Sunday, December 30, 2012
Different types of ostomy appliances
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Saturday, December 22, 2012
Adapt Barrier Rings( Flat and Convex)
General Information
• Use to prevent ostomy drainage from getting under the pouch seal.
• Can be cut, stretched and stacked together to improve the fit of your pouching system.
Using
Adapt Barrier Rings or Adapt Convex Barrier Rings
Wash and dry your skin thoroughly.
Remove the protective coverings from both sides of the barrier ring and stretch
or mold the ring to fit your stoma size
Apply the flat side of the ring to the adhesive area of your ostomy pouching system.
Apply your ostomy pouch as usual.
Frequently Asked Questions
Q: How do I know what size ring to use?
A:
Select the size that most closely matches the size of your stoma.
The rings may be pulled and stretched to fit.
Convex Barrier Rings can be Stretched as follows:
Stock No. Stretch up to:
² (25mm)
79530 1 3/8
² (35mm)
79540 1 3/4
² (45mm)
Q: What if the ring is too big for my stoma?
A:
You can make the ring smaller by cutting away a section
and pressing the cut ends back together.
Q: My stoma is not round. Can I still use the rings?
Yes! The rings can be pulled or stretched into the shape you need.
Q: How should I remove the rings?
The ring will come off when you remove your pouch. If residue remains,
gently roll and peel it from the skin.
Q: Can the rings be used a second time?
A:
No, the Adapt Barrier Rings and Adapt Convex Barrier Rings are not
designed for re-use and would not adhere well if reapplied.
Q: Can I use this product when my skin is irritated?
A:
Yes*, Adapt Barrier Rings and Adapt Convex Barrier Rings are alcohol-free
and will not cause pain when used on irritated skin.
*Irritated skin near the stoma should be evaluated by a healthcare professional who will
help determine the cause of the skin problem and how to prevent further injury.
Wednesday, December 19, 2012
Ostomy Pouch Covers
Wearing Instructions
- Gather the end of the pouch and insert it into the back of the opening in the cover.
- Slide the cover up and over the pouch as if putting on a slip cover.
- Guide the opening of the cover as that it resides where the pouch and the barrier (flange) are connected. (On a one piece system this would be where the pouch and barrier is factory sealed).
- Insure that the upper edge of the pouch is inside the upper area of the cover above
the opening in the back.
Friday, December 14, 2012
Colostomy bag applied to fistula.
A stoma appliance has been applied to the skin surrounding the fistula.
Figure of fecal fistula managing with ostomy bag and wound care product.
Eakin Seal is best to fill the skin folds and uneven skin around the stoma and fecal fistula to help the bag attach better.
Fecal Fistula applying Eakin seal
Fecal fistula can be managed by using wound care products and large sized colostomy bags. It needs long term management and may heal spontaneously. I was also invited to manage such fistula at Kathmandu Medical College before 2 weeks. Now the patient is getting better by using 70 mm colostomy bags and eakin seal under the colostomy flange. His hospital stay has been shortening.
Friday, December 7, 2012
Use of convex ostomy flange and depressed stoma
Convex colostomy flange
Retracted stoma( depressed stoma)
Today, I had gone to National Cancer Hospital, Jawalakhel for management of complication of leakage from colostomy bag. The patient was wearing a flat colostomy bag but his stoma was depressed. So he complained that he had to change bag three times a day which caused peristomal skin irritation and excoriation. So, in this situation, I applied ostomy powder around the stoma and selected convex flange because it will fit depressed stoma properly. So I hope you will also follow the same process for appliying colostomy bags on depressed stoma.
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