This topic is about finding cost-effective solutions for hydrocolloid dressing sheets, which are used to protect the skin around a stoma. The person is currently using Coloplast DuoDERM Extra Thin sheets but finds them too small and expensive. They are considering trying less expensive, off-brand options and are seeking advice on whether these alternatives work just as well. They also want tips on how to remove the sheets gently and extend their wear time to avoid skin irritation.
Here are some helpful insights and advice:
1. Consider requesting free samples from different manufacturers before making a purchase. Many companies are willing to send trial sheets if you ask.
2. Removing the adhesive becomes easier when the sheet or barrier has been worn for its full lifespan, typically around 6 to 7 days. If you can extend the wear time to 5 to 7 days, the hydrocolloid usually comes off with less skin trauma.
3. Frequent changes, such as every 2 to 3 days, can make the adhesive stickier and harder to remove, increasing the risk of skin damage. Try to extend the wear time unless you experience issues like sweating or leaks that require earlier changes.
4. Using an Aqua-Seal ostomy gasket from Costa Medical over the appliance can help prevent the edges from rolling up. This can be particularly useful for those with hernias or uneven skin surfaces, helping to achieve the full 6 to 7-day wear time.