Topic Explanation
The forum discussion revolves around the correct order for applying stoma products, specifically for someone who has been using Brava Protective Sheets to manage skin reactions due to allergies and summer heat. The original poster, Gracie, is experiencing output leakage around the stoma, which causes the bag to come off. She uses various products, including Adapt oval CeraRings, Brava moldable rings, and Welland HyperSeal with Manuka Honey, but is unsure of the correct application order. Gracie has been experimenting with different methods but seeks advice on whether the moldable ring should be placed under the protective sheet. She also shares her challenges with product changes and the impact of her weight loss on her stoma care routine.
Advice and Insights
1. Order of Application:
- The protective sheet should be applied directly to the skin, followed by the barrier ring and wafer. This order helps prevent leaks and ensures the stoma protrudes adequately.
- Avoid using too many layers, as excessive thickness can cause leaks if the stoma doesn't protrude enough.
2. Product Usage:
- Monitor the Brava ring closely as it can absorb liquid and potentially block the stoma.
- Consider skipping the use of paste to see if it is necessary, as it can be difficult to work with.
3. Skin Care and Maintenance:
- Clean the area with warm water and ensure it is completely dry before applying products.
- Use a barrier spray after cleaning and drying the skin, followed by the seal and base plate.
- Ensure the flange is cut to the correct size to avoid skin exposure and irritation.
4. Product Alternatives and Adjustments:
- If allergic to certain adhesives, try different types of flanges to find one that doesn't irritate the skin.
- Use ceramide-infused barrier rings and base plates for better skin protection.
- Consider using pressure rings to help the barrier ring seat firmly and evenly.
5. Practical Tips:
- Warm the barrier ring before application to make it more pliable and easier to fit closely to the stoma.
- Use extenders for additional security, placing them strategically around the stoma.
- If experiencing frequent leaks, try adjusting the application process or consult with a stoma nurse for personalized advice.
6. General Advice:
- Contact a stoma nurse for a walkthrough of the process and written instructions if
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