Page 380 - CHHA Binder 2.3.20

4/11/2019

Pouching Problems

 Acknowledge the difficulties and offer support:

“Although it may take several applications to find what
best fits your stoma – I don’t want you to feel discouraged –
we want to make sure that it will fit properly”

Tell the patient what the difficulty is – “due to deep
peristomal creasing, or recessed stoma we may need to
add accessories to maintain a seal”

Ostomy Management

Accessories

 Barrier Rings /strips can be applied
around stoma or to fill in uneven
surfaces
 Skin barrier paste – same as barrier
rings “paste is not glue” acts as
“caulking” to fill in uneven surfaces or
around stoma
 Stomahesive powder
 Barrier Film
 Adhesive removers
 Belts
 Pouch/Appliances

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