This topic is about dealing with psoriasis around the stoma, which can cause intense itching and make it difficult for an ostomy appliance to stick properly. Here are some practical tips to help soothe the skin and ensure the appliance stays secure:

1. Start by consulting with an ET (Enterostomal Therapy) or ostomy nurse. They can help determine if the skin irritation is due to psoriasis, an allergic reaction, or sensitivity to a product. Their professional advice can guide you in making any necessary product changes or seeking medical treatment.

2. Look for previous discussions on the MeetAnOstomate forum by searching for terms like "psoriasis" or "skin irritation." These discussions can offer additional tips and insights from others who have faced similar issues.

3. Consider whether the materials in your appliance might be causing the irritation:
- Test the wafer or adhesive on another part of your body, like your back.
- If you notice itching or flaking only where the wafer is applied, the glue or backing material might be the culprit.

4. If you have a latex allergy, remember that many ostomy adhesives contain latex. In this case, try using latex-free wafers and barrier rings.

5. To protect irritated skin and improve adhesion, try the "crusting" technique:
- Lightly dust stoma powder over the affected skin.
- Dab a skin-prep product (like a protective barrier wipe or spray) over the powder and let it dry.
- Repeat this process 2 to 4 times to create a protective, crystalline layer before applying the wafer.
- This technique can help reduce skin tearing and oozing, providing a smoother surface for your appliance to adhere to.