Patient Case Study No.2 (UK) – Confidence® Natural Drainable

Patient: 82-year-old male

• Lives alone
• Very active and is the captain of the local bowls team       
• Member and organiser of a walking group
• He has a lady friend and goes on holidays with her – their social life is very full
• 2008: diagnosed with rectal cancer, but he was very positive
• Anterior Resection with loop Ileostomy in July 2008
• He coped well with the stoma and continued with his active life
• The cancer histology was a Dukes B, and he was a surgical follow-up, needing no further treatment observation on referral, his stoma was reversed in December 2008. The patient was incontinent, with very little sphincter control
• He took loperimide and had a little more control
• He recovered well from unrelated surgery but was miserable with the incontinence
• He stopped going out, gave up bowling and walking
• He tried to socialise with his lady friend but found it embarrassing
• I visited this patient on 3 occasions and counselled him regarding another stoma to aid the problem
• March 2011: Hartmann’s procedure. The patient had a stormy recovery but was eventually discharged home with a supply of soft convex pouches

FIRST VISIT

• Abdomen very wrinkled
• Hooded stoma, which had been difficult to site (Ref 1)
• We tried to put on the convex bag, lifting the abdomen flat
• I put SecuPlast® Hydro extension strips on and a belt to secure and the district nurse visited each day over the weekend

SECOND VISIT

• Patient was improving and having greater success with Salts pouch system.  I fitted Confidence® Natural and it moulded snugly around the hood and creases (Ref 2)

CONCLUSION

Patient has had no further leakage and is really happy with the pouch.