Ostomy Canada Winter 2017 Volume 25, Number 2 (reprinted with permission).

Poster Abstract for CAOT Conference 2016

An Innovative Splint and Belt to Treat Ileostomy Prolapse

 

Introduction

Ileostomy prolapse can cause significant health issues that impact quality of life, foster social isolation and impede occupational performance. To date there are no standard splints to control prolapse. While ostomy hernia belts are available commercially, these were not effective for this child’s prolapse. This innovative splint and belt, developed in the fall of 2012, is a unique design that is effective in controlling ileostomy prolapse.

Objective

This poster outlines a case study of a 9-year-old boy who suffered from prolapse secondary to Chronic Granulomatous Disease. He continues to wear this splint and belt.

Method

Instructions will be provided on how to make this innovative splint and belt along with pictures, tips and samples. Information about ileostomy prolapse will be presented.

Results

Since using this splint and belt, this child has not experienced any further bowel obstructions, surgical interventions nor associated hospitalizations. He can independently manage his prolapse, attend school full-time and participate in gym class and extracurricular activities. Interactions with his family and friends significantly increased. Ultimately, this child’s quality of life and that of his family has improved dramatically.

Conclusion

Occupational Therapists (OTs) have a unique role to play in treating children and adults with ileostomy prolapse. This new area of splinting demonstrates how OTs think and create ‘outside the box.’