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Ostomy Troubleshooting

 

What does a normal stoma look like?

A normal stoma is pink or red, moist, and slightly protrudes from the abdomen. It may have a slight amount of mucus or minor bleeding initially after surgery, but it should not be excessively painful or have a foul odor.

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​What does normal peristomal skin look like?

Normal peristomal skin is the abdominal skin around your stoma.  It should look like the rest of the skin on your abdomen. It should be smooth and free of redness, irritation, or rashes. Maintaining clean and dry skin around the stoma is crucial to prevent complications. 

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Coloplast Guide to Healthy Skin: Apply, Remove, Check

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Visit the OSTOMY BASICS Page to learn more about ostomy surgeries and best practices.

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WOC Nurse (WOCN) offers tools and techniques for healing itchy or painful peristomal skin

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What is a WOCN and when to call one?

A WOCN (Wound, Ostomy, and Continence Nurse) is a specialized nurse trained to provide care and support for individuals with ostomies. Call a WOCN if you experience persistent skin irritation, leakage, or if you're having trouble managing your stoma care. They can offer guidance on proper techniques and product use.

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When to call the doctor or go to the Emergency Department?

Contact your doctor or go to the emergency department if you notice signs of infection (such as increased redness, swelling, or foul odor), significant changes in the stoma's appearance (such as becoming dark, black, or pale), severe pain, or if you have a blockage and are unable to pass stool for more than 24 hours.

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What are some other reasons to speak with a WOCN?

 

Education and Training:

WOC Nurses can provide valuable education and training on how to care for your stoma and surrounding skin, ensuring you understand the best practices to prevent complications. Learn more about WOCN Telehealth Consultations

 

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Emotional Support: 

WOC Nurses offer emotional support and counseling, helping patients cope with the psychological impacts of living with an ostomy, which can significantly improve quality of life.  

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Find a community of people who know what its like to live with an ostomy in the Ostomy 101 events section.  Get tips, encouragement and support from real people living successfully with an ostomy (non-medical support).

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Product Recommendations:

WOC Nurses are knowledgeable about the latest products

and technologies for ostomy care. They can recommend the most suitable products for

your specific needs. Learn more about a WOC Nurse Telehealth Consultation.

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Problem-Solving: 

WOC Nurses can help troubleshoot any issues with your ostomy appliance, such as leaks or skin irritation, and suggest practical solutions to improve appliance performance and comfort. Long-Term Management: WOC Nurses assist in the long-term management of an ostomy, ensuring that ongoing care needs are met effectively

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Ostomy Nurse

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How long should my pouching system last?

You should get a minumum of 48 hours wear time without leaking.

 

Empty your pouch when it is 1/3 full.

 

It is common for pouching systems to last 3-7 days.

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Consult a WOC Nurse if you experience consistent leaks, skin breakdown or irritation, pain, or having trouble managing your ostomy care.

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How to secure and manage ostomy supplies

Ostomy supplies are a prescription item.  Often, ostomy supplies are partially covered by insurance, but can also be purchased directly from a cash pay provider.

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Ostomy supplies are typically ordered and delivered through a durable medical equipment provider contracted with your insurance.  

Most local pharmacies do not carry ostomy supplies 

Colostomy & Ileostomy Problem Solving

American College of Surgeons

How to get a good Seal

Urostomy Problem Solving

American College of Surgeons

Ostomy Paste vs Barrier Ring

Preventing Ostomy Leaks

by Better Health: Medical supplies, peer support

Ostomy Skin Issues

by Better Health: Medical supplies and peer support

Dealing with Ostomy Leaks

by Better Health: Medical supplies and peer support

Keeping peristomal skin healthy

by 180 Medical

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