Topic Explanation:
The discussion revolves around the issue of "shiny skin" under an ostomy barrier, which is causing leaks for an individual with an ileostomy. The person has been using Coloplast products successfully until recently when they started experiencing more frequent leaks. Upon consulting with Coloplast and providing a picture of their stoma, it was suggested that the "shiny skin" under the barrier might be contributing to the problem. This shiny skin is described as being caused by the barrier covering the skin over time, which affects the adhesive quality of the barrier. The individual is seeking insights and advice from others in the forum as their ostomy nurse was unfamiliar with this issue.
Advice and Helpful Insights:
1. Skin Care and Preparation:
- Wash the area around the stoma with antibacterial liquid soap, ensuring no other products like shampoo or conditioner interfere during rinsing.
- Dry the skin thoroughly using a blow dryer until it feels rough to the touch.
- Avoid using excessive skin protectants as they can build up and create a smooth, shiny surface that impedes adhesion.
2. Application Techniques:
- Apply the barrier ring first, pressing down firmly and pinching the edge closer to the stoma if necessary.
- Use a blow dryer to heat activate the barrier ring before applying the precut wafer.
3. Product and Adhesive Choices:
- Experiment with different ostomy appliances and request free samples from various suppliers to find the best fit and adhesive quality.
- Consider using prosthetic adhesive for a stronger bond if conventional adhesives fail.
- For those experiencing skin irritation or damage, the crusting technique can be beneficial. This involves applying stoma powder to the affected area, brushing off the excess, and dabbing with a skin barrier wipe or spray to create a protective crust.
4. General Maintenance and Troubleshooting:
- Ensure complete removal of any leftover adhesives or paste during cleaning, using tools like a soft plastic dish sponge for stubborn residues.
- Be cautious when removing the wafer to avoid damaging the skin. Use sprays or wipes to gently lift the wafer.
- Regularly check and possibly change the cleaning products (e.g., switching from Head and Shoulders shampoo to a recommended antibacterial soap) as formulas may change and affect skin condition.
5. Personalized Adjustments and Innovations:
- Some individuals have crafted their
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