Stomomédical

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Skin Barriers PDF
Special adhesives, called skin barriers are designed to protect the skin around your stoma from stool and urine. There are two major types of skin barriers: a standard skin barrier and an extended-wear skin barrier which is more resistant to breakdown so can be worn longer.

The two types of skin barriers are available in a variety of forms. They can be flat or convex (curved adhesive). They can be cut-to-fit (you cut them to fit your stoma), pre-cut (already cut for you), or moldable (you can mold the skin barrier with your fingers to match your stoma shape and size).

If your stoma sticks out, you can probably wear a flat or moldable skin barrier. If your stoma doesn't stick out very far, or is below the skin surface, you may need to use filler products (eg. paste and skin barrier rings), or use a convex skin barrier. Your ET Nurse can help you decide what is best for you.

 

Getting a better fit:
Using a skin barrier opening that is too large can cause skin problems. In order to get a good fit and help prevent leakage, follow manufacturer's guidelines to determine the proper size to cut your skin barrier. It is recommanded to cut the skin barrier so that is 4-6 mm (1/4'') larger than the diameter of your stoma (the measurement across from side to side). Therefore, there will be a 3-4 mm (1/8'') gap between the outside of the stoma and the inside edge of the skin barrier all the wat around.
If you use a moldable skin barrier, you can use your fingers to roll back the edges to match the size and shape of your stoma.
If the pouch opening size is correct and the skin barrier isn't staying on for as long as it should, it may be due to gaps caused by the contours of your body, your posture, or the shape and location of your stoma. Contact your ET Nurse for help.
Getting a better fit:
Using a skin barrier opening that is too large can cause skin problems. In order to get a good fit and help prevent leakage, follow manufacturer's guidelines to determine the proper size to cut your skin barrier. It is recommanded to cut the skin barrier so that is 4-6 mm (1/4'') larger than the diameter of your stoma (the measurement across from side to side). Therefore, there will be a 3-4 mm (1/8'') gap between the outside of the stoma and the inside edge of the skin barrier all the wat around. 
If you use a moldable skin barrier, you can use your fingers to roll back the edges to match the size and shape of your stoma.
If the pouch opening size is correct and the skin barrier isn't staying on for as long as it should, it may be due to gaps caused by the contours of your body, your posture, or the shape and location of your stoma. Contact your ET Nurse for help.

 

Source : Convatec Patient Guide
 

 

 

 

 



 

 

 

 

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