This topic is about finding the best schedule for changing the wafer of an ostomy appliance to maintain healthy skin around the stoma. The person who started the discussion currently changes their wafer twice a week but notices that the seal remains secure for up to seven days. They are considering switching to a weekly change to be gentler on their skin and are seeking advice on safe intervals for changing the wafer.

Here are some helpful insights and advice:

- The type of stoma you have can influence how often you need to change your wafer:
- If you have a colostomy, the output is usually thicker and less irritating, which can allow for longer wear times. Many people with a colostomy report being able to go 7 to 12 days without issues.
- For those with an ileostomy, the output is more liquid and can be more irritating, so most people change their wafer every 5 to 8 days.

- To gradually extend the time between changes, try adding one extra day to each change cycle. For example, go from changing every 3 days to every 4 days, and so on. Stop increasing the time if you notice any leakage, itching, or changes in your skin. Many people find that about 7 days is a good maximum for routine skin care.

- Personal routines can vary widely:
- Some people follow the advice of their ostomy nurse and change every 3 to 4 days to prevent leaks.
- Others prefer to change on the same day each week, like every Wednesday, for convenience and to help remember.
- Factors like how active you are, your job demands, and your insurance coverage can also affect how often you change your wafer.

- Look out for signs that it’s time to change your wafer, such as the edges lifting, itching, a rash, leakage, or if the adhesive changes color from brown to whitish, which suggests the wafer is breaking down.

- Product experiences can vary:
- One person with a colostomy using Hollister wafers routinely gets 7 days of wear and may only change the pouch mid-week if needed.
- Some people find they can still manage a full week of wear, even with liquid output, as long as the appliance is applied properly and securely.

- Always consider changing sooner if you become more physically active, switch to a new type of appliance, or notice any irritation on your skin.