If you have a drainable pouch, you usually need to replace it
every 4 to 7 days or whenever there is a leak in the pouch or itching or
burning under the barrier. If you have a closed pouch, replace it when it is
one-third to one-half full.
Prepare the new pouch and barrier. Cut an
opening in the new barrier slightly larger than the stoma. You may also have a
precut barrier. If you have a two-piece system, snap the pouch to the barrier.
Remove the paper backing from the barrier so that the adhesive is exposed. You
may need to put some skin barrier paste on the barrier if it does not stick
well to your skin.
Remove the old pouch and barrier. Remove your
old pouch by peeling away the barrier and gently lifting the pouch while
pressing down on the skin below the pouch. Be sure not to irritate the skin as
you remove the barrier and pouch. If the pouch is sticking and difficult to
remove, use an adhesive remover underneath the barrier. Dispose of the old
pouch and barrier.
Clean your skin. Clean your skin and stoma with
a wet washcloth or wipe. You may use soap; if you do, rinse well. Allow your
skin to dry and check your skin and stoma for signs of irritation. See the section below on treating skin irritation.
Measure your stoma, if needed. After your
surgery, the size of your stoma may change. Your doctor may want
you to measure it and will give you a measurement guide to help you do
Put on the new pouch. Position the opening in
the barrier around the stoma and apply the sticky side to the skin. Press down
until all edges are sealed. If your pouch is open-ended, attach the
Treating skin irritation
The stoma is normally pink to red. Call your doctor if your stoma:
Has a pale color.
Is dark red
Has moderate to severe swelling.
moderate to heavy bleeding.
If the skin under your pouch is red, irritated, or itchy, you
need to treat your skin. Follow these steps:
Gently remove the
Clean the skin under the pouch with a wet
Dry the skin.
Sprinkle ostomy protective
powder on the skin and then blot it off.
Reattach or replace the
Ostomy accessories may include:
Curved (convex) barriers, which better conform
to some abdomens.
Ostomy belts, which help support the
Pouch covers, which conceal the pouch.
barrier paste, which fills in folds or skin irregularities of the abdomen to
form a better seal.
Skin wipes or powders, which protect the skin
under the barrier and around the stoma.
Tape, which supports the
barrier and is used for waterproofing.