Topic Explanation:

The discussion centers around a challenging ileostomy placement due to the individual's breast size, leading to frequent leaks and skin irritation. The person is experiencing mental exhaustion from changing the ileostomy bag multiple times a day and has tried various solutions like y-tabs, crusting, barrier extenders, and convex bags without success. The use of a belt results in immediate leaks, and the skin on the abdomen is severely affected.

Advice and Insights:

1. Product Recommendations:
- Consider using Durahesive pouches by Convatec, known for their strong adhesive, especially for liquid consistency stool.
- Use Marathon or Cavilon 3M advanced skin protectant to create a protective coating over the skin, which can help the bag stick better.

2. Application Techniques:
- Ensure the skin is completely dry before applying any products to improve adhesion.
- Use a mirror to assist with application if visibility is an issue due to breast size.
- Thoroughly clean off any adhesive remover with water and avoid using soaps initially.
- Use a hair dryer on a low setting to ensure the skin is dry.
- Apply a barrier ring by cutting and stretching it to fit snugly around the stoma, and hold it down with fingers to ensure it sticks well.
- Hold the wafer down for at least 30 seconds to activate the adhesive with warmth from your fingers.

3. Skin Care:
- If the skin is severely damaged, consider consulting a stoma nurse or skin specialist.
- Use skin barrier wipes instead of creams to protect the skin.
- Apply gentamicin to heal open wounds, followed by Convatec Stomahesive paste and powder to protect the skin.

4. Lifestyle Adjustments:
- Sleep on your side to avoid pressure on the stoma.
- Wear maternity underpants to keep the pouch in place when going out.

5. Emotional Support and Patience:
- Seek support from healthcare professionals, such as stoma nurses, for guidance and assistance.
- Be patient and allow time for healing and adjustment to the new routine.
- Focus on the positives and seek support from family or partners during challenging times.