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Skin prep

Posted by Mike, on Thu Sep 09, 2010 4:15 pm
Is there anything else to use other then Skin Prep?, My insurnce wont cover it anymore,Mike
Reply by gutenberg, on Thu Sep 09, 2010 8:31 pm
                                 
Mike wrote:
Is there anything else to use other then Skin Prep?, My insurnce wont cover it anymore,Mike

Hi Mike, of course I use Hollister products and all I use is the glue remover and then wash with a soap that has no oils or perfumes and dry really well, I use a hair dryer on the Adapt seals on low for about 20 seconds and slap them on, then the wafer. I was told NOT to use skin prep with Hollister and now I get a week easily out of my flange, I just change the pouches about every third day. If you're not using Hollister, I don't know if this would work or not, I'd give it a try just to see what happens, Ed
Reply by Mike, on Thu Sep 09, 2010 8:38 pm
                                 
gutenberg wrote:
                                 
Mike wrote:
Is there anything else to use other then Skin Prep?, My insurnce wont cover it anymore,Mike

Hi Mike, of course I use Hollister products and all I use is the glue remover and then wash with a soap that has no oils or perfumes and dry really well, I use a hair dryer on the Adapt seals on low for about 20 seconds and slap them on, then the wafer. I was told NOT to use skin prep with Hollister and now I get a week easily out of my flange, I just change the pouches about every third day. If you're not using Hollister, I don't know if this would work or not, I'd give it a try just to see what happens, Ed
Thanks Ed
Reply by Grammybec, on Thu Sep 09, 2010 8:45 pm
I use Hollister products, but thought we needed to use the prep.  What are adapt seals?  I haven't heard of the glue remover either...guess I need to look into all of these products you are referring to.
Reply by Pinky, on Thu Sep 09, 2010 10:44 pm
Hi Grammybec - Yes, Hollister recommends using no adhesive remover or skin prep.  But I use them both - because the Adapt ring (or Eakins seal, in my case) is so sticky - remnants of it stick to my skin, and because the skin prep reduces rash under the flange.  The Adapt ring (or paste) or Eakins seal helps protect from any leakage under the flange (or barrier or wafer, whatever you want to call it).

Mike - I can't think of a product that would take the place of skin prep, but like Ed says, unless you are prone to rashes or your skin is really pockmarked, I don't see why you would even need skin prep with today's products.   Smile
Reply by perkyberky, on Fri Sep 10, 2010 9:57 am
  The seals are wonderful and I was told about them by convetec who is my supplier.  I could not use the glue because it irritated my skin tremendously.
Reply by gutenberg, on Fri Sep 10, 2010 1:11 pm
                                 
Grammybec wrote:
I use Hollister products, but thought we needed to use the prep.  What are adapt seals?  I haven't heard of the glue remover either...guess I need to look into all of these products you are referring to.


Regarding the Hollister Flange, if you have an ileostomy you dont want any skin showing after applying the flange as ileostomys are usually liquid and its very easy to get your discharge under the flange and trouble is just around the corner. By using the adapt rings you can manipulate them to the exact size of the stoma, (actually, a little size smaller than the stoma works wonders). As for skin prep, forget about it, just use the adhesive remover wipes and if you're not in a rush you can use a soap that has no oils or perfumes and dry well after. Also, if you use a hair dryer on low on the adapt rings for about 20 seconds before applying the rings they really stick nice, just make sure the stoma is nice and dry before applying the ring, at this point if the seal is fitting right and you are applying the wafer you don't have to worry about how centered the flange is as nothing can get by that seal, (at least it shouldn't), so don't be afraid to ask any questions, that's what we do here, good luck, Ed.
Reply by eddie, on Sat Sep 11, 2010 12:49 pm
Hi Mike, Tincture of Benzoin is basically the same thing as skin prep & if you can find a bottle of it I am sure it is a lot cheaper, you may ask your pharm. to order it for you or search online. I us Hollister and do not use skin prep, the WOCN i had said that the substance making up the barrier device was meant to mesh with the skin & if you used skin prep it would prevent thiss from happening and result in the barrier not adhering as well.  I don't like the Ekins seals because they melt make a mesh on my skin & don't work as well as the Adapt seals, what works for one does't necessarily work for the other, but these are options you can consider.
Have a good one!
eddie
Reply by miyzy, on Sat Sep 11, 2010 10:04 pm
what does an adapt seal look like i use eakin seals and i still leak the problems is  my skin burn every times my colostomy goes and i go all the time i change my pouch about 8-10 times a day is that normal all these years i think it is but maybe im wrong even hough i drain all the time should i be irigating i as the doctors the last time i was in emergency they didnt know do you know?
Reply by lottagelady, on Sun Sep 12, 2010 3:03 am
                                 
miyzy wrote:
what does an adapt seal look like i use eakin seals and i still leak the problems is  my skin burn every times my colostomy goes and i go all the time i change my pouch about 8-10 times a day is that normal all these years i think it is but maybe im wrong even hough i drain all the time should i be irigating i as the doctors the last time i was in emergency they didnt know do you know?


Hi there - Adapt seals are the ones made by Hollister - very similar but I find them much easier to work with - maybe less sticky or something, not sure, but same principle as the Eakins.  

Isn't it unusual for a colostomy to be working so often? Changing 8-10 times a day, no wonder your skin is burning! Do you have a stoma nurse you can access, because it doensn't sound quite right to me!

Take care
Rach xxxx
Reply by annie_nu2, on Sun Sep 12, 2010 7:16 pm
Hi Mike, I think 3M makes a wipe similar to Skin Prep and my insurance covered it when I used it. I have gone back to Skin Prep since I started usinf Eakin seals and convex wafers. Try the website for the type of wafer you are using and see what is recommended or ask your supplier when you reorder what your insurance covers. Good luck.

