painful symptoms;3.provides a means of visualizing and measuring output; and4.device is versatile and cost-effective.