The primary purpose of a stoma collar is to avoid leakage. This item is placed between the skin and the stoma, forming a collar around the stoma. The barrier, which the stoma collar aims to make, prevents the stomal output from coming in contact with peristomal skin, helping in avoiding irritation in the skin. About 73% of ostomates suffer from peristomal skin problems. The most frequent skin problem is the peristomal irritant dermatitis, which is usually a result of poor adhesion of stoma supplies, allowing leakage of stoma contents to occur. Now, we are going to talk about the recommendations to ensure the maximum benefit of stoma collar. Take into account the stoma size, type, and appearance A healthy stoma appears red or pink, and its shape is round or oval. A colostomy, which is usually located in the left iliac fossa, should be only minimally raised above the abdominal skin level, and its diameter should be 30–35 mm. An ileostomy and a urostomy are much similar in terms of shape and location. They should be 28–30 mm in diameter. The ideal size of their spout is 25mm. While choosing a stoma collar, it is necessary to consider the size and type of stoma. If a stoma doesn't fit well, it can cause leakage, which can result in the accumulation of fluids below the wafer. As a result of this, the wafer might detach from the skin. On the other hand, a collar pressed tightly against the skin can lead to the blockage. The small size of the plate, compared to that of the ostomy, brings up the necessity to cut a large piece of the outlet. An outlet too big for the plastic ring can result in poor adhesion between the plastic ring and the stoma. Not everyone can benefit from stoma collars Stoma collars might not be much useful for certain types of patients. For instance, patients whose stool is too thick do not get any benefit from the use of the stoma collar. Stoma collar and herniated stomas Unlike the retracted stomas, herniated stomas protrude further than the normal. This protrusion can result in the stool to spread around in the bag, ultimately resulting in leakage into the flange. Using a stoma collar or a hat can help manage a herniated stoma better. The flexible adhesive channel, which the stoma collars consist of, sits well over the stoma and prevents the leakage of stool into the flange. The necessity of stoma collar The primary purpose of a stoma collar is to aim the stoma into the bag to prevent leakage. According to a study, the fear of leakage of ostomy bag affects daily and social life. A stoma more aimed into the bag poses a little risk of the stool's leakage. Ask your stoma care nurse
Before deciding whether or not you need to use a stoma collar, it is necessary to ask your stoma care nurse. Those highly qualified individuals can help you with the selection of the right kind of stoma care supplies.
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Brian Anderson
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