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Sep 18, 2023

Experiences with ConvaTec Natura Moldable Skin Barrier Wafer

This topic is about someone trying out the ConvaTec Natura Moldable Skin Barrier Wafer to see if it might make their ostomy care routine easier compared to their usual Hollister system. Here are some observations and advice based on their experience:

- The pre-sized opening of the wafer is molded rather than cut, and it seems smaller, which raised concerns about possibly restricting the stoma. The user's output dropped significantly despite normal eating.
- The coupling ring is smaller and more rigid than what they are used to, making it harder to attach the pouch.
- The drain outlet design has firm plastic on only half the rim, making it difficult to open, which led to splattering and incomplete emptying of the pouch.
- The user finds Hollister products easier to handle but is curious about what others look for in wafers and pouches and whether people often try new systems.

Additional observations and questions include:

- After two days, the stoma remains quiet all day and then releases output in the evening, leading to concerns that the wafer might be molding too tightly.
- There was another splattering incident and difficulty cleaning the soft-sided outlet.
- The exact product tried was the Natura Sur-Fit moldable wafer with an opening range of 7/8"–1 ¼".
- The user plans to switch back to their usual system at the next scheduled change, which is every three days.

Here are some helpful insights and advice from others:

1. Many ostomates try different brands to ensure they are not missing out on something better. Manufacturer representatives can help match products to individual needs.
2. When seeking feedback, it's helpful to include the product number, as "Natura" covers many ConvaTec items.
3. Some users have successfully used ConvaTec Natura products for many years without issues and hope the design remains unchanged.
4. Moldable wafers can relax after a day as moisture softens them. For stomas with variable sizes, adding a bead of Stomahesive Paste around the inner wafer edge before applying the pouch can help fill gaps and extend wear time.
5. Some users worry that once molded, the wafer may not adapt well to daily changes in stoma size or protrusion.
6. Positive feedback includes a user who found the moldable opening helped clear up skin irritation compared to other products. Pre-pleating the outlet can make emptying easier, and the ConvaTec one-piece is noted for being comfortable and low-profile.
7. Sampling different products is encouraged, as it helps users find what works best for them.
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