You have a patient who has had an ileal pouch anal anastomos…

You have a patient who has had an ileal pouch anal anastomosis (IPAA) for 5 months. She is experiencing continent stools 8 times a day and her only complaint is that the perianal skin burns. Upon assessment, the perianal skin is intact, but erythematous. Which of the following interventions is most appropriate?

Susie appears in the clinic with an ileostomy and changes he…

Susie appears in the clinic with an ileostomy and changes her pouch every 7 days although recently she has experienced inconsistent  pouch  wear  time  due  to  leakage. Her  stoma protrudes, is  1 ¼” round  and  has erythema and denudation from 6 o’clock to 9 o’clock. Her abdomen is flat and firm, so you do not believe convexity is needed. Her pouch has an extended wear skin barrier and is  the correct  size.  She recently began playing tennis daily  in competitions. Your recommendation is: