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Sep 09, 2010

Alternatives to Skin Prep for Insurance Coverage Issues

This topic is about finding alternatives to Smith & Nephew Skin Prep wipes, which are no longer covered by the poster's insurance. Here are some helpful tips and insights shared by others:

1. Many Hollister users find that Skin Prep is not necessary. Hollister wafers are designed to stick directly to clean, dry skin, and using a prep film might actually reduce their adhesion.

2. A typical routine without Skin Prep includes:
- Removing the old appliance with an adhesive or glue remover wipe.
- Washing the area around the stoma with a soap that has no oils or perfumes, then rinsing well.
- Thoroughly drying the skin, sometimes using a hair-dryer on low for about 20 seconds to warm the skin and wafer.

3. To prevent leakage:
- Use Hollister Adapt barrier rings or ConvaTec’s Eakin Cohesive Seals. These can be molded to fit snugly around the stoma to block any output.
- Warming the ring before application can improve its stickiness. Ensure the stoma and surrounding skin are completely dry before applying.

4. If you need an alternative protective film:
- 3M Cavilon No-Sting Barrier Film wipes are often covered by insurance plans that do not cover Skin Prep.
- Tincture of Benzoin, available at most pharmacies or online, offers a similar protective coating and is very affordable.

5. If residue from Adapt or Eakin rings sticks to the skin, adhesive remover wipes can help remove it without causing irritation.

6. For those with sensitive skin, liquid ostomy "glue" might cause rashes. Switching to rings or pastes alone has resolved this issue for some users.

7. ConvaTec customer service and other major manufacturers offer free samples and product-specific fitting advice. It's a good idea to take advantage of these resources.

8. If you experience persistent leakage, consider trying convex wafers, belts, or reaching out to a WOCN (Wound, Ostomy, and Continence Nurse) or stoma nurse. In Canada, the Canadian Association for Enterostomal Therapy can be contacted for support.
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