This topic is all about understanding how to layer ostomy products effectively, using a "layer-cake" analogy to make it easier to grasp. Here's a breakdown of the advice and insights shared:

1. Think of your peristomal skin as the cake plate.
- If you have open sores, use prescribed creams or ointments and cover them before applying anything sticky.
- For weeping or irritated skin, dust on some stoma powder and then seal it with a barrier spray or wipe.
- If your skin is healthy, you might not need these extra steps.

2. Leveling the plate is like smoothing out the surface.
- Use stoma paste to fill in any uneven areas; remember, it's a filler, not an adhesive.
- Alternatively, moldable barrier rings can fill uneven spots and help the wafer stick better.
- For minor contour issues, thinner rings can reduce bulk.

3. The main layer is your wafer or faceplate.
- Pre-cut wafers are great if your stoma is a stable, regular shape. Otherwise, cut-to-fit and keep measuring until the size stabilizes.
- Save an old backing plate to use as a template for quicker changes in the future.

4. Optional frosting involves waterproof covers for the wafer.
- Ultra-thin full covers like Aqua Seal or SureSeal let you swim, bathe, or enjoy a hot tub without worry.
- Thicker curved barrier strips can reinforce the edges of the wafer in both 1- and 2-piece systems.

5. The top layer is the pouch.
- In 2-piece systems, the pouch snaps or locks onto the wafer, while in 1-piece systems, it's all combined.
- Drainable pouches are economical but can be messier to empty. Closed pouches are quick and discreet but might cost more since you may need 2-4 bags a day.
- Closed pouches usually come in 7-inch and 9-inch lengths.
- Optional security belts can provide extra support, with narrow pouch-tab belts or wide hernia-support belts that wrap around the abdomen.

Additional advice and insights include:

- For those with a suitable colostomy, irrigation might be an option. This involves flushing the colon with water every couple of days, which many find liberating as it reduces the need for pouches. However, it requires an intact distal bowel and some people may not enjoy the process. There are resources and experienced individuals who can help guide newcomers.

- To save costs and add convenience, consider using Colo Magic Pouch Liners, which are disposable and flushable, reducing the need for daily pouch changes. These are available online from a supplier in British Columbia. The Ostomy Amigo is another handy accessory, a waist-belt-style pouch cover that disguises the bag and provides pockets for essentials.

- If you have unidentified product samples, browsing supplier catalogs or websites, or calling their toll-free numbers, can help you match them to their names and functions.

- Remember, good peristomal skin care is essential and requires ongoing attention. Each person's routine will be different, so it's important to experiment carefully and avoid one-size-fits-all solutions.