Mizy I don't think 8 or 9 times a day is normal either. Apparently your wafer is leaking and that is what is making your skin sore. Have you tried other types of wafers? If your stoma is retracted you may need a convex wafer, but whatever, keep trying until you get a proper fit. It isn't good for your skin to keep getting damaged. Good luck to you, too.
Pat
Reply by miyzy, on Mon Sep 13, 2010 5:16 am
ladies im been doing this for over 20years and i havent got a clue what im doing anymore a stoma nurse what the hell is that every time i ask to see one they dont exist here apparently one comes to town but unless you know when your shit out   of luck and only if its worth her while.and yes ive tried other products and i use convexity im tired getting old and fed up its to the point that it burns so much that i want to scream rip it right off and run through work babbling im sorry to sound trivial but im at the end of my rope
Reply by lottagelady, on Mon Sep 13, 2010 5:45 am
                                 
miyzy wrote:
ladies im been doing this for over 20years and i havent got a clue what im doing anymore a stoma nurse what the hell is that every time i ask to see one they dont exist here apparently one comes to town but unless you know when your shit out   of luck and only if its worth her while.and yes ive tried other products and i use convexity im tired getting old and fed up its to the point that it burns so much that i want to scream rip it right off and run through work babbling im sorry to sound trivial but im at the end of my rope


Hi Babes - it is NOT normal to have to change your pouch 8-10 times a day - no wonder your skin is breaking down and burning, and no wonder you are at the end of your rope ...... Can't believe that there is no-one to help you nearby ... any support groups you can get to and see a real person??

Lets start from the beginning as there must be something wrong somewhere.....

have you phoned all the manufacturers and asked their advice and got free product samples? They are all very helpful and knowledgable and will try their best to find you something that will work, especially when they hear of your situation does the skin around the stoma (under the flange of the pouch) bleed when you take it off? Have you tried the tips like using a hairdryer to get the skin dry and warm? Have you tried dabbing calamine lotion on and drying with a hairdryer before applying the pouch? Is the hole you have cut in your pouch the right size? You have a colostomy - generally I believe they tend to only work at certain times of day rather than all the time (please colostomates correct me if I am wrong?) - is yours working all the time? Is the stoma a regular size or irregular - does it stick out a lot or is it very small and retracts itself flush to your skin? do you wear a belt to help keep it on? do you use extra tape to help keep it on? Was there no help given to you when you first had your surgery - who taught you how to manage your stoma (I know it was a long time ago and products have changed immensely since ...)God hope that doesn't sound patronising, not meant to, but you seem to be in a right old state and I can't bear to hear that from anyone ....
Rach xxxx
Reply by miyzy, on Mon Sep 13, 2010 5:58 am
ive been on line havent found a group that didnt answers yes mine retracts yes i wear a belt will leak through it yes ive dried the skin ive measure even to the point ive tried a smaller size that didnt work will get a rash trying other  means and yes drains all the time there i think ive answered all of the above i just dont know what else to do
Reply by lottagelady, on Mon Sep 13, 2010 6:26 am
                                 
miyzy wrote:
ive been on line havent found a group that didnt answers yes mine retracts yes i wear a belt will leak through it yes ive dried the skin ive measure even to the point ive tried a smaller size that didnt work will get a rash trying other  means and yes drains all the time there i think ive answered all of the above i just dont know what else to do



Hi again -

http://www.caet.ca/about.htm

Have a look at that link and try and contact them, preferably by phone if you can and see if they can help you .... Just seems so ridiculous that you cannot get any help ..... I am so sorry, don't know what else to suggest for you ....

Oooh, maybe one more thing - convex pouches? Have you tried those? xxxx
Reply by CALYPSO, on Mon Sep 13, 2010 8:11 am
For a couple of weeks I've had leaky problems, decided I must seek professional advice, rang the Stoma care team this morning, my appoint ment is 3:00pm today!!! How about that for service. Can't beat the NHS in a crisis.
Reply by ok girl, on Mon Sep 13, 2010 10:25 am
HI I am so sorry for your delema and I agree stoma nurse what is that. I use a convex also and i eat in the morning and it's off to the races all day long and about 3 times at night untill morning it stops untill I eat again. Do you use a drainable pouch?
Past Member
Reply by Past Member, on Mon Sep 13, 2010 10:51 am
                                 
2lonely2long wrote:
For a couple of weeks I've had leaky problems, decided I must seek professional advice, rang the Stoma care team this morning, my appoint ment is 3:00pm today!!! How about that for service. Can't beat the NHS in a crisis.


That is great service.  Say what you like about the NHS (or the Australian equivalent Medicare) but at least our "socialised" healthcare services seem to work, unlike the North American systems, so it seems.  Nothing to pay for ostomy products and easy access to Stoma Nurses and Therapists.

Rule Britannia (and her colonies!).
Reply by Pinky, on Mon Sep 13, 2010 6:38 pm
                                 
miyzy wrote:
what does an adapt seal look like i use eakin seals and i still leak the problems is  my skin burn every times my colostomy goes and i go all the time i change my pouch about 8-10 times a day is that normal all these years i think it is but maybe im wrong even hough i drain all the time should i be irigating i as the doctors the last time i was in emergency they didnt know do you know?


Should you be irrigating?  YES!  It is a great help if it is an option for you.  I can't even imagine having to dump a pouch 8-10 times a day.  I irrigate once every 24 hours, and some of the other foks posting here go up to 72 hours with no output between irrigations. (I'm not that lucky).  Still, I personally feel it beats having sh*t running out of your body on a continuous basis and is the ONE thing that makes a colostomy trump an ileostomy - that's meant to say I really have empathy for those with ileos.

As an alternative, have you tried Immodium?
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