This topic is about using O'Keefe's Working Hands Cream as a skin conditioner for peristomal skin, which is the skin around a stoma. The cream is noted for being non-greasy and improving the adhesion of ostomy barriers. Here are some helpful insights and advice based on experiences shared by users:

1. The cream feels like a regular moisturizer but dries completely, leaving the skin soft without any oily or greasy residue.

2. It significantly improves the adhesion of wafers or barriers, which is crucial for ostomy care.

3. Application routine:
- Use a small drop on your fingertip.
- Massage it well into the peristomal skin.
- Blow-dry on low heat for a few seconds.
- Apply ostomy powder, skin-prep wipes, and finally the barrier.

4. After several applications, the skin around the stoma, which was previously shiny and breaking down, became smoother, more pliable, and looked normal.

5. Even when the barrier was worn for an extra day (up to 3 days total), adhesion remained strong, and the skin stayed healthy.

6. Continued use confirmed the same benefits, with skin health remaining good after a 3-day wear test, showing no seepage or leakage.

7. The cream is available in both jar and tube forms, with the same formula. The jar is thicker, while the tube is slightly reformulated for easy squeezing but performs the same. The tube is slightly cheaper per ounce.

8. A dermatologist had mentioned that shiny skin around the stoma indicated breakdown, which is hard to reverse, yet it improved after using this cream.

9. Availability: You can find both the jar and tube versions of O’Keefe’s Working Hands at Walmart.

10. The only Working Hands products are the jar or tube creams; any "salve" seen is the same product.

11. Safety around the stoma:
- Doctors advise not to apply the cream directly onto the stoma itself. A small incidental amount is not harmful, but deliberate application is discouraged as the stoma is exposed bowel tissue.

12. Application tips and results:
- Use only a small amount; a little goes a long way.
- Allow it to dry completely (using a hair-dryer on low helps) before applying powders, wipes, or barriers.
- Users report improved adhesion and no need for an ostomy belt when used with barriers like Coloplast SenSura Mio.
- Combining O’Keefe’s with a switch to SenSura Mio resolved persistent skin irritation for at least one member.

13. Related products: O’Keefe’s also makes a "Healthy Feet" version for foot calluses, which might be useful if the hand cream benefits peristomal skin.