Ask the Ostomy Lifestyle Expert – March 2017

Question: I do have a question, been using the one piece system on our son, he’s had a new ostomy now for about a week, I put it on correctly, but it doesn’t seem to hold for more then 8 hours at a time. He does pull his sweat pants upward, and sometimes grabs a bit of the bag, but even when he doesn’t, it seems the mesh sealer just doesn’t hold. I would prefer not to have to use the rings to help hold this, what else can I do?

Response:  The manufacturers of ostomy equipment provide high quality products that are certainly designed to last longer than 8 hours per use. Your son is experiencing equipment failure, that may be due to any number of reasons. You and your son are in the early weeks of managing his ostomy and you are both still finding your ostomy-feet as you work out which products and routine that will give you the best results.

I highly recommend that you arrange a visit with an Enterostomal Therapy Nurse, ((ET nurse – registered nurse [RN], who has specialized training in treating patients with ostomies and their caregivers). ET Nurses are specialist who can assist you in assessing stoma issues and make equipment product recommendations for ensuring a good seal.

(An Enterostomal Therapy (ET) Nurse is a registered nurse with advanced and specialized knowledge and clinical skills in wound, ostomy and continence care. Recognized as Nursing Specialists in wound, ostomy and continence by the Canadian Nurses Association (CNA), ET Nurses are the ONLY nursing specialty with CNA certification in wound, ostomy and continence care. ET Nurses work in acute care hospitals, outpatient clinics, community care, long term care and in independent practice. An ET nurse provides specialized holistic assessment and management as part of an inter-professional team member. He/she functions to meet the needs of individuals/families with ostomies, acute and chronic wounds and urinary and fecal continence problems.)

An Enterostomal Therapy (ET) Nurse will provide you with an expert visual examination and is your best option for properly assessing the stoma, peristomal skin, abdominal profile, and recommend ostomy equipment options.

There are many reasons why you would be seen by an ET Nurse:

  • Are you suddenly getting less wear-time of your pouching system?
  • Have you gained or lost weight?
  • Does your flange “not stick” to your skin?
  • Has the shape or size of your stoma changed since surgery?

To locate an ET Nurse in your region, an excellent reference guide is provided by the WOCN (Wound Ostomy and Continence Nurses Society), on this website.

Go to “SUPPORT” located at the top navigational bar on this website and click. A pop down menu will appear, locate and click “FIND AN ET NURSE”, you will be automatically transferred to a page, now simply follow the easy instructions.

Often it takes a bit of time, experimentation, and sound advice from an ET Nurse expert to find the best fitting equipment and management routine.

 

Best,
Jo-Ann