This topic is about someone who has recently moved to a new city and is finding it challenging to manage their ostomy care. They are experiencing issues with their Hollister one-piece pouch, which starts to irritate their skin and come loose after just a few days. A home-care nurse has checked their technique and thinks the product might be the problem. The person appreciates the Hollister pouch for its closure system and flexibility, especially since they have a large hernia under the stoma. They are considering whether changing the size of the flange might help. Meanwhile, they are also getting used to living in a basement suite, dealing with new TV and phone services, minor plumbing issues, and sharing the space with their cat.

Here are some helpful tips and insights:

1. Try using Skin Tac liquid adhesive by Torbot to help the wafer stick better, especially in moist or sweaty conditions. This product is available from suppliers like Edgepark.com, and some users have found it extends wear time up to 10 days.

2. If you prefer, use Skin Tac barrier wipes instead of the liquid. These come in convenient single packets.

3. After showering, pre-treat the skin around the stoma with Stoma Care Aloe Wipes from Torbot before applying Skin Tac to maintain healthy skin.

4. Avoid putting stoma powder on intact skin. Use the "crusting" technique only when the skin is broken.

5. Make sure the area around the stoma is as dry as possible when applying the appliance, as even a little moisture or output can affect the seal.

6. Consider changing the appliance first thing in the morning, right after a shower, when ileostomy output is usually minimal.

7. Hollister appliances are known for fitting comfortably over hernias. If you continue to have issues with output or leaks, you might want to try a Hollister two-piece system for more flexibility while keeping the same fit and feel.

8. Users of Coloplast products have also found that Skin Tac works well with their appliances, indicating that it can be effective across different brands.