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Aug 26, 2011

Ostomy Nurse Visit: No Revision Needed but New Care Plan

This topic is about finding a better fit for an ostomy appliance, especially when dealing with changes in the stoma's shape and size. Here are some helpful tips and insights to consider:

- Regularly measure your stoma, as its size can change over time. If you notice that your standard flange no longer fits, reach out to the manufacturer to request a different size.

- If you need to adjust an Eakin Cohesive® Seal or Eakins ring, you can cut out a small section to create a "C" shape. Press the ends together to form a smaller ring, which can help prevent leakage and reduce skin discomfort.

- Some users find that Hollister pouches with a floating flange work well. These pouches are pre-cut, so no additional cutting is needed, and their soft, flexible design can help minimize skin irritation.

- A simple routine that works for some includes:
1. Applying a Convatec skin-barrier wipe.
2. Dusting stoma adhesive powder around the stoma.
3. Applying the pouch.
4. Changing the pouch every two days.
5. Using Alkcare adhesive remover to gently remove the pouch and protect the skin.

- In hot and humid conditions, skin issues can worsen. To manage this, consider more frequent pouch changes and using skin-barrier wipes to keep your skin healthy.
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