Certified Wound Ostomy Nurse (CWON) Practice Test

Which treatment should be combined with sealing agents for peritubular breakdown management?

1. Antibiotics

2. Balm ointments

3. Powder and sealing agent

4. Cold compress

The correct answer is: Powder and sealing agent

Combining powder and sealing agents is an effective approach for managing peritubular breakdown. This method leverages the absorptive qualities of powder to help manage moisture in the area surrounding a stoma or tube. The powder can absorb excess moisture that contributes to skin irritation and breakdown, while the sealing agent helps create a protective barrier over the skin. This dual approach enhances skin protection by minimizing contact with bodily fluids and reducing friction and irritation. Using powders specifically designed for ostomy care can also promote a drier environment, which is conducive to healing and can help reduce the risk of further breakdown. By integrating both the powder and sealing agents, a more comprehensive protective strategy is implemented, which is crucial in caring for areas susceptible to skin injury due to exposure and moisture.