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Urostomy: How do you care for skin under the wafer?
Ostomy | Last Active: Jul 23, 2020 | Replies (16)Comment receiving replies
He should be getting wafer prep moist pads from your supplier (I use 180Medical for my ostomy supplies - they are excellent).
When he removes the wafer and pouch for a redressing, he should shower, use a mild loofa to prep the area (the stoma can handle this - just not aggressive rubbing) and then dry very thoroughly. After drying, use the prep pad to introduce a roughed up area around the stoma. Keeping it dry is the most important practice. The area to keep very dry should be about 4" - 5" in diameter to make sure the wafer surroundiing area is totally dry.
Take the adhesive papers off of the wafer and press hard all around (both the outer adhesive area plus the circular cushion pad right around the stoma).
That should do it.
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Thank you for your reply @jshollett. I did not know about using a loofa. We have finally (we hope) learned how to apply the wafer and to get it to be leak-free for more than two days. We found that eliminating the barrier ring and using a Coloplast convex wafer works best for his anatomy. I hope the ring is not a necessary item to protect the stoma.