Well I will try to help by explaining my process.
- First, just like you I collect everything I can think I will need (at first I used a checklist so I would have everything)
- I empty my pouch so I am not working with a full pouch
- I then get my washcloth soaked with warm water and stand in front of the sink to catch any "activity"
- As soon as I remove the old pouch I wash down my belly real well with just warm water on the washcloth
- I then have a spray bottle of some stuff the hospital gave me for cleaning out a different wound I had but the hospitals label says ostomy skin cleaner, the use label on the back also says for ostomy care. It is made by hollister, labeled Skin Cleaner, hollister ref#517210 (I am not sure if insurance will pay for it but it works real well) I spray a few squirts on the skin around the stoma then shave using a disposable razor (I don't use any shaving cream just the spray)
- After I have done a quick shaving of the area I then take the washcloth and wash down the area real well again
- I use a towel to pat dry the area then start cutting the wafer, I then check the cut by placing it around the stoma without taking off the adhesive backing and use a mirror to see if there may be a need for more cutting or possibly for paste
- I then make sure the tail is closed on my bag (only forgot that once, LOL)
- I pat the area dry again with a towel to make sure the area is completely dry then remove the wafer backing and apply the wafer
- I rub the inside of the flange (I wear a two piece but should work for a one piece also) in a circular motion around my stoma for about
30 seconds to get the seal good and set
- if I need to use paste I apply it at this time, I know they say to put it on the flange before putting the flange on but I have found using the paste similar to caulking I have better results, after that I wait a minute or two for the paste to set up
- finally I snap the pouch on the flange and clean everything up
When I first started it would take me about
a half an hour or so but now I have it down to five or ten minutes. I get at least seven days wear so I must be doing something right, LOL. I have never had problems with skin issues shaving. Oh yeah, I do the complete change standing up.
Hope this helps.
Total Colectomy with End Ileostomy May 27th, 2008