Ostomy Lifestyle Question (February 2016)

Question:

My depression around my stoma is at the bottom and both sides. Hernia is at the top. I now use a coloplast or salts ring rolled into a worm shape. My wear time is not good lately. Should I use a full convex ring or try to double up at the depression. I think if I double up, my stoma will drain under the ring as it is shorter at one side. Help please?

Response:

There are many reasons why the profile of an abdomen will change, such as weight loss, weight gain, and aging process, to name a few. Ostomy equipment that has worked very well in the past, may now need to be reassessed and equipment changes made. An Enterostomal Therapy (ET) Nurse who can provide you with an expert visual examination 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?

(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 interprofessional team member. He/she functions to meet the needs of individuals/families with ostomies, acute and chronic wounds and urinary and fecal continence problems.)

To find 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.

There is an equipment option available for you to resume your active lifestyle and an ET Nurse will assist you.

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