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A Guide To
Living With A Stoma

 

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ACCESSORIES

 

 

 

 

 

 

 

Seals and washers are used on parastomal skin that has crevices, fistulas or scar tissue that make the skin surrounding the stoma uneven.  They create an even surface by filling  the creases and dips.  This allows the pouch to be applied securely, and prevents sore skin by stopping unwanted leaks.  These seals and washers are easily mouldable to all the body contours to ensure increased comfort, and can be used in the management of retracted stomas - contact your stoma care nurse.

 

Dansac GX-tra Seals from Dansac.

 

Eakin Cohesive® Seals from Pelican Healthcare.  

 

Hyperseal from CliniMed.

 

Option Seals from Oakmed.

 

 

 

SEALS AND WASHERS

 

 

 

e.g.

S - Z

 

 

 

 

 

 

 

Security frames (sometimes called flange extensions) offer additional security to an appliance, by providing a reliable and effective way to secure a pouch, and to prevent leaks.

 

AcuBond Strips from Independence.

Strips.

 

HydroFrame from CliniMed.

Flange Extender.    

 

OstoFIX Forty from OstoMART.

Security Frame.

 

SecuPlast Hydro from Salts Healthcare.

Security Strip.

 

SECURITY FRAMES

 

 

 

e.g.

 

 

 

 

 

 

 

Another slightly different product, which can be used on the skin around a stoma to protect against damage from the constant application and removal of appliance adhesives, friction, digestive juices, faecal and urinary waste matter, is a skin barrier film.  These skin barrier films can be gently applied to the skin, creating a thin, uniform, waterproof layer, like a second skin over the entire area.  The film should be allowed to dry thoroughly before a flange/pouch is fitted.  The flange/pouch adheres to the second skin, and thus aids appliance removal.  

 

Barrier Wipes from Independence.

Sachets.

 

Cavilon from 3M Health Care.

Foam Applicator, Spray Bottle and Wipes.

 

LBF (Liquid Barrier Film) from CliniMed.

Wipes.

 

OstoGUARD from OstoMART.

Sachets, Dab On Bottle and Spray.

 

Peri-Prep Sensitive from Salts Healthcare.

Sachets.

 

Protect Plus from Pelican Healthcare.

Sachets.

 

SkinSafe from Opus Healthcare.

Sachets and Spray.

 

SKIN BARRIER FILMS

 

 

 

e.g.

 

 

 

 

 

 

 

Skin barriers creams are used as a protective measure against harmful body waste, including urine and intestinal discharge.  There are various skin barrier creams made specifically for the skin around stomas, and they are designed to soothe and moisturise the skin, and protect the area from becoming sore.  If the area is already sore, skin barrier creams can soothe and help prevent further damage, without having an adverse effect on the adhesion.  Some barrier creams contain aloe vera, lavender, etc., which also help to keep the skin healthy.  Use a barrier cream sparingly, massage into the skin and wipe away any excess before attaching a stoma pouch.

 

An ostomate should only use creams made specifically for the skin around the stoma.  Normal creams should not be used, since these types of creams form a greasy surface, which will prevent an appliance from sticking.  Therefore, any creams which would normally be used for skin complaints elsewhere on the body should not be used around the stoma.  

 

There are many skin barriers creams available, which are made specifically for stoma care.

 

Cavilon from 3M Health Care.

Sachets and Tube.

 

LaVera from Opus Healthcare.

Sachets and Tube.

 

OstoGUARD from OstoMART.

Sachets and Tube.

 

Ultra from Pelican Healthcare.

Tube.

 

SKIN BARRIER CREAMS

 

 

 

e.g.

 

 

 

 

 

 

 

Stoma bridges can help the motion to drop to the bottom of the pouch, thus helping prevent ‘pancaking’ for colostomates.  Opus Healthcare offer ClearWay and ClearWay Mini.  Two ClearWay stoma bridges, one to each side of the pouch opening, provides extra protection from ‘pancaking’.

STOMA BRIDGES

 

 

 

 

 

 

 

Amongst the different products, which can be used on the skin around a stoma are skin protective wafers (sometimes called skin barriers).  These may be hypoallergenic, and will cover and protect the skin, allowing the skin to heal if it is sore or broken.  They can also protect the parastomal skin from effluent or contact dermatitis.  They come in a range of shapes and sizes, which are applied to the skin.  Sometimes they can be cut to the required size and shape using templates.  An appliance can then be attached to the wafer.

 

Protective Wafers from Salts Healthcare.

 

Stomahesive Skin Barrier from ConvaTec.

 

Varihesive Skin Barrier from ConvaTec.

 

 

 

 

 

SKIN PROTECTIVE WAFERS

 

 

 

 

 

 

 

A stoma cap is a small mini pouch for short-time wear, e.g. while swimming, playing sports, etc.  They are available from most of the major stoma appliance manufacturers.  These stoma caps may also be used in conjunction with irrigation for colostomates, and further information on this can be obtained from your stoma care nurse.

STOMA CAPS

 

 

 

 

 

 

 

Skin cleansing gels are used when water is not available.  An example could be when an ostomate is away from home and needs to change or drain a pouch.  There may be no access to a clean water source, e.g. some standard toilets do not have a washbasin in the cubicle.  These skin cleansing gels act as a hand and skin cleanser, are easy to use, and are also ideal for freshening hands after emptying or changing a pouch.  However, care should be taken not to use the gel on the actual stoma.  

 

Dansac Skin Lotion from Dansac.

Sachets and Bottle.

 

OstaGel from CliniMed.

Sachets and Bottle.

 

OstoCLENZ from OstoMART.

Sachets and Bottle.

 

Ultra Cleanse from Opus Healthcare.

Sachets and Bottle.

 

SKIN CLEANSING GELS

 

 

 

e.g.

 

 

 

e.g.

 

 

 

 

 

 

 

Stoma noise suppressors provide stoma noise suppression and stoma protection in one easy-to-use accessory.  These comfortable, foam products are worn over the stoma and appliance, and are lightweight, discreet and easily removable.  A stoma noise suppressor conforms to an individual’s body curves, and provides robust stoma protection and acoustic dampening.  Stoma noise suppressors allow ostomates freedom of mind to engage in social situations with confidence.  Some ostomates find that they are particularly useful in noise suppression and protection, when working in an office, eating in restaurants, participating in sporting activities (especially contact sports), gardening and housework.

 

Stoma Stifler from BEAMM LLC (USA).

 

 

 

 

 

 

STOMA NOISE SUPPRESSORS

 

 

 

e.g.

 

 

 

 

 

 

 

Stoma protectors, sometimes called activity shields, are hard plastic devices, which are worn over the stoma and appliance to protect the stoma.  Some ostomates find that they are particularly useful in contact sports.  In addition, some patients worry that if they are swimming, they may damage their stoma, and feel more confident if they are wearing a stoma protector.  Also, many stoma patients use them whilst shopping in the January sales!  

 

OstoSHIELD from OstoMART.

 

 

 

 

e.g.

STOMA PROTECTORS