What is the primary purpose of skin protection options in fistula care?

• A. To promote immediate surgical healing
• B. To protect skin from moisture and effluent and prevent breakdown
• C. To shrink the stoma
• D. To replace the pouching system

Answer: (B)

The main idea is protecting peristomal skin from irritation. In fistula care, the skin around the opening is exposed to moisture and effluent that can be caustic or enzymatic. Skin protection options create a barrier or shield that keeps skin dry, absorbs or repels moisture, and prevents skin breakdown. This protection helps maintain skin integrity, reduces irritation and dermatitis, and supports overall comfort and ability to manage the fistula.

Other options don’t fit because they describe outcomes or tasks outside protecting the skin. Immediate surgical healing isn’t achieved by skin barriers, shrinking the stoma isn’t what these products do, and replacing the pouching system isn’t the purpose of skin protection products.