HAHA that is a funny about
Over the past 2 1/2 years we have tried several things as well as different appliances, pastes etc. After pulling my hair out trying different things I have conceded that "it is what it is". Thank goodness we seldom have any skin issues and when we do, they are very short lived (usually have things back to normal within a couple days). What we (he has a caregiver during the day while I work) do is very basic. We use a one piece Coloplast pouch, probably one of the most basic ones. This is the one that insurance will allow 30 per month since we get short wear time. We are only allowed 5 Eakin Seals per month and I purchase add'l over the internet (those things are pricey). We actually cut into 1/3 and use 1/3 each time we apply the pouch. I tried using a whole one and had no more success than using 1/3 of one. I currently use no skin prep or anything. Wash him with mild soap and water and dry skin well. I also purchase the Osteo EZ-vents and put those on his pouch as well. He is VERY gassy which I am sure contributes to why his pouch comes off at night. As I previously stated he is incotinent so he wears a diaper. I also put a pull up under his diaper with the pouch on top of the pull up to try to protect the pouch from as much urine. I used to set my alarm and get up in the night to vent and empty, but I work full time and it was really getting hard on me.
Sorry for getting so long winded, but you asked Got any suggestions?