How would you identify signs and symptoms of silent leakage?
A. Peristomal skin is exposed to effluent with evidence of peristomal moisture associated damage, no visible signs of leakage from the outside of the pouching system.
B. Pouch is leaking, patient does not disclose the problem.
C. Pouch is leaking, no problematic sounds are detected from the pouching system.
D. Peristomal skin is exposed to effluent, no signs of skin irritation.