What's the best 'position' to be in, when attaching a pouch?

FormerMember
FormerMember
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Hello everyone

I had an emergency op on 13th April and have a stoma - something I am learning about, and am so grateful as it saved my life, and also, as I have discovered, there are so many incredibly helpful osto'mates' out there!

I have quite a few questions, which I will post over time . . . but one in particular is about the best position to be in when attaching the pouch? What I mean is - do you sit down or stand up or breathe in or breathe out or does it not seem to matter after a while?

What I am finding is that when I attach when sitting, which is in some way easier, it then feels as though the adhesive is stopping me from properly straightening up (at first, because of the surgical wound, soreness etc., I was not standing straight anyway, a little hunched over). When I stretch my body as much as I can, to attach, when I then sit down, it feels a wee bit uncomfortable. I don't know if I am making too much of this, as it is really early days, but I did wonder what other people do to get the best and most comfortable attachment?  (I also appreciate that as it is so new, I am very conscious of everything little thing).

I also find it difficult to be absolutely sure about placement of the pouch, the covered pouches are not easy to see through, and even with a hand mirror I find it difficult to see what is going on. Do people position at the bottom or the top of the stoma first?

Basically - any tips or tricks to share?

The stoma is looking good, and shrinking (I measure daily) . . . everything is healing well, and I feel lucky that there is so much support to help me adjust to life with a stoma. Thank you.

  • Hi,I stand up to change the bags but I don’t breathe in.I start at the top and work around the circle.I place my hand over the bag as well as the heat helps with the adhesion.My stoma is just for urine and I use covered bags.On the bags I use it’s possible to gently tear off the material covers,the stoma nurse showed me in hospital.To begin with I took the covers off but soon got used to where to place the bag.You will get more confident with time and it should get much easier.It’s harder to start with when you are sore and uncomfy from the surgery.I couldn’t stand up straight for a while.It’s 7 months today since I had life saving bladder removal.It’s good to know that you are healing well.I was suprised how much my stoma shrunk over time.I’ve been lucky with leaks too,only a couple when I was gardening and one in intensive care,the nurse was very apologetic.Love Jane xx

  • FormerMember
    FormerMember

    The best position to be in when attaching your pouch 

    Is the one you are most comfortable with.

    Like everything else we do it's all trial error until we find the solution.

    I can only tell you how I do it 

    • I sit on the edge of my bed.
    • I prepare my skin by using a protective film barrier.
    • Whilst I'm doing the above the new pouch is tucked under my armpit to give heat to the wafer 
    • Still sitting down I fold my pouch wafer in half, then starting at the base of my stoma position the hole around the stoma, then start to bring the wafer up slowly to above halfway, rubbing and smoothing the wafer down then
    • I stand up and continue to bring the wafer upwards still rubbing and smoothing until I reach the top of my stoma finishing off by rubbing and smoothing all the way round.
    • I then either standing or sitting I place both hands over my stoma for about 30 seconds to apply some more heat onto the pouch and effect good adhesion.
    • At this stage I can use the split in the material to check what is going on in the bag and stoma position.

    Note: Some pouches are made with and without a slit in the front cover. This slit allows you to separate the cover and have a good view of the stoma.

    If your pouch doesn't come with a slit speak to your supplier about having the pouches changed or if you let me know the manufacturer of the pouch, the reference number and the name of your pouch I will gladly source the reference for pouches with a slit.

    I hope my version of changing and putting on a new pouch is helpful.

    Remember to be organised when doing a change, have everything you need to hand before you start and the way I do it is to lay everything out in order that I will use them with my disposable bag in a container ready to accept soiled wipes etc.

     I'm always here to help make Living your Life with a stoma more manageable.

    Ian

    CC

    Keep an eye open for a new thread I will be posting tomorrow called.

    Baggie Club - your questions answered.

  • FormerMember
    FormerMember in reply to FormerMember

    Hello and

    Thank you so much for the helpful replies. I do like the idea of starting sitting and then standing up. I had not thought of warming the pouch first.

    I do like to prepare everything beforehand, and make sure that everything is in order and to hand before I even start to take of the current pouch. (I'm the same if I'm baking a cake, or potting up courgettes Wink).

    With the pouches there is an 'observation window' so to speak, but I am finding it awkward to get a clear enough view with those, and I think it is partly my newness to the whole process, and partly that I like to get things absolutely right. But as you say, this is trial and error and finding the right approach that works for me. Hearing from others with more experience is enormously helpful to me.

    I'd be interested to know what protective film barrier people use to care for their skin. I am presuming this is to wipe around the skin around the stoma and the area which sits under the pouch itself, to keep the skin healthy and to prevent soreness?

    Many thanks for your help and thoughts and suggestions.

  • FormerMember
    FormerMember in reply to FormerMember

    Glad to be of help.

    When I was in hospital three years ago, having my hernia sorted out, unsuccessfully, the stoma care nurses gave me a supply of 2 in 1 barrier film and adhesive enhancers called Fusion Protective Barrier Applicators  and added them to my monthly order and I have never looked back.

    They -

    • They make the skin around my stoma extremely tacky, which has certainly helped with overall adhesion of the pouch to my skin.
    • They apply a good layer of protective film all round my peristomal skin, and I have found on the odd occasions that I have sore skin/ broken skin by using the applicator by the next change, even if it is the next day my skin has repaired itself and the soreness disappeared.
    • I can get very close to the base of the stoma all round.

    I have found over the years that the sachets wipes sometimes didn't do the job because of drying out before I was finished and barrier sprays could result in over spray with extra wiping over. 

    The Fusion Protective Barrier Applicators stay active for a long time and don't dry up.

    I use the 3 ml version BW2 but it also comes in a 1 ml version which I've not tried.

    By clicking on any of the green above will open up a new page for you to order samples, you will have left the Macmillan site when the new page opens for you.

    Ian

    CC

    The Baggie Club - Your questions answered  - May 20. Will appear from 1st May