Your best defense is preventative care

 

Keeping your skin healthy is important. You can prevent many problems or complications simply by making sure you follow the steps listed on this page.

CHOOSE AN APPROPRIATE STOMA PLACEMENT

The first step in preventative care starts with the selection of the best place for your stoma. A poorly placed stoma can cause the pouching system to fail, in addition to causing skin and leakage problems. If this is an elective surgery, and there is time, it is important to discuss the placement of your stoma with your stoma care nurse. Depending on your medical condition, this may happen either in advance of or after, admission to the hospital.

Here are some important guidelines to follow:

  • The stoma site should be viewable and easily reached so that you can manage pouching changes on your own.
  • The stoma ideally should not be placed near or around skinfolds, scars, or bony prominences, so that the pouching system can be adhered flatly to the skin.
  • Placement should be evaluated in the sitting, standing, and sleeping positions.

MAKE SURE THE POUCHING SYSTEM YOU CHOOSE FITS WELL

Choosing a well-fitting pouching system can help prevent irritating stool, urine, or mucus from coming into contact with surface skin. To help you maintain the best fit, use a measuring guide to measure your stoma. This will help you determine the size of your skin barrier opening. Resizing in the months after surgery may be needed. ConvaTec offers a variety of skin barriers, with cut-to-fit, pre-cut, and mouldable openings.


SCHEDULE POUCHING SYSTEM CHANGES

Make an easy-to-follow schedule for system changes based on the type of pouching system you use and the advice of your stoma care nurse. This will ensure your skin barrier is changed before much of the adhesive has eroded reducing the chance of stoma output coming into contact with your skin.


BE CAREFUL WHEN REMOVING YOUR POUCHING SYSTEM

Never rip or tear the skin barrier off the body. Instead, remove the skin barrier gently, being careful to support the skin. Begin in one corner of the barrier and slowly pull off the remaining adhesive.  You may also use ConvaTec ConvaCare® Adhesive Remover Wipes to aid with removal and to ensure a clean skin surface before adhering the next skin barrier.


KEEP YOUR SKIN DRY

By keeping the skin dry, you can ensure a good adhesive seal. It will also help to reduce the risk of candidiasis (a fungal infection).1


MONITOR CHANGES IN YOUR TUMMY

Changes in the tummy caused by pregnancy, exercise, change in weight or lifestyle, and some diseases may require a new pouching system or size.



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