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.

Diet Tips After Ostomy Surgery

Are you nervous about what you can eat after having ostomy surgery? Are you wondering if there are certain foods you should avoid? Are there any dietary restrictions that you should follow? We have a few diet tips and suggestions for you here to help clear up any worries.

Diet Tips for the 3 Types of Stomas

A stoma is an opening on the abdomen that is attached to your urinary or digestive tract to allow waste to be redirected out of the body. There are 3 main types of stomas: colostomy, ileostomy, and urostomy. Here are a few suggestions about your diet after each type of ostomy surgery.

Colostomy Diet Tips

When part of the colon is affected by a disease or if it is not working properly, a colostomy may be performed. The large intestine is disconnected from the rectum and rerouted to the abdominal wall as a new opening, called a stoma. A colostomy pouch is then attached to the stoma and is used to collect output which is then disposed of. A colostomy can be temporary to give the colon rest after surgery or it can be permanent if the person suffers from a disease such as cancer.

After a colostomy, a person may be more likely to become constipated. It is important to drink plenty of fluids such as water throughout the day to avoid constipation. Eating slowly and thoroughly chewing food will help with digestion and exercising regularly may keep you on a regular schedule. With a colostomy, there aren’t any dietary restrictions, but you may be more sensitive to foods right after surgery. It is recommended to try new foods in small portions to see if they affect you. Keeping a food journal will help you find if anythng doesn’t agree with you. Maintaining a healthy diet is always a good habit.

Ileostomy Diet Tips

When an ileostomy is performed, the lowest part of the small intestine is disconnected from the large intestine and rerouted to the abdominal wall to form a stoma. This procedure can also be temporary when surgery was performed on part of the large intestine and this allows it to rest for a bit. An ileostomy may be permanent if the large intestine and rectum have been removed due to disease.

With an ileostomy, intake of more fluids that normal is very important. Normally, the stool thickens as it passes through the large intestine since this is where fiber is digested. In this case, the small intestine is doing all the work, so output will be less solid. It is also important to limit foods high in fiber to avoid blockage since the large intestine is missing from the digestive process. Chewing your food well and sticking to small frequent meals throughout the day can also help to regulate the function of your stoma and result in less frequent changes of your ileostomy pouch.

Urostomy Diet Tips

When a person has bladder cancer, a birth defect, or a serious spinal cord injury, a urostomy may be necessary due to the bladder either not functioning normally or having to be removed. The ureters are detached from the bladder and then reattached to a small piece of the bowel that has been removed. That piece of the bowel is then attached to the abdominal wall that redirects urine from the kidneys and into a bag.

As with the other 2 types of ostomy surgeries, it is important to get the necessary fluids to avoid the risk of a urinary tract or kidney infection. Continuously flushing the urinary system by taking in enough water, eating foods high in Vitamin-C, and drinking cranberry juice can help. Studies have shown that cranberry juice works to fight against bacterial growth and has been effective for preventing urinary tract infections.

As you can see, after ostomy surgery there really aren’t that many specific changes you’ll need to make. To sum it up, the main suggestions that are common for all types of stoma surgeries are:

  1. Intake plenty of fluids.
  2. Chew your food well.
  3. Eat smaller, more frequent meals throughout the day.

Keep an eye on certain foods and beverages that may produce changes to the output or health of your stoma and always consult your doctor about any concerns.

For any questions about the ostomy products we carry for these types of ostomy surgeries, please give us a call and one of our Product Experts will be happy to discuss the options we offer.

Top 5 Reasons to Shop With Personally Delivered

We take pride in the exceptional service we provide at Personally Delivered and strive to stand out from the rest. Of course, we know there are more than 5 reasons we would like you to order your home delivery medical supplies from us, but we will highlight what we feel are some of our most valuable ones.

1. Save on Your First Order

Saving a little bit of money on your first order is important when you are purchasing from a company you have not done business with in the past. We offer first time customers $5.00 off on your first purchase of $30 or more. All you need to do is enter Code: WELCOME05 at checkout and $5.00 will be taken off your total. It is as easy as that!

2. Free Shipping

Not only will you save $5.00 on your first order, if your total purchase price is $40 or more, you will also receive Free Shipping. Orders that fall below the $40 threshold are subject to a $10 shipping fee. So, you could potentially save $15 on your order!

3. Discreet Delivery

When you order your home delivery medical supplies, receiving your packages quickly and discreetly is important. When we ship your items, they will arrive in a plain brown box that does not disclose the contents inside. You can rest assure that your supplies will be securely packaged and delivered directly to your door on time.

4. Personal Consultations

Not all medical conditions are one-size-fits-all. Your needs are unique and our Product Experts understand. When you call our office, you will speak to a team member that listens to your every concern. They will help you narrow down all of the products we offer to customize and tailor your order especially for you.

5. Automatic Delivery Options

It can be difficult to remember when you need to reorder your home delivery medical supplies. We can take the hassle out of this and make your life easier with our Automatic Delivery Program. You choose the frequency you would like your supplies to arrive and we take care of the rest. With this program you will also save 5% on your home delivery medical supplies on every future shipment. You will never have to worry about running out of your supplies again!

As you can see, there are several reasons we would like for you to shop with us. We are a Satisfaction Guaranteed company and are sure that you will be happy with the services we provide. Taking the time to listen, helping you choose the right products, saving you time and money, and discreetly delivering right to your door, we are sure that you will be happy choosing Personally Delivered as your one-stop-shop for all of your home delivery medical supplies! Our Product Experts are just a phone call away.

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.

Ways to Stay Social With an Ostomy

The Importance of Staying Social With an Ostomy

Just because you have an ostomy doesn’t mean that your social life has to end. It is important to get out and about on small excursions so you can figure out what makes for a successfull outing with your ostomy pouch. You’ll find out what works and go on more journeys with confidence.

Watch the video below and take a look at some further suggestions we give about what to pack to be prepared in the case of an emergency.

 

Let’s face it… accidents happen. The better prepared you are for an emergency, the less stress you’ll experience when you are around other people. Below are some of the products we suggest packing when you are heading out to spend time with others.

Items to Include in Your Ostomy Emergency Pack

(of course these are optional and you may have other or additional preferences)

Click to download and print the list here: Ostomy Emergency Pack Checklist

We carry many other home delivery medical supplies for you to live the life you want in confidence so you can take journeys and travel feeling relaxed and secure along the way.

Our Product Advisors are available to discuss your needs and will make sure you receive them in a discreet and timely manner. You’ll never have to worry about running out of your supplies with our automatic delivery program which will also save you 5% on every order.

Give us a call at (800)777-1111 to experience the Personally Delivered difference today!