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

Which of the following is essential to prevent peristomal moisture-associated skin damage (MASD)?

1. Use of medicated ointments

2. Secure pouching system

3. Strict dietary restrictions

4. Frequent bathing

The correct answer is: Secure pouching system

The use of a secure pouching system is essential in preventing peristomal moisture-associated skin damage (MASD) because it plays a critical role in managing the integrity of the skin surrounding the stoma. A well-fitted and secure pouching system helps to effectively contain output, minimizing leakage, and thus reducing the potential for skin irritation and damage caused by exposure to moisture, effluent, and adhesives. When the pouching system is secure, it not only protects the skin from effluent but also maintains a barrier that can help to prevent excessive moisture buildup. If a pouch is poorly fitted or not securely attached, it can lead to leaks, causing the skin to become macerated and potentially leading to skin breakdown or infections. While medicated ointments may provide additional skin protection and may be helpful in certain situations, they are not a substitute for a proper pouching system. Strict dietary restrictions are often unnecessary and not directly related to the management of skin integrity around the stoma, and frequent bathing could lead to drying of the skin or the use of harsh soaps that might irritate the skin. Therefore, a secure pouching system is the most critical factor in preventing MASD.