Patient Support Information
What You Need to Know
Think about a time in your life when you felt intimidated, scared, or confused.That's similar to what many patients feel in the days or weeks before their ostomy surgery and in the months afterward. The good news is that you can help make their surgery and recovery more manageable by introducing them to me+TM answers
Skin Care for Patients
Prevention is a crucial part of a successful peristomal skin care regimen. You can help your patients living with an ostomy prevent peristomal skin issues by providing them with helpful skin care tips.
Healthy Peristomal Skin Care Practices tips:
- Mold or cut the opening of your skin barrier to the stoma's size before you apply the pouch.
- For cleansing, use soaps that don't leave residue. This ensures that the adhesive will stick. Also, try to avoid soaps with fragrance. They can irritate the skin.
- If you notice leaking effluent change your barrier immediately.
- Use accessories to help achieve a better fit.
As a general rule, healthy peristomal skin should look the same as skin anywhere else on the body. Often times, when the barrier is removed the patient will notice some redness from the adhesive. That's normal. If the redness does not go away, however, it could be the sign of a peristomal skin issue. Discomfort is another sign that their peristomal skin is not healthy.
It does not take much time or a large amount of effluent touching the peristomal skin for it to be damaged. The damage is not always easy to detect. That's why you should have your patients familiarize themselves with a tool such as the Peristomal Skin Issue Identification and Management Guide*. This way, they will know the warning signs and how to manage the skin issue.
- Convatec Moldable Technology™ Skin Barriers
- Choosing the Right Adhesive
- The Difference Between Flat and Convex?
ConvaTec Moldable Technology™ Skin Barriers
How to create a secure fit?
This innovative mold-to-fit skin barrier eliminates the need for scissors, and can be shaped with fingers to create a customized stoma opening. It gently hugs the base of your stoma for optimum security.
- Flexible adhesive expands and contracts, moving with your stoma.
- Easy and simple to use.
- Lets you create an ideal fit while helping to protect your skin.
Cut-to-Fit Skin Barriers
With cut-to-fit skin barriers you need to trace a template of your stoma opening to the back of the skin barrier and cut out the opening.
- Trace the outline and use scissors to cut.
- Be sure to leave a 1/8" gap around your stoma.
- Use of paste is recommended to close any gaps.
Durahesive®(extended wear) Skin Barriers
Durahesive® skin barriers are designed for liquid output. Unlike other skin barriers that may break down around liquid output, Durahesive® skin barriers swell up to protect the stoma. This special effect, called turtlenecking, creates a more secure seal without harming the skin.
- Liquid Output
Stomahesive® (standard wear) Skin Barriers
Stomahesive® skin barriers provide an additional option for people with urostomies. This reliable skin barrier provides excellent security because of a special formula that enables the skin barrier to adhere to both dry and moist skin. It holds firmly to skin while protecting against irritating output.
Flat skin barriers tend to be less noticeable under clothes and are the more flexible option. They are ideal for stomas that protrude more than 1/2".
- Protruding Stomas
Convex skin barriers use a specially designed ring to create a convex shape to help fit stomas that are flush, retracted or protrude less than 1/2". They are available in pre-cut or moldable convexity.
- Flush or Retracted Stomas
- Stomas in a Skin Fold or Crease
Choosing the Right Pouch
Whether your patients choose a 1-piece or 2-piece ostomy system depends on their lifestyle and personal preferences. The chart below is a useful tool for helping your patients understand the advantages and limitations of the various pouch types and systems.
Because you can remove just the pouch vs. the entire ostomy system, this allows you to easily and quickly change the type of pouch you use based on your activity for the day. Both drainable and closed-end pouches are available with these systems. ConvaTec offers 2 systems in the 2-piece line: SUR-FIT Natura® and Esteem synergy® ostomy systems. Each system is different and made to fit individual preferences
One-piece systems are simple to use. The one-piece system is completely removed each time you need to change your system. It is available in drainable and closed-end versions.
People living with an ostomy have a range of pouching needs, which is why ConvaTec offers a broad line of pouching options.
- Clean & Neat. Unlike a drainable pouch there's no messy emptying, cleaning up and resealing. You get a fresh start every time you change.
- Fast & Easy. Because you remove the pouch vs. draining and cleaning it changing time is quick! Simply apply a fresh pouch and you're on your way.
- Security & Versability. These pouches are sealed for protection against leakage at the bottom, so you feel secure and confident.
These pouches can be emptied several times a day when you choose. With a range of features and closure options you can find the one that's right for you.
Urostomy Pouch Closure
People living with a urostomy have unique needs, which is why ConvaTec offers a pouch product line especially for urostomies. ConvaTec urostomy pouches have an anti-reflux valve, comfort panels and a choice of two types of taps.