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Upload your own patient case here and get a peristomal skin evaluation from the Global Advisory Board.

 
Information about your patient:
Patient's sex:* 
 
Patient's age:* 
Reasons for stoma creation:
Type of ostomy:* 
Year of stoma creation:* 
Average adhesive wear time:* 
For how long has the person suffered from this peristomal skin disorder:
Is the skin moist?:* 
Is the skin bleeding?:* 
Does the patient feel stinging/burning (pain)?:* 
Any complications interferring with the application of the adhesive?:* 
Most frequent reason for changing the appliance:* 
Other comments:
 
If possible, your own DET scoring of the skin disorder (total score)
Domain 1: Discolouration
Area of discolouration (including eroded areas):
 
Severity of discolouration:
 
Domain 2:Erosion
Area of erosion:
 
Severity of erosion:
 
Domain 3:Tissue overgrowth
Area of tissue overgrowth:
 
Severity of tissue overgrowth:
Indicate your need for support:* 
If other please specify:
 
Information about you:
Your first name:* 
 
Your last name:* 
Your email address:* 
Name of your hospital:
Your country:* 
:* 
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