Tips for Maintaining Healthy Peristomal Skin
Keeping the skin around your stoma (peristomal skin) healthy is important. You can steer clear of many complications by following these simple suggestions:
Bath and shower tips:
- You can bath or shower with or without wearing your pouching system
If you're showering without your pouch, remove the base plate too. Make sure you skin is completely dry before applying a new base plate and pouch
If you're showering with your pouch system, check your pouch seal. Before getting in the bath or shower, make sure your seal is secure
Avoid oil-based and moisturising soaps. The residue on the soap can cause your base plate to lift or make it difficult to adhere
If possible, bath or shower at a time when your stoma is less active
If using a pouch with a filter, cover the filter with a sticker before bathing
Choose a well-fitted ostomy barrier:
- Choosing a base plate that fits properly around your stoma is important to keeping skin healthy. This will help prevent contents from your stoma meeting and irritating the skin.
- Your Stomal Therapy Nurse (STN) can teach you how to determine the size of your stoma, and advise on which type of base plate is best for you
- The size of your stoma will change up to 10 weeks after surgery, so ensure you measure it periodically
- Changes to the abdomen as a result of weight gain/loss, exercise, pregnancy or medical conditions, may require you to change your pouching system
Changing your pouching system:
- Create a schedule for your pouching system. This will ensure your base plate is changed before the adhesive has worn, and reducing chances of urine and faecal leakage.
- Personalise your schedule based on your pouching system and on advice given by your STN
- At each change, check the skin around your stoma for abnormalities, including swelling, redness and other signs of irritation. Notify your STN of any issues or concerns.
- Remove your base plate gently by beginning with one corner and slowly removing the rest of the adhesive. Never rip or tear your base plate off.
Try our Niltac™ adhesive remover sprays and wipes to make removal easier
Ensure the skin around your stoma is completely dry before applying a new base plate. This will help with adhesion and will reduce the risk of infection
Try our Silesse™ skin barrier sprays and wipes to protect the skin, whilst keeping it healthy and comfortable
In hot and humid locations, consider using a pouch with a fabric backing. This will keep the pouch from sticking to your skin and causing skin irritation
Quick Reference Do's and Dont's