Which of the following is NOT recommended when managing psoriasis in peristomal skin?

• A. Use a hydrocolloid barrier only
• B. Reduce pouch changes during active lesions
• C. Apply adhesive collars around the pouch
• D. Seek dermatologist management

Answer: (C)

When peristomal psoriasis is present, the focus is on protecting the inflamed skin and avoiding anything that adds irritation or trauma. Adhesive collars around the pouch introduce extra adhesive surface and friction on sensitive skin, can trap moisture and stool, and may disrupt the skin’s healing barrier. This can worsen irritation and delay recovery, so using adhesive collars is not advised. A protective barrier such as a hydrocolloid barrier helps shield the skin without adding mechanical stress, making it a better first-line approach. If lesions are active or stubborn, maintaining careful, regular pouch changes and seeking dermatologist input can help tailor therapy and barrier choices to the skin’s needs. In short, avoid adhesive collars around the pouch to minimize further irritation and support healing.