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Nov 13, 2020

Understanding Ostomy Supplies - A Beginner's Guide

This guide is all about helping those new to living with an ostomy understand the supplies they might need and the terms they might hear. Knowing the right words can make it easier to manage your ostomy and communicate with healthcare providers or suppliers.

Here are some key points to consider:

- Some of the main manufacturers of ostomy supplies include Hollister, Convatec, and Coloplast. You can often find discounted supplies online.

- Here's a list of common supplies and their functions:
1. Skin wafer (also known as a flange) can be cut-to-fit or pre-cut. There are moldable versions that don't require cutting.
2. Ostomy pouches come in one-piece or two-piece systems, and can be open-end (drainable) or closed-end, with various sizes available.
3. Adhesive remover wipes help clean the skin after removing the wafer.
4. Skin barrier wipes protect the skin around the stoma and help the wafer stick better.
5. Stoma powder is used to dry moisture and soothe irritated skin.
6. Stoma paste fills in uneven areas to help the wafer seal securely.
7. Barrier rings are an alternative to paste for leveling the skin and preventing leaks.
8. An ostomy belt provides extra support around the wafer.
9. Other useful items include a pen, scissors, mild soap, washcloths, and a hand mirror.

- It's a good idea to always carry two complete spare kits when you're away from home.

Additional insights and advice:

- Two-piece systems with a "floating" flange allow you to slide your thumbs under the flange to attach the pouch, which avoids putting pressure on your abdomen and improves visibility during placement. Many people find they rarely need to remove the pouch once it's attached.

- Adhesive remover and skin-barrier products are also available as sprays, which some users find more effective and gentler than wipes.

- Barrier rings and stoma paste both help fill skin irregularities and reinforce the seal. Most people use one or the other, not both.

- Skin-prep wipes or sprays create a thin protective film between your skin and the adhesive to reduce irritation or allergic reactions.

- Use stoma paste sparingly, as too much can be messy and isn't necessary.

- Irrigation is another management option, mainly for some colostomates, and adds to the variety of available supplies.

- Make sure medical staff correctly identify your type of ostomy (colostomy vs. ileostomy) to avoid confusion and ensure you receive the right advice.
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