The least number of products used is the first step. Adding an accessory to improve fit may be needed. Some accessories are used for fitting options while others for improved wear time. They can be used to offer comfort or confidence.
Ostomy nurses have different opinions regarding the use of this product. My philosophy is to protect the skin by using one. Alcohol-free is best. This way, if the skin becomes red or irritated, it will not burn with the application. A good choice is Cavilon by 3M. It is available in wipe or spray form.
This should be used if the skin under the barrier is broken and moist. After cleaning the skin, allow the skin to dry, then sprinkle the powder over the red, moist skin. Tap off the excess. Use a barrier film over the powder. This will hold the powder in place and create a tacky surface for the barrier to adhere to. The barrier film spray is often used when using powder but if wipes are all you have, dab over the powder, and don’t wipe. There is enough product to soak the powder.
Stoma paste is used to fill in gaps or to chalk the opening of the barrier. It works like the tiles in your shower. Chalking is applied to prevent moisture leakage behind the tile.
Moldable rings work as chalking and can be placed around the stoma, under the barrier.
This product is placed around the outer portion of the barrier (wafer). They extend the adhesive surface. Many like this product because it offers security and confidence.
Each manufacturer has a stoma belt available and most are interchangeable. The belt is recommended for those with a flush or inverted stoma and who have more frequent leakage problems. These belts are a 1” elastic band that is adjustable. Each end has a small hook that locks into belt tabs on the pouching system. The belt should fir snug, but not too tight to be uncomfortable. This will hold the pouch close to the body, minimizing leakage.
Odor control is a high priority for those with an ostomy. Many biological odor eliminator sprays are available in 8 oz, 2 oz, and refill bottle sizes.
Gelling agents can be placed in the pouch after emptying. It will turn the liquid output into a gel. This decreases leakage episodes and reduces noise related to the sloshing of liquid.
Adhesive agents are available for those that leak more often due to body contour or poorly placed stomas.
No matter what problems or difficulties you may experience with your ostomy pouching, many products are available to assist with getting a good fit and an acceptable wear time.
Health Products For You carries all these outstanding products for you to try.
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Christine Kijek is a colorectal nurse at Danbury Hospital in Danbury, CT. She has a wealth of knowledge in this field as well as personal experience. HPFY is thrilled that she has been ...
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