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

When managing peristomal MASD, which dressing type is recommended?

1. Adhesive bandages

2. Hydrocolloid or foam dressings

3. Gauze dressings

4. Transparent film dressings

The correct answer is: Hydrocolloid or foam dressings

The recommended dressing type for managing peristomal moisture-associated skin damage (MASD) is hydrocolloid or foam dressings. These dressings provide an optimal environment for healing by maintaining moisture balance and protecting the peristomal skin from excess moisture often associated with stomas. Hydrocolloid dressings are particularly beneficial because they are designed to absorb exudate while also forming a gel-like layer that helps to keep the skin underneath moisturized and protected. Foam dressings also offer similar benefits, providing cushioning and absorption that can help prevent further skin damage. Using adhesive bandages may not provide the necessary moisture management and skin protection that is crucial when dealing with peristomal MASD. Gauze dressings, while useful in some contexts, can become wet and may not provide the adequate protective barrier needed for sustained issues with moisture. Transparent film dressings can adhere too tightly to the skin and may not offer adequate absorbency, potentially leading to skin irritation or damage. Thus, hydrocolloid or foam dressings stand out as the best option for effective management of peristomal MASD.