Wound, Ostomy and Continence Nurses Society (WOCN) Practice Exam

How can the perifistular skin be protected during fistula management?

1. By increasing moisture exposure

2. By avoiding wound cleaning

3. By applying crusting techniques

4. By using antibiotic creams

The correct answer is: By applying crusting techniques

The application of crusting techniques is an effective method for protecting the perifistular skin during fistula management. Crusting techniques involve encouraging the formation of a protective layer over the affected area, which can help absorb excess moisture and exudate while also promoting healing. This protective crust can serve as a barrier against irritants and friction, reducing the risk of skin breakdown and infection. In managing a fistula, it's crucial to maintain skin integrity, as the surrounding skin can become compromised due to exposure to bodily fluids. By fostering a crust, the healing process can be optimized and the discomfort for the patient can be minimized. This technique aligns with best practices in wound care, focusing on management strategies that enhance skin health and promote the healing of the surrounding tissue. Other methods, such as increasing moisture exposure or avoiding wound cleaning, could lead to skin maceration or infection, while the use of antibiotic creams may not always be necessary or appropriate, depending on the individual's circumstances. Thus, utilizing crusting techniques stands out as a beneficial practice for protecting the skin around a fistula.