question for ostomates
Comments
-
Adhesive
I used the Hollister spray adhesive. I was constantly "blowing" out at night after a couple days use and it was frustrating until a stoma nurse told me about an adhesive that you spray directly on the wafer. I wore mine at least 5 days so after 2 days and it was not sticking I had to find something else. That worked great. Good luck.
Kim0 -
Ostomates...Annabelle41415 said:Adhesive
I used the Hollister spray adhesive. I was constantly "blowing" out at night after a couple days use and it was frustrating until a stoma nurse told me about an adhesive that you spray directly on the wafer. I wore mine at least 5 days so after 2 days and it was not sticking I had to find something else. That worked great. Good luck.
Kim
Well... a few things about ostomies....
The stoma should protrude from the base of the skin by 3/4 to 1 inch.
That provides what is called a "spout" that will eject the waste into
the appliance properly.
The stoma should never be placed near an indentation or fold in the skin;
That includes next to a "belly button".
If yours has been placed differently than described, and will be
permanent, I would seriously recommend you see an experienced
colorectal surgeon, and get some advice about having the stoma
placed properly.
A properly placed stoma will remove 99% of the problems we
ostomates have with an ostomy.
In the meantime..... Take a look at some samples of the Coloplast
Assura two-piece appliance, and their "Extended wear" wafer.
The "Extended wear" wafer is much thinner than the standard types,
and can adhere better to uneven surfaces.
I use the Coloplast Assura series with the extended wear wafer,
and I use a Hollister Adapt ring with it. The "Adapt ring" is placed
between the wafer and the skin and can greatly increase the wear-time
thanks to better sealing of the stoma-to-pouch.
It is the area around the stoma that is most important to seal, since
any leakage there will quickly destroy the peristomal skin.
You can also use a smaller wafer, that may fit better to your
present situation.
Remember to always empty the pouch when it is no more than
1/3 full; More than that will usually result in problems.
Using a medium size pouch provides less pull on the wafer than
using a large size pouch...
And the bottom line? Keep things simple. Use only hot water
to wash the peristomal area, not soap. All soaps leave a residue,
and any residue will keep the adhesives from sticking properly.
The "adhesive removers" are notorious for causing skin reactions.
Likewise, skin preps can cause irritations to the skin, and/or
interactions to other adhesives. It is always best to apply the
appliance to -clean dry skin-. Period.
Take a visit to the UOAA web site for more information from
those of us that have lived the life.
UOAA Forum
Good luck; Good health!0 -
thanksJohn23 said:Ostomates...
Well... a few things about ostomies....
The stoma should protrude from the base of the skin by 3/4 to 1 inch.
That provides what is called a "spout" that will eject the waste into
the appliance properly.
The stoma should never be placed near an indentation or fold in the skin;
That includes next to a "belly button".
If yours has been placed differently than described, and will be
permanent, I would seriously recommend you see an experienced
colorectal surgeon, and get some advice about having the stoma
placed properly.
A properly placed stoma will remove 99% of the problems we
ostomates have with an ostomy.
In the meantime..... Take a look at some samples of the Coloplast
Assura two-piece appliance, and their "Extended wear" wafer.
The "Extended wear" wafer is much thinner than the standard types,
and can adhere better to uneven surfaces.
I use the Coloplast Assura series with the extended wear wafer,
and I use a Hollister Adapt ring with it. The "Adapt ring" is placed
between the wafer and the skin and can greatly increase the wear-time
thanks to better sealing of the stoma-to-pouch.
It is the area around the stoma that is most important to seal, since
any leakage there will quickly destroy the peristomal skin.
You can also use a smaller wafer, that may fit better to your
present situation.
Remember to always empty the pouch when it is no more than
1/3 full; More than that will usually result in problems.
Using a medium size pouch provides less pull on the wafer than
using a large size pouch...
And the bottom line? Keep things simple. Use only hot water
to wash the peristomal area, not soap. All soaps leave a residue,
and any residue will keep the adhesives from sticking properly.
The "adhesive removers" are notorious for causing skin reactions.
Likewise, skin preps can cause irritations to the skin, and/or
interactions to other adhesives. It is always best to apply the
appliance to -clean dry skin-. Period.
Take a visit to the UOAA web site for more information from
those of us that have lived the life.
UOAA Forum
Good luck; Good health!
Great post thank you for the info.0 -
John gave GREAT info. I hadJohn23 said:Ostomates...
Well... a few things about ostomies....
The stoma should protrude from the base of the skin by 3/4 to 1 inch.
That provides what is called a "spout" that will eject the waste into
the appliance properly.
