STEPS for basic ostomy appliance change:

• REMOVE OLD APPLIANCE WTHI ADHESIVE REMOVER WIPE
  
• ALSO GENTLY REMOVE ADHESIVE DEBRIS FROM PERISTOMAL SKIN
  
• ASSESS FOR ABNORMALITIES & ALLOW TO DRY
• USE MEASURING GUIDE TO MEASURE STOMA
  
• NOT TOO BIG (NO PERISTOMAL SKIN SHOWING)
  
• NOT TOO TIGHT (NO STRANGLING THE STOMA)
• SHOULD BE JUST RIGHT (SHOULD BE SNUG; IT’S OK IF IT TOUCHES THE ​STOMA, THERE ARE NO PAIN RECEPTORS)
• TRACE AND CUT APPROPRIATE MEASUREMENT AND SHAPE ON SKIN BARRIER
  
• REMOVE & SAVE ADHESIVE BACKING FOR FUTURE APPLIANCE CHANGE
  
• OPTIONAL: CRUSTING TECHNIQUE OR MOLDABLE BARRIER RING
  
• SNAP/ATTACH POUCH ON SKIN BARRIER
  
• PLACE APPLIANCE OVER STOMA & CLOSE POUCH
  
• EMPTYING SIDE SHOULD BE POINTING DIAGONALLY DOWNWARDS
  
• POUCHES WITH SPOUTS CAN BE CONNECTED TO A URINE COLLECTION BAG ​OVERNIGHT - ESPECIALLY IF THEY HAVE HIGH OUTPUT
  

Crusting Technique & Moldable Barrier Ring

Crusting TEchnique

• great on open and/or intact peristomal skin

• need:
• stoma powder
  
• barrier wipe
  

• step-by-step printout (eng/esp) available here
  

Using the moldable barrier ring

• can be applied over open and/or intact peristomal skin
• can be applied directly on to peristomal area or directly onto ​skin barrier (wafer)
• you can use the entire ring or part of it to according to ​ostmate’s needs