Topic Explanation:
The forum topic is about using a hot tub with an ostomy and concerns about the appliance coming off.

Advice and Insights:
- Use extra medical tape around the flange for added security.
- Consider using Coloplast barrier strips around the wafer edges for added support.
- Change the bag right after bathing or showering to ensure security.
- Purchase half moon 1/2 inch adhesives to picture frame the wafer for added wear time.
- Consider getting a swim wrap for extra security.
- Hot tub chemicals can affect the adhesive of the wafer, so be cautious.
- Use Brava elastic tapes and a support belt to extend the flange and hold everything secure in the hot tub.
- Consider using Hy-Tape (pink tape) around the barrier strips for added security.

Conclusion:
N/A