Certified Wound Ostomy Nurse (CWON) Practice Test

What is the best way to prevent peristomal moisture-associated skin damage (MASD)?

1. Use a fiberglass barrier film

2. Implement a secure pouching system

3. Use a water-resistant adhesive

4. Avoid any pouch change

The correct answer is: Implement a secure pouching system

Implementing a secure pouching system is vital for preventing peristomal moisture-associated skin damage (MASD). A secure pouch ensures that effluent remains contained and does not come into contact with the skin surrounding the stoma. This is crucial because moisture from the effluent can lead to skin erosion and breakdown over time. A secure pouching system provides a tight seal and minimizes leakage, which often is the primary cause of moisture-related skin issues. Additionally, a well-fitting pouch can help to manage body movements and reduce friction, further protecting the skin. While using a fiberglass barrier film, a water-resistant adhesive, or avoiding pouch changes may provide some level of protection, they do not address the fundamental issue of effluent containment as effectively as a secure pouching system does. Each of those methods may be beneficial in certain circumstances, but they do not work independently to ensure optimal skin integrity as the implementation of a secure pouch does.