Ostomy Page List

Flexible wafers are among the best fit & function. The key is flexible; They are comfortable and secure. Removal requires a "Remover Wipe" or Spray to break down the adhesives and save your skin.
Sometimes the best seal is with a Ring* to help shape. This Ring thickness is available as 2mm or 4mm, it's stretchable, or compressible with a form.
Some areas around your stoma can be less firm than others, and barrier can lack a uniform seal if this occurs. A segment of Ring can fill that space.

Ring installation is described here in several ways.
  1. Stretch ring to fit the stoma cut-out, or
  2. Cut a 'pie-slice' to fill in a section, and smooth its edges for secure seal in that radius, or
  3. Use the new flat centering tool, lay full ring with its hole around the tool post
  4. Reattach the clear cover and compress ring material behind the clear cover.
Note, I now have a better way to attach that ring to the barrier, perfectly.
A drawing is coming, but send me an email if you are in a hurry.

 Optional  *Ring  for a Barrier
 Tape**
Border

   Lift the Clear Cover
Stretch Ring / Segment to Align with Cut-Out
Replace the Clear Cover.

If it's a Segment (red)
SMOOTH DOWN its RAISED EDGEs 
 Hollister#8925
  Flat FlexWear
  Pre-Cut 1"
Ring  options: 
2 or 4mm thick,
segment or full

You can use merely a section of the Ring and flatten its thick edge 'steps' by pressing through the clear cover.
Never let a gap or crease lead back to the stoma.
Viewing
Cover
  • Tool can be warmed.  Don't uWave the tool.
  • Apply optional powder to irritations   Note it can prevent adhesion
  • Apply optional skin barrier, Wipe or Spray
  • Dry stoma with tissue Keep its surface dry
  • BEWARE stoma mucus prevents adhesion
  • Attach barrier
  • Be sure stoma is centered
  • Apply Tool @ stoma
  • Press Tool toward your body.
  • Hold STILL & FIRM for 30+ seconds.
  • Attach  Tape** Border Edges

*Ring may be optional. It helps seal between stoma and Cut-Out.  The opening in ring MUST BE slightly smaller than Cut-Out to avoid trapping fluids.
For installing the ring, a heated Tool is very beneficial. The thicker ring may need more heat or longer time pressed.

**Tape Border (Hollister) is the last step.  The separated tape border helps smooth attachment, and it allows applying pressure with the Tool about 20 seconds sooner.

The pH level of ileostomy fluid makes sealing the stoma crucial. About the first minute of application needs constant, uniform pressure, and here's The Tool for that.
The Tool This can help the seal last 3× longer than hand pressing, with or without a Ring. It applies even pressure on Barrier around stoma, and it can be warmed in hot water.
 
Sized to clear
the stoma
   1.3"
 33mm
PVC Sched-40, 1 1/2" × 1" reducing bushing,
threadless with flange  D-2466  437-211
Home Depot



Patrick Mullins
2018

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