Which statement best describes the effect of granulation on PEG site skin health?

Which statement best describes the effect of granulation on PEG site skin health?

• A. It can increase moisture under the bolster, raising skin breakdown risk
• B. It decreases moisture and improves skin integrity
• C. It has no effect on skin health
• D. It prevents infection

Answer: (A)

Granulation tissue signals healing around a PEG site and is often associated with wound exudate, making the area quite moist. If that moisture becomes trapped under the PEG bolster, it can macerate the surrounding skin, weakening the barrier and increasing the risk of skin breakdown. This is why the statement describing increased moisture under the bolster and higher skin breakdown risk best fits what granulation does at a PEG site. Granulation isn’t about decreasing moisture or inherently preventing infection in this context, and it does have a real impact on skin health through moisture and potential maceration.

Granulation tissue signals healing around a PEG site and is often associated with wound exudate, making the area quite moist. If that moisture becomes trapped under the PEG bolster, it can macerate the surrounding skin, weakening the barrier and increasing the risk of skin breakdown. This is why the statement describing increased moisture under the bolster and higher skin breakdown risk best fits what granulation does at a PEG site. Granulation isn’t about decreasing moisture or inherently preventing infection in this context, and it does have a real impact on skin health through moisture and potential maceration.