This topic is all about finding the best combination of ostomy supplies to prevent leaks and skin irritation. People with ostomies often face challenges with their supplies not working consistently, so here are some helpful tips and insights to consider:
1. General principles:
- Think of paste like caulk, not glue. It’s meant to fill gaps, not to stick things together.
- A seal or Eakin ring works like a washer or gasket, creating a snug barrier around the stoma.
2. Alternatives to paste and rings:
- Some people experience frequent leaks with paste and seals. Switching to hydrocolloid strips placed directly around the stoma, under the wafer, has helped stop leaks and protect the skin.
- Hydrocolloid strips can also be placed on the outside edge of the wafer for extra security, especially on days with a lot of activity.
3. Application technique for hydrocolloid strips:
- Warm the strips before applying them so they fit closely to the stoma and skin.
- Apply the wafer of a two-piece system directly on top of the warmed hydrocolloid. No additional rings, paste, or seals are needed.
- Many users find that their skin stays drier and less irritated with this simpler approach.
4. Addressing skin complications:
- For raw, red, weeping skin under a flush stoma, using only hydrocolloid can provide a dry, protective layer and may improve wear time.
- If desired, Salts or Coloplast rings/seals can still be used over the hydrocolloid, though some find better results without extra products.
5. Sampling and experimentation:
- Reach out to manufacturers like Hollister, Coloplast, Salts, and Eakin for free samples of rings, pastes, hydrocolloid strips, and different wafer styles. This can help you find what works best for your specific stoma shape and skin condition.
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