Here are some basic guidelines for applying your pouching system. For complete instructions, please refer to the product insert or talk to your ostomy nurse.
In a one-piece system, the pouch and skin barrier are a single unit. Designed for discretion, these solutions offer simplicity and flexibility in a low-profile system. One-piece systems are available in cut-to-fit and pre-cut adhesive types.
Remove the release paper from the skin barrier.
Place the pouching system gently in position over the stoma. Press the skin barrier against the skin, paying particular attention to the area closest to the stoma.
During application, maintain slight pressure on the skin barrier for 30 seconds to a minute.
In a two-piece system, the pouch and skin barrier are two separate pieces that allow you to change the pouch without removing the skin barrier. With this system, the pouch and skin barrier are coupled together with a plastic ring. You can hear and feel the system securely lock into place.
The ConvaTec Natura® two-piece systems offer a variety of drainable, closed-end and urostomy pouches. Both Stomahesive® and Durahesive® skin barriers are designed to protect peristomal skin.
Place the skin barrier gently over the stoma and press it firmly against the skin with attention to the area closest to the stoma.
Position the flange on the pouch over the skin barrier flange. Gently press the bottom of the pouch flange against the skin barrier and move upward.
In the two-piece systems with adhesive coupling technology, the pouch and skin barrier are coupled together with a foam adhesive ring and 'landing zone', eliminating the need for rigid plastic coupling rings found in traditional two-piece systems. This foam coupling mechanism is more flexible than traditional systems and has a lower profile under clothing.
The Esteem synergy® ostomy system with Adhesive Coupling Technology™ is available in a wide variety of pouch shapes and sizes, including drainable, closed-end, and urostomy pouches. Skin barriers are available in both Stomahesive® and Durahesive® technologies.
Remove the white release paper and center the hole over the stoma.
Fold the adhesive ring, apply the lower half to the bottom of the landing zone, then roll or slide the fingers to secure the pouch.
Run a finger around the pouch to make sure it's smooth and wrinkle free.