Which statement best describes the skin barrier in ostomy care?

• A. The skin around the stoma is protected by a separate cream
• B. The pouch attaches to clothing
• C. The adhesive, adherent device that attaches to the skin around the stoma
• D. It is used to measure stoma output

Answer: (C)

The skin barrier is the adhesive wafer that sticks to the skin around the stoma and secures the pouch in place. It is designed to form a strong seal so that output stays away from the surrounding skin, protecting against irritation and leaks. The barrier is customized to fit around the stoma, and it can be flat or shaped (convex) to accommodate body contour and prevent leakage.

Creams or skin protectants may be used to shield or prepare the skin, but they are not the device that attaches the pouch. The pouch itself attaches to the barrier, not directly to clothing. Measuring stoma output is not a function of the barrier, which is why that option doesn’t fit either.