This topic is about a person who experienced skin irritation after skipping a crucial step in their ostomy care routine. They usually use a barrier wipe before applying their Hollister two-piece appliance, but in a rush, they forgot this step. As a result, they felt soreness and itchiness, and their skin turned bright red. To address this, they aired out their skin, used barrier powder, and applied the "crusting" method before reapplying the appliance. They decided never to skip the barrier wipe again.
Here are some helpful insights and advice shared by others:
1. Stick to your routine: Many people emphasized the importance of following every step in your ostomy care routine, including cleaning, drying, applying a barrier film, and then the wafer. These steps help prevent leaks and protect the skin around the stoma.
2. Consider adhesive sensitivity: If you experience a quick reaction, it might be an allergy to the adhesive on the wafer tape. The barrier film could have been masking this sensitivity. To test this, you could try a different brand or apply the appliance on the opposite side of your abdomen without the barrier wipe.
3. Understanding barrier films:
- Barrier wipes or films are not adhesives. They create a protective, breathable layer that helps the wafer adhesive stick better.
- You can choose between water-based or alcohol-based products. Both can be used over stoma powder in layers, a method known as "crusting," to help heal irritated skin.
4. Product suggestions:
- The 3M Cavilon No-Sting Barrier Film spray is quick to apply, taking about 20 seconds, and dries in around 2 minutes.
5. Reminder for the "crusting" technique: Dust the irritated skin with stoma powder, seal it with a barrier film, let it dry, and repeat as needed before applying the wafer.
6. Tips for mechanical irritation: Redness or itching at the bottom edge of the wafer might be due to pressure from belts or pants, or from abdominal folds. Loosening clothing or managing weight might help reduce friction.
See full discusison