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Jan 28, 2010

Tips for Applying a Urostomy Bag Solo

This topic is about finding ways to change a urostomy bag independently, especially when dealing with challenges like limited reach or visibility. Here are some helpful tips and insights shared by others who have faced similar situations:

1. Temporary Urine Stopper
- Consider using the smallest OB tampon as a temporary stopper to block urine flow while you clean and apply the wafer. This method is suitable for a 2-piece system.

2. Timing the Change
- Try changing your appliance first thing in the morning before eating or drinking.
- Alternatively, avoid consuming liquids for at least two hours before changing.

3. Preparation
- Have all your supplies ready and within easy reach. Pre-cut the wafer, open packages, and warm the adhesive by placing the new pouch under your arm.
- Keep a disposal bag handy for quick and easy cleanup.

4. Managing Urine During the Change
- Use a dry washcloth, paper towel, or kitchen towel to catch any urine. Replace it if it gets wet.
- Bend forward to let urine fall into the cloth on the floor, or lie flat to slow the output.

5. Cleaning and Skin Preparation
- A quick shower with residue-free soap can help. Avoid using conditioner that day.
- Use a solution of half warm water and half white vinegar on cotton wipes for gentle cleaning.
- Use adhesive remover wipes only where needed, and let bath water help loosen residue.
- Dry thoroughly, possibly using a hair dryer on a cool/low setting.
- Consider using Benzoin as a skin barrier or Karaya Powder for better adhesion.

6. Building a Secure Seal
- Use products like Eakin Cohesive Seal or Convatec wafers to fill creases and ensure a good fit.
- Press around the stoma ring to eliminate gaps, and consider using an ostomy belt for added security.

7. Positioning and Visibility
- Find a comfortable position, whether standing, lying flat, or reclining in the tub.
- Use an oval mirror at stoma height and a clip-on lamp for better visibility.

8. Frequency of Changes
- Change frequency varies: some do it every 24–48 hours, others every 4–5 days. Adjust based on leakage, activity, or skin condition.

9. Maintenance Extras
- Clean night-drain bags weekly with diluted disinfectant to control odor.
- Request free samples from manufacturers to try different appliances.

10. General Encouragement
- Remember, skills improve with practice. Keep your spouse nearby for support until you feel confident doing it alone.
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