Topic Explanation
The discussion centers around the comparison between Convatec and Hollister stoma products, specifically focusing on their adhesive properties. The original poster has experienced issues with Hollister products not adhering well and is considering trying Convatec. They have an ileostomy following bladder removal surgery and are seeking advice from others who may have faced similar issues with Hollister products.
Advice and Insights
1. Adhesion Issues and Solutions:
- Some users report no issues with Hollister products, achieving up to 10 days of adhesion by using a skin prep, Salts ring, and Salts flange extenders.
- Adhesion problems may be due to skin folds, scars, or the fluidity of the ileostomy. Keeping the skin clean and dry without moisturizers is recommended.
- Using a skin prep wand around the stoma and the area where the wafer will touch can improve adhesion.
2. Product Preferences and Experiences:
- Experiences with stoma products vary widely; some users find Hollister effective, while others prefer Coloplast or Convatec.
- One user prefers Coloplast Sensura Mio for its deep convex wafer, which suits a stoma below skin level.
- Another user found success with Coloplast Sensura #15521 and ALLKARE Barrier Wipes for better adhesion.
3. Product Trials and Recommendations:
- It is suggested to contact different manufacturers for free samples to find the best-fitting product.
- Trying different barrier sprays can also help improve wafer adhesion.
4. Terminology and Miscommunication:
- There is confusion around medical terminology, with some users experiencing miscommunication about their type of stoma (ileostomy vs. urostomy).
- It's important to understand the specific type of stoma to ensure proper product use and avoid confusion with medical staff.
5. Routine and Maintenance:
- Following a strict protocol for changing and maintaining stoma products can help manage adhesion issues. This includes using specific products like plaster remover wipes, skin protector swabs, and keeping a log of changes.
6. General Advice:
- Users are encouraged to be proactive in understanding their condition and advocating for themselves when faced with medical staff's lack of knowledge or experience.
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