Caring for Peristomal Skin

Are you or someone you care for living with an ostomy and experiencing problems with the skin around the stoma? For those with an ostomy, peristomal skin damage is fairly common. However, it doesn’t have to become normal for you. First, you may want to identify the potential cause of the issue, which is an important part of figuring out how to treat your skin irritation. Next, consider taking several measures to avoid future damage to this sensitive area.

Causes Related to Peristomal Skin Damage

Incorrect Size or Shape of Skin Barrier

Getting the right skin barrier for your unique body may help reduce the risk of leakage and skin damage from stomal output. For example, skin folds or creases can make it difficult for the ostomy skin barrier to securely stick to the abdomen. An improper skin barrier fit can result in leakage, which may cause the skin to become irritated and begin breaking down. If your stoma is retracted or flush with your skin, you may want to consider a convex skin barrier.

ConvaTec’s SUR-FIT Natura Moldable Skin Barrier provides a personalized, custom fit around the stoma to help protect the peristomal skin. They are available in both flat and convex options.

In addition to skin folds and stoma protection, the size of the stoma is an important factor in getting the right fit for your ostomy skin barrier. Ensuring that the barrier is the proper size may help prevent leakage. 1-2mm larger than the stoma is suggested for a close fit. The ConvaTec Natura Durahesive Accordion Trim-to-Fit Skin Barrier with Convexity features an easy cut-to-fit option for those needing a skin barrier with convexity and for use for those with a retracted stoma.

Frequent Applications and Removals

Continuous application and removal of skin barriers can really irritate the peristomal skin causing it to become extra-sensitive. The top layers of the skin can be stripped away, which can result in weepy, sore skin around your stoma. In order to address issues like this, ConvaTec created the Sensi-Care line of peristomal skin care products. These products work to protect skin from damage caused by adhesives and are great for using every day with no residue build-up or bonding to skin folds.

Too Much Pressure Around the Stoma

When there is constant pressure at the stoma site, the skin may react unfavorably. Certain types of clothing or an ostomy belt that is too tight can irritate the peristomal skin by putting too much pressure on the site. Choosing the right ostomy appliance belt can provide an added sense of security when stabilizing an ostomy pouch. You want it to fit securely, of course, but make sure it is soft and comfortably adjusted as to not put too much pressure at the site.

Questions to Ask Yourself

Peristomal skin should look similar to the rest of the skin on the body. Slight redness in this area is normal due to the adhesive used on the barrier. However, any type of discomfort experienced could be a sign that the peristomal skin may be unhealthy. Asking yourself a few questions may help determine if there is more than meets the eye.

  1. Is the skin around your stoma itchy?
  2. Is the skin around your stoma blistered or inflamed?
  3. Does the skin around your stoma feel or appear as though it is wet?

Ask yourself these questions and then consult with your doctor or a WOCN (Wound, Ostomy, & Incontinence Nurse) about steps you can take to manage your peristomal skin issue.

Preventive Steps to Take

By maintaining a good skin care routine, you can help prevent peristomal skin irritations from forming. These are some simple steps you can take:

  • Routinely change your pouch.
  • Use an adhesive remover to gently remove your skin barrier and any additional adhesive residues left behind.
  • Use oil-free and alcohol-free products to reduce irritation when cleaning the skin around the stoma.
  • Make sure your skin is completely dry before applying the next ostomy bag.
  • Look closely at your peristomal skin each time you change out the barrier.
  • Use a barrier foam or spray to protect the skin.
  • Make sure the hole cut in the barrier is the correct size for your stoma.
  • Ensure the barrier is secure with no gaps or folds to prevent leakage.

Peristomal skin should be healthy skin. Even the mildest irritation should be taken seriously and is worth getting advice from your doctor. Most of the time, solving the skin issue can be as simple as changing to a different product, altering your routine, or taking additional steps to rectify the problem.

For any questions about the products we carry or if you need help choosing the right barrier, belt, or bag, we are just a phone call away. Our Personally Delivered Product Experts will be happy to help you find exactly what you need.

The Esteem+ Soft Convex by ConvaTec

Are you looking for an ostomy pouch that is less visible under your clothing? Do you have skin folds and creases that make your pouch difficult to place? Are you worried about leaking and odors with your ostomy pouching system? With ConvaTec’s newest addition to its line of one-piece convex ostomy pouching system line, the Esteem+ Soft Convex can make these concerns of the past.

The Esteem+ Soft Convex

The latest addition to ConvaTec’s range of one-piece ostomy solutions is the Esteem+ Soft Convex system. ConvaTec listened to the concerns of many ostomy pouching system users and addressed all of them with their newest design in the ConvaTec ostomy supply lineup. The one-piece system is often a preference because of its discreet lower profile under clothing. The pouch and wafer/flange are also unable to be separated, so the one-piece option provides a greater sense of security. Let’s discuss how the Esteem+ Soft Convex has become the ostomy pouching system of choice for many across the nation.

What Makes The Esteem+ Soft Convex so Different?

A More Manageable System

As we mentioned, the one-piece ostomy systems are a preferred choice because of their low-profile and added security features. Some other features that make the Esteem+ Soft Convex a preferred choice are:

  • A split-fabric, easy-view window for accurate placement and viewing of the stoma and output.
  • An integrated filter gives the user reassurance that there will not be any ballooning as it also helps to minimize odors.
  • The Safe Seal Clipless closure makes this pouching system easy to empty and clean.
  • Belt tabs are included for attaching an ostomy belt, if preferred, for added security.

A More Diverse System

The Esteem+ Soft Convex was made for those with many different ostomy and stoma types. No matter which of the following you have, this pouching system can be the solution:

  • Ileostomy – small intestine connected to the abdominal wall
  • Colostomy – colon connected to the abdominal wall
  • Flush Stoma – stoma is level with the skin
  • Retracted Stoma – stoma is sunken or dips below the skin level

A More Compatible System

If you have skin folds or creases, it can be difficult to precisely place a standard flat ostomy skin barrier and feel confident that there will not be any leakage of fluids or odors. With the Esteem+ Soft Convex pouching system, the convex skin barrier curves toward the skin to help improve the projection of the stoma for optimal drainage. Previous barriers and baseplates did not offer a cut-to-fit design that are both flexible and have shallow convexity. With three distinct plateau sizes below, this one-piece drainable ostomy pouch can fit with almost any body type for a more comfortable wear.

  1. V1 – 3/4 – 1-7/8″W (20-47mm) – Item# 422363
  2. V2 – 3/5 – 1-3/5″W (15-40mm) – Item# 422364
  3. V3 – (3/8 – 1-1/8″W (10-28mm) – Item# 422365

A More Protective System

Peristomal skin can become very irritated when an ostomy pouching system does not fit securely and conform to various body and stoma types. The flexibility and softness of the Esteem+ Soft Convex system makes it a more comfortable and secure choice, eliminating the costs associated with the use of stoma skin treatment and protective products. Because this pouching system is body-conforming, leaking is less likely, which reduces skin breakdown and makes it a more skin-friendly option.

At Personally Delivered, we proudly carry the Esteem+ Soft Convex as well as an extensive line of other ConvaTec ostomy supplies. If you have any questions about any of the ostomy products we carry, give us a call and one of our Product Experts would be happy to help.