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Dec 20, 2023

8 Days in Saint Lucia, No Bag Change :)

This topic is about someone who managed to keep their ostomy appliance in place for 8 days while on vacation in Saint Lucia, despite facing challenging conditions like extreme heat, swimming, and physical activities. They shared their detailed routine and some helpful tips for others who might be in similar situations. Here's a breakdown of their process and some additional insights:

1. Remove the wafer using an adhesive-remover spray, which is gentler on the skin compared to wipes.
2. Rinse the area with water and large gauze wipes.
3. Use adhesive-remover wipes to clean any remaining residue.
4. Shave the hair around the stoma, using a toilet-paper core to protect the stoma.
5. Dust the edge of the stoma with stoma powder.
6. Apply a skin-barrier spray and blow-dry it until it becomes tacky.
7. Fit a barrier ring snugly around the stoma.
8. Cut and apply the wafer (they used Coloplast SenSura Mio 2-piece), pressing it firmly onto the skin.
9. Attach the pouch by clicking it into place.
10. Blow-dry the entire system again to secure it in place.

If the edge of the appliance starts to peel during water activities, they patch it with 3M Tegaderm™ Roll strips, as recommended by their stoma nurse.

Additional insights and advice include:

- Hair regrowth can necessitate changing the wafer, and laser hair removal is considered for future convenience.
- While at home, they might skip some steps, but they follow the full routine when traveling for peace of mind.
- The process of preparation—cleaning, drying, and protecting the skin—is more crucial than the specific brands used, allowing for freedom in sports, travel, and extended wear times.
- Adhesive-remover spray is recommended for protecting the skin and easing wafer removal, with several users switching to it after nurse advice.
- Shaving is optional for some, but necessary for others due to fast hair growth.
- Using a hair-dryer after applying the wafer improves adhesion, with many users adopting this technique.
- Extended wear is common for colostomy users, with many reporting 7–10 days per wafer, while those with ileostomies or more liquid output may experience shorter wear times.
- Some users skip adhesive remover, opting to peel off the wafer and shower with soap and water before reapplying.
- Moldable barrier rings can last up to 9 days and simplify shaving during changes.

Brands mentioned include Coloplast SenSura Mio 2-piece system, 3M Tegaderm™ Roll for edge reinforcement, and Hollister 2-piece systems.
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