Description

Peeters et al evaluated stomal function in patients treated for rectal cancer using a simple Likert scale. This can be monitored over time to identify problems and to determine the effectiveness of interventions. The authors are from the Dutch Colorectal Cancer Group.


 

Parameters monitored:

(1) skin irritation around the stoma

(2) smell

(3) bleeding from the stoma

(4) leakage around the stoma (stool, blood, mucus)

(5) pain at the stoma

(6) noise

Frequency Term

Translation

never

never or very rare

sometimes

less than once a week

often

once a week or more but not every day

always

every day

 

This is scale does not indicate how severe a problem is. Other instruments have included a combination score based on frequency and severity levels. for each finding.

 

To keep the score simple, a modified scoring scheme might be based on how much of a problem the finding has been for the patient. This is point assignment is not linear since the impact on the patient is not linear.

 

Degree of Problem

Points

not a problem

0

minimal

1

mild

2

moderate

4

severe

7

extreme

10

 

total score =

= SUM(points for all 6 parameters)

 

Interpretation:

• minimum score: 0 (no problems whatsoever)

• maximum score: 60

 


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