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Jul 13, 2022

Tips for Changing Colostomy Bag with One Hand (Right-Handed)

This topic is about finding ways to manage changing a one-piece colostomy bag when you've broken your dominant right arm. Here are some helpful tips and advice to make this process a bit easier:

1. Enlist help if possible:
- Ask a partner, friend, visiting nurse, or in-home nursing service for assistance to avoid any mess or uncertainty.
- Reach out to local stoma nurses to see if temporary daily help is available.

2. Positioning tips when working solo:
- Lying flat can help keep the pouch in place while you press it on.
- Standing in front of a full-length or wall mirror can free your left hand for more precise alignment.

3. Go slow and use your low-output window:
- With a colostomy, you often have more "safe" time between outputs. Use this time to remove the pouch, cleanse, and dry the skin thoroughly before applying the new appliance.

4. Switch to products that simplify one-handed application:
- Consider using two-piece, pre-cut systems to eliminate the need for cutting an opening.
- Example setup shared by a member includes:
- Coloplast SenSura Click baseplate 10522, 60 mm
- Coloplast SenSura Click pouch 14896, 60 mm
- Coloplast irrigation sleeve 12836, 60 mm (fits the same baseplate)
- Dansac Irri-Drain sleeve 950, 35 mm (with hydrocolloid adhesive)
- Using irrigation every 24–48 hours can greatly reduce or eliminate output while changing pouches, making one-handed care easier for you or a caregiver.

5. One-hand change routine (mirror method):
1. Peel off the used pouch with your left hand.
2. Clean and dry the skin.
3. While looking in a mirror, place an Eakin Seal around the stoma.
4. Remove plastic from the pre-cut gasket/flange and press it on evenly.
5. Remove backing from adhesive, smooth edges, then attach the pouch to the flange and confirm a complete seal.

6. Other considerations:
- Order pouches pre-cut to your current stoma size to avoid using scissors.
- Keep scissors, wipes, and new pouches laid out within easy left-hand reach before starting.
- Check with manufacturers’ helplines; some may offer products or kits designed for people with limited hand use, such as post-stroke.

7. Emotional support:
- Many people offered empathy, virtual hugs, and reminders to "stay strong and carry on" while you heal.
See full discusison
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