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Specialized Glossary for Health care professionals
Allergy
A negative response to a substance. In ostomy care, a person may be allergic to some part of the pouch system, such as the tape. However, allergies are fairly uncommon and there may be other reasons for a reaction to a material.
Barrier opening
The barrier opening is defined by the pre-cut hole in the skin barrier. It is usually the same size as the stoma, but should not be smaller than the diameter of the stoma.
Closed pouch
A pouch that is not drainable from the bottom. Usually when it needs to be emptied, it is removed and thrown away. Most often a person with a colostomy would use this type of pouch.
Colostomy
A surgically created opening into the large intestine or colon.
Convexity
This is the outward curving of the portion of the pouch that has contact with the skin, usually the skin barrier. The convex shape provides form to the skin barrier and support to the peristomal skin.
Cut-to-fit barrier
A cut-to-fit barrier needs to be cut before it is applied to the body. There may or may not be a small starter hole in the center of the skin barrier where scissors can be placed to make cutting easier. A cut-to-fit barrier is ideal if the stoma is still changing sizes or if the shape of the stoma is not round.
Drainable pouch
A pouch that opens from the bottom to empty the contents. A drainable pouch requires some type of clamp or integrated closure on the bottom to keep it closed. A person with a colostomy or ileostomy (NOT a urostomy) would use this type of pouch.
ET nurse
Enterostomal therapy nurse. A nurse with specialized education in the care of people who have wound, ostomy or continence concerns. Also known as a wound ostomy continence (WOC) nurse.
Extended Wear Skin Barrier
Skin barriers with special additives that achieve a stronger adhesive seal and are more resistant to breakdown. Skin barrier of choice for urostomies and ileostomies. Flextend is an example. It is not recommended to use skin-prepping agents under extended wear skin barriers.
Filter
A charcoal vent in an ostomy pouch that allows gas to escape and be deodorized.
Flange
The flange is a plastic ring that is on a two-piece pouch system. The flange on the pouch and the flange on the skin barrier must match to create a secure pouching system. Letters or color designations may be used to help in correctly matching the flanges.
Flat Skin Barrier
The skin barrier on this product is NOT curved or convex. It may be part of a one-piece or two-piece system.
Flextend Skin Barier
A type of skin barrier from Hollister. It is designed to be the most resistant to breakdown and is the barrier of choice for many ostomies that have a more liquid type of discharge. It should be worn for a minimum of several days before it is changed.
FlexWear Skin Barrier
A type of skin barrier from Hollister. It is designed to work well with most types of ostomy discharge. It should be worn for more than one day.
Floating flange
This is a feature only on Hollister two-piece skin barriers. The flange (plastic ring) and the skin barrier can move independent of each other. This means the skin barrier is more flexible and it makes it easier for you to attach the flanges.
Ileal conduit
This is a specific type of urinary diversion. A segment of ileum (small intestine) is used as a pipeline (conduit) to divert urine. The urine flows from the kidneys, down the ureters, through the conduit and out the stoma. The conduit is not a reservoir for urine. The output from the stoma is urine and mucus. The bladder may be bypassed or removed.
Ileostomy
A surgically created opening through the abdomen that leads into the small intestine.
Irritation
Any inflammation or soreness. In ostomy care, it usually refers to the skin. A skin irritation may be seen as skin that is reddened, open, and/or moist.
Karaya
A type of natural skin barrier available from Hollister. It is particularly well-suited for sensitive skin or if allergic reactions to synthetic products occur. It will break down when exposed to high heat or to high-water content discharge. It has a mildly acidic pH (4.5-5.0).
Lock 'n Roll Closure
An integrated closure system that securely closes the bottom of a drainable pouch. It is an alternative to the traditional pouch clamp.
New Image Products
A specific group of two-piece products from Hollister. Key features of the New Image group include tapered skin barriers with and without tape, cut-to-fit flat and convex barriers, exclusive rustle-free pouch film, beige comfort pouch panels and Lock 'n Roll integrated closure. Available in drainable, closed and urostomy pouches.
Odor-barrier film
Pouch film that is highly resistant to letting odors pass through while the pouch is worn.
One-piece pouch
A one-piece system includes a skin barrier and pouch that are already attached. Most one-piece pouching systems do not include a plastic ring or flange that limits the ability of the pouch to flex with changes in the body. Generally, a one-piece system is more flexible than a two-piece system.
Opaque
This refers to pouch film that is colored- beige. It is designed to help conceal the contents of the pouch.
Ostomy
A surgically created opening into the gastrointestinal (bowel) or urinary system. This is a general term and is sometimes used interchangeably with the word stoma.
Peristomal skin
This refers to the skin immediately around the stoma. Usually the adhesive of the pouching system covers the peristomal skin.
Premier
A name for a specific group of one-piece pouches from Hollister. Key features in the Premier group include standard wear and extended wear skin barriers, beige comfort pouch panels, exclusive rustle-free pouch film, beige tape and Lock 'n Roll. Available in drainable, closed and urostomy pouches.
Pre-sized
The barrier opening on these products has already been cut for added convenience. The sizes are listed and should be selected based upon your stoma size. Ideal if your stoma has a round shape.
Rustle-free
Pouch film that is designed to minimize noise when wearing an ostomy pouch. This is an exclusive feature available only from Hollister.
Skin Barrier
A product placed on the body for the purpose of protecting the skin. Skin barriers are adhesive, but have different properties based upon formulation. Examples of Hollister skin barriers are Karaya 5, FlexWear, Flextend, and SoftFlex.
SoftFlex Skin Barrier
A type of skin barrier available from Hollister. It is designed to provide a gentle attachment to the skin. It is ideal if you have delicate skin or if you choose to change your pouching system frequently (daily or more often).
Standard Wear Skin Barrier
Provides a gently adhesive attachment to the skin. These skin barriers absorb less and disintegrate faster than extended wear skin barriers. Examples include FlexWear and SoftFlex.
Stoma
A surgically created opening into the gastrointestinal (bowel) or urinary system. This is a general term and is sometimes used interchangeably with the word ostomy. The stoma is red, moist, and is not painful.
Stoma Measuring Guide
A card used to measure the stoma at the base. This information is useful in selecting the right size pouch or skin barrier.
Tape Border
This is a product that has tape around the outside of the skin barrier-like a picture frame. It helps to hold your pouching system securely in place and to protect your skin barrier.
Tapered Skin Barrier
This unique design means the skin barrier is thicker around the stoma for greater protection and yet thinner at the outside edge. This means no tape and a more flexible, comfortable system.
Transparent pouch
The pouch film on this product is designed to allow you to see the pouch contents. This is preferred in some situations.
Two-piece pouch
A two-piece system includes a skin barrier with flange and a pouch with flange. The two flanges lock together to create the pouch system. The flanges influence the flexibility of the pouch because they are plastic and, therefore, not as flexible as a skin barrier alone.
Urostomy
A surgically created opening (usually on the abdomen) that allows urine to flow out of the body. A urostomy may also be called a urinary diversion.
Urostomy pouch
This type of pouch has a drain valve or spout at the end since it is designed to drain liquid contents (usually urine) from a pouch. A person with a urostomy or urinary diversion would use this type of pouch.
Wear time
This is the length of time a product can be worn before failure. Failure is usually the result of barrier erosion or separation from the skin surface. Wear time varies widely. The goal of selecting an appropriate ostomy product is to provide a predictable and consistent wear time.
Wound Ostomy Continence nurse
Wound ostomy continence nurse. A nurse with specialized education in the care of people who have wound, ostomy or continence concerns. Also known as an ET (enterostomal therapy) nurse.