Topic Explanation:
The forum topic is about a person seeking advice on how to heal and manage a serious pressure sore next to their stoma. They have been trying to treat it with stoma powder and bandages, but the wound has worsened, making it difficult to keep the wafer on and causing them to be housebound.

Advice and Insights:
1. Seek medical attention from specialist nurses or doctors who deal with hard-to-heal wounds.
2. Consider using Eakin seal or DuoDerm to cover the wound and still allow the wafer to be applied.
3. If the wound is not healing with traditional methods, consult a surgeon to identify the underlying cause and explore treatment options.
4. For slow-healing wounds, consider using stoma powder, gel wipe liquid, and building up a covering for the wound, but monitor for any signs of worsening.
5. Use Fibracol patch with collagen and a Duoderm waterproof patch, along with an ostomy belt to hold the wafer against the skin and dressing to prevent leakage onto the sore.
6. Consider using a 1-piece pouch instead of a 2-piece system to give the skin a chance to rebound.
7. Consult with a stoma nurse for personalized advice and support.

End of Condensed Discussion