The topic is about dealing with raw, bleeding skin around a stoma, which is a common issue for Carol's mother. Carol is seeking advice on how to heal and prevent this problem. Here are some helpful suggestions and insights:

1. Make sure the wafer opening is cut or trimmed closely around the stoma to prevent output from reaching the exposed skin.

2. Clean the area gently using plain water, wet water-wipes, or by letting shower water run over it. Avoid using soap. After cleaning, pat the area dry or use a cool hair-dryer.

3. To protect irritated skin:
- Dust stoma powder over sore areas and then "crust" it by sealing with an alcohol-free barrier wipe. Crusting involves alternating thin layers of powder and barrier.
- If additional soothing is needed, apply calamine lotion before crusting.

4. Consider adding extra skin barriers:
- Use stoma seals or rings. If hydrocolloid products like Eakin are causing issues, switch to silicone.
- A soft convex pouching system might improve fit and prevent leaks.

5. Try alternative pouches or adhesives designed for sensitive skin:
- Salts Healthcare pouches with Aloe Vera-containing adhesive are noted for being gentler and more secure.

6. Optional products and techniques:
- Use Appeel flange remover sparingly to gently lift wafers and maintain skin health. Rinse off with water afterward.
- Including goat’s milk in the diet is mentioned anecdotally for improving overall skin health and reducing eczema.

7. It's important to seek a professional assessment first, as there are many possible causes for skin issues, such as chemical irritation, mechanical trauma, infection, or allergy. An ostomy nurse can review photos and provide advice.

8. Reference materials for self-study include:
- An article on peristomal skin complications: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2780183/
- An illustrated guide titled "Abdominal Stomas and Their Skin Disorders": https://docshare.tips/abdominal-stomas-and-their-skin-disorders_5884d04fb6d87fb4298b4ac9.html

9. Remember, any unprotected skin can become damaged by output. It's crucial to address existing irritation first and then ensure the wafer is close to the stoma to prevent future issues.