The stoma should never be placed near an indentation or fold in the skin;
That includes next to a "belly button".
If yours has been placed differently than described, and will be
permanent, I would seriously recommend you see an experienced
colorectal surgeon, and get some advice about having the stoma
placed properly.
A properly placed stoma will remove 99% of the problems we
ostomates have with an ostomy.
In the meantime..... Take a look at some samples of the Coloplast
Assura two-piece appliance, and their "Extended wear" wafer.
The "Extended wear" wafer is much thinner than the standard types,
and can adhere better to uneven surfaces.
I use the Coloplast Assura series with the extended wear wafer,
and I use a Hollister Adapt ring with it. The "Adapt ring" is placed
between the wafer and the skin and can greatly increase the wear-time
thanks to better sealing of the stoma-to-pouch.
It is the area around the stoma that is most important to seal, since
any leakage there will quickly destroy the peristomal skin.
You can also use a smaller wafer, that may fit better to your
present situation.
Remember to always empty the pouch when it is no more than
1/3 full; More than that will usually result in problems.
Using a medium size pouch provides less pull on the wafer than
using a large size pouch...
And the bottom line? Keep things simple. Use only hot water
to wash the peristomal area, not soap. All soaps leave a residue,
and any residue will keep the adhesives from sticking properly.
The "adhesive removers" are notorious for causing skin reactions.
Likewise, skin preps can cause irritations to the skin, and/or
interactions to other adhesives. It is always best to apply the
appliance to -clean dry skin-. Period.
Take a visit to the UOAA web site for more information from
those of us that have lived the life.
UOAA Forum
Good luck; Good health!
John gave GREAT info. I had many months of finding the right appliance, had blow outs etc. FINALLY the WOC nurse looked at my stoma again and determined I needed a CONVEX wafer, not the flat one. That made all the difference. I used the 2-piece extended wear as well.
the stoma adheseive powder and the ring were my 2 accessories.
I would soak washrags in hot/warm water and put on my wafer to loosen it and then remove. I only used warm water to get all teh adhesive off my skin- I have very sensetive skin and it would get very excoriated so i couldn't use the wipes..it would burn my skin.
good luck- keep experimenting to find the right combo for you, the it WILL be managable.
Peggy0 -
Ipluckey said:John gave GREAT info. I had
John gave GREAT info. I had many months of finding the right appliance, had blow outs etc. FINALLY the WOC nurse looked at my stoma again and determined I needed a CONVEX wafer, not the flat one. That made all the difference. I used the 2-piece extended wear as well.
the stoma adheseive powder and the ring were my 2 accessories.
I would soak washrags in hot/warm water and put on my wafer to loosen it and then remove. I only used warm water to get all teh adhesive off my skin- I have very sensetive skin and it would get very excoriated so i couldn't use the wipes..it would burn my skin.
good luck- keep experimenting to find the right combo for you, the it WILL be managable.
Peggy
Use an adhesive paste on my skin, that I attach the wafer too, and it makes it stick pretty well, but then I take my hands to give the ends of the wafer the "body heat" it needs to seal, and lately been using my hair dryer on it which makes it seal alot better as well. It does help, I didn't know they had as adhesive spray, that probably be better then messing with that messy paste lol.
Hugsss!
~Donna0 -
THERE IS A PASTE CALLEDkhl8 said:Trim the base plate
I used to trimo the plate in a cicular pattern as it just did not fit right when I applied it. I had no problems after i did this and did not have to use the adhesive paste after that.
kathy
THERE IS A PASTE CALLED STOMA ADHESIVE IN A BLUE AND WHITE TUBE
IT IS MADE TO FILL IN GAPS SO THAT THE WAFER HAS SOMETHING TO ADHERE TO
JUST FILL YOUR BB WITH IT AND YOU SHOULD BE OK
YOU CAN GET IT AT ANY MEDICAL SUPPLY PLACE
I USED TO USE IT BECAUSE MY STOMA NURSE TOLD ME TO
THEN I REALIZED I HAD NO GAPS AND THE WAFER LASTED LONGER ON BARE SKIN.
I NEVER USE ANY ADHESIVE SPRAYS OR REMOVERS
I USUALLY GET 5-7 DAYS ON AVERAGE WEAR TIME.
YOU HAVE TO MAKE SURE SKIN IS CLEAN AND DRY NO SOAP RESIDUE OR IT WILL COME OFF IN A DAY OR TWO .I USE NEUTRAGENA SOAP AS IT RINSES COMPLETLY WITH NO RESIDUE.
STAYING AT A FRIENDS HOUSE ONCE I HAD TO USE IVORY SOAP,WAFER DID NOT LAST A DAY.0
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