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Sep 18, 2009

Showering Tips with a PICC Line and Surgical Wounds

The topic is about showering with a PICC line and an ostomy bag. After a surgical wound has healed, a person has been cleared by their doctor to shower again. While the PICC line is protected with a plastic sleeve, there are questions about how to handle the ostomy system during showers. Here are some insights and advice shared by others:

1. The pouching system does not need to be covered during a shower. It's generally okay to let water and soap hit the wafer and pouch directly. The wafers are designed to handle water, and brief exposure won't harm the adhesion.

2. If you want extra security, you can ring the wafer edge with waterproof tape or clear surgical adhesive film.

3. For those using a two-piece system, you can remove the pouch and attach a stoma cap for the shower, then reattach the washed pouch or a new one. Repeatedly snapping the pouch on and off should not loosen the wafer if you support the flange with one hand.

4. To dry the pouch after a shower, pat it dry with a towel and use a warm (not hot) hair dryer at a safe distance. You can also place folded toilet paper or a small toweling baby bib between the pouch and your skin or clothing to absorb moisture.

5. Long baths can saturate the wafer edge. Some people change the pouch or the entire system afterward, while others tape the wafer edge for added confidence during long baths or swimming.

6. Some products mentioned include Hollister two-piece systems, disposable/flushable one-piece mini pouches, and generic ostomy caps. Waterproof tapes and clear adhesive films are also used for securing IV/PICC dressings.

7. Personal routines vary, with some taking quick showers with the pouch on and towel-drying afterward, while others enjoy bubble baths with the pouch on and are willing to change the appliance if needed. Some take daily baths without any pouch after irrigation, keeping tissue nearby for any accidents.
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