Certified Wound Ostomy Nurse (CWON) Practice Test

What should you always check before addressing peritubular breakdown?

1. The integrity of the dressing

2. The cause of the breakdown

3. The patient's overall health

4. Whether the tube is functioning properly

The correct answer is: The cause of the breakdown

Before addressing peritubular breakdown, it is essential to check the cause of the breakdown. Understanding the underlying reason for the breakdown allows for targeted interventions that address not only the symptom but also the root issue. This may include factors such as excessive pressure from the tube, irritants from the effluent, or skin sensitivities. Identifying the cause can inform the selection of appropriate dressings, treatments, and adjustments to care practices, ultimately promoting healing and preventing recurrence. While evaluating the integrity of the dressing, the patient's overall health, and the functionality of the tube are all important considerations, they are secondary to understanding why the breakdown has occurred. For instance, even if the dressing is intact and the tube functions properly, if the cause of the breakdown remains unaddressed, further complications may arise. Hence, assessing the cause is critical for developing an effective care plan that promotes skin integrity and patient comfort.