Patient Case Study No. 4 (UK)  Confidence® Natural Drainable

PATIENT HISTORY

• 68 year old male
• Abdoperineal resection of rectum, 2007
• Rectal Adenocarcinoma
• Parastomal hernia, 2009 – no surgery
• Hypertension
• Type 2 diabetes
• Self-referral to hospital with sore skin
• Leakage
• Large parastomal hernia
• Difficulty placing pouch – having to lie down
• Creases in wafer due to shape of hernia

TREATMENT

• Hospital Stoma Nurse observed pouch changing technique
• Changed pouch to Confidence® Natural because of its Aloe Vera content and Salts British Skin Foundation accreditation
• Advised to use a barrier cream for 2 weeks
• Referral to Community Stoma Care Nurse

RESULTS USING CONFIDENCE® NATURAL

• Reviewed after 2 weeks (Ref 1)
• Skin had healed
• Barrier cream only used for 3 pouch changes, as patient was unable to apply
• Skin looked and felt well moisturised
• Little residue on skin
• No leakage (Ref 2)
• Patient found pouches easy to remove
• Comfortable to wear
• No “sharp edges”
• Able to place the pouch while standing (Ref 3)
• Five-sided Flexifit® wafer moulded around his stoma
• No creases on the wafer
• Patient is very happy with the pouch (Ref 4)
• He will continue to use
• His confidence is growing and he has now started going out again

CONCLUSION

• Confidence® Natural was easy for this patient to use and comfortable for him to wear
• Skin condition improved quickly
• The Flexifit® wafer provided an excellent fit, giving this patient the confidence to start going out again