Ostomy Education, Ostomy Resources

Summer pouching tips

Summer may cause issues with the wear-time of a pouching system. Here are some hints to help keep your pouching system intact during this warm, hot, and/or humid season.

  • Apply aluminum chloride hexahydrate antiperspirant to the skin prior to application of the skin barrier. Use this type of a product on intact skin only.  Examples of this product: Drysol, Driclor.
  • Use a standard wear skin barrier that absorbs moisture better — Hollister uses the term Flexwear,  Coloplast uses the term Sensura, ConvaTec calls it Stomahesive Skin Barriers and ConvaTec does say it works best with a solid output ostomy.
  • If you call the manufacturer (Hollister, Coloplast, ConvaTec and others)–they will talk to you about your issues and needs. They will also send you samples, if you request them. A distributor company such as Edgepark, Preferred Home Care, Shield and others can also give direction to you and send samples. Check out our Resource Page for company contact information.

Remember to stay well hydrated during the warm months and anytime you exercise. For the ileostomate, keep your electrolyte levels in a good range-through periodic blood work monitoring, taking vitamin/mineral supplements after checking with your doctor, and eating/drinking foods high in your missing electrolyte/minerals.

CROC ostomy support group meetings, Ostomy Education, Ostomy Resources

The importance of certified ostomy nurses

Nurses certified in ostomy care are not abundant especially in rural areas. Colorado River Ostomy Chapter currently has two nurses certified in ostomy care.

Why is a certified ostomy nurse important? The Board Certified nurse has gone above the basic standards of nursing care to study then demonstrate a knowledge of safe and effective care to the ostomy/stoma and the peristomal skin care. This knowledge and skill is then tested by  a national specialized test on ostomy care which must by successfully passed.  Once certified, these nurses provide management of ostomy issues to help improve the  ostomate’s daily functional status to help them thrive in life.

Desiree is certifed in Wound, Ostomy and Continence with her credentials listed as CWOCN for Certified Wound Ostomy Continence Nurse. All CWOCNs are Registered nurses. Desiree has a wide base of knowledge about complex wound care and ostomy care.

Stephanie is certified as an Ostomy Management Specialist or OMS. This certification focuses on ostomy and peristomal skin care with treatment of issues including wound care in relation to the ostomy and surrounding skin. While Stephanie is a nurse, not all OMS are nurses, some are physical therapists who perform ostomy care.

Having certified ostomy nurses at the CROC meetings helps the group members keep up to date on current issues with ostomies and peristomal skin health, allows for education for increased ostomy knowledge, and  assist with problems members of the group have with their ostomies and pouching system.



CROC ostomy support group meetings, Ostomy Education, Ostomy Resources

Weeping skin, skin barriers, and Crusting

Good intact skin is a goal of pouching.  At times areas of skin under the skin barrier may become broken down, open, and/or weeping when there is skin shear in removing the skin barrier or leakage of output, called effluent, on the skin which can irritate and burn the skin.
When skin is moist the pouch skin barrier will not stick well; the procedure of crusting can help in allowing the barrier to adhere well.
What is Crusting?
Crusting is a procedure used to create an artificial scab on weeping/broken skin around the stoma and under the skin barrier (aka Peristomal skin). This is done by using stoma powder and a skin prep polymer liquid. Crusting can protect the peristomal skin from waste output,  absorb moisture, and increase pouch wear time resulting in fewer pouch changes and less disruption to irritated peristomal skin.
Denuded/weeping peristomal skin
Use to absorb moisture from broken skin around the stoma
Allergy to any of the products
Stop using the powder when the skin has healed and is no longer moist to the touch.
Powder is not indicated for the prevention of skin irritation.
Skin barrier powder (Anti-fungal powders like Nystatin may be substituted)
Non-alcohol (sting free) polymer skin barrier wipes or spray
Clean gauze 4×4’s, tissue or cloth like paper towel to dust off excess powder
1. Cleanse peristomal skin with water (avoid soap) and pat area dry.
2. Sprinkle skin barrier powder onto broken/weeping skin.
3. Allow powder to adhere to the moist skin.
4. Dust off excess powder from the skin using gauze, soft cloth like paper towel or a soft tissue. The powder should stick only to the raw area and
not be left on dry intact skin.
5. Using a blotting motion, apply the polymer skin barrier wipe to the skin and over the powder. Skin prep spray may also be used.
6. Allow the area to dry.
7. Repeat steps 2 through 6, up to 3 layers to achieve a crust layer.
8. Apply pouching system over the crusted area