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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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