Ostomy care: Healing the Skin around the Stoma


Hey guys, it’s Eric. Today I want to to talk
to you about a problem that I’ve been able to solve for myself. Now,I know that a lot
of us have issues, especially when we have liquid output, where the skin around the stoma
will start to break down, it’ll become red and sore. Most of us are advised to put a
bit of stoma powder around there, dust it off, and then put a barrier wipe and then
put your wafer on. But, I’ve experimented with that technique, which they do call “crusting”,
where you create layers of stoma powder, then use a barrier wipe, then put more stoma powder
on that, then you put another layer of barrier on it. It’s called “crusting”, and most stoma
nurses would use that term. But, I found that that wasn’t really effective, and the results
were often hit and miss. It wasn’t consistent enough for me. So what I started doing was
using barrier rings in replacement of “crusting”, and I know that many barrier ring manufacturers
say not to put barrier rings on top of skin that’s red or sore, or anything like that,
because it’s not meant to heal skin, but I found that just allowing that barrier to remain
there, gives the skin just enough time. And it could be only three of four days that
it needs to heal up, but it gives it just enough time to heal. I find that if I do that
consistently, then I really don’t have any issues with my skin – at least, not around
the stoma. I’m going to show you a few pictures here, and you’ll see where I’ve had quite
a bit of irritation around the stoma. It was very sore, it was very weepy and red, and
all that good stuff, but you can see here on the before and after that there’s a huge
difference in how it looks. I’ll put up a sequence here so you can see the timeline,
but you can see that there’s a nice change from sore and red and not looking very good,
to a nice healed state, and that’s kind of where you want to be all the time. So this
is something that I’ll do now, and I’ll use (generally speaking) the thicker Eakin Rings,
and I find that the thick barrier rings help a little bit more than the thin ones; I find
that the thin ones tend to break down faster, and that defeats the purpose of keeping it
there. So that might be something to try. I hope that tip helps. You may want to talk
to your stoma nurse before you start making any changes to your technique. I know that
sometimes that’s not something you want to do if you’ve had other complications or skin
issues, at least not without your nurse knowing about it or. So if you’ve used the crusting
technique, and it hasn’t worked for you, try using barrier rings instead and maybe you’ll
have good luck, too. I hope you guys are having a great day; we’ll see you in the next video.
Take it easy.

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