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     Kettering Medical Center
     Ostomy Support Services

     3535 Southern Blvd.
     Kettering, Ohio 45429
     (937) 298-3399 x57545




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1. Prepare Equipment

Prepare Equipment
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It is a good idea to organize your ostomy equipment ahead of time. You will need your measuring guide, scissors, appliance and cleansing equipment.


2. Removal of Appliance
Removal of Appliance
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  • Lift edge of support tape.
  • Can use adhesive remover against skin seal to assist in removing wafer.
  • Gently push against the skin as you lift the wafer off.

3. Skin Cleansing
Skin Cleansing
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  • After removing the wafer, cleanse around the stoma with plain soap and water.
  • Avoid lotion or deodorant soaps.
  • There may be a little blood on the stoma with cleaning, this is normal.

4. Using Sizing Guide

Using Sizing Guide
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During the post operative period the stoma size may decrease as some of the swelling goes down.


5. Preparing the Wafer
Preparing the Wafer
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  • Continue to size and cut the wafer smaller as the swelling subsides.
  • The wafer should be cut a little larger than the stoma.

6. Preparing the Wafer (cont'd)
Preparing the Wafer (cont'd)
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  • Use scissors to cut the stoma shape on the wafer.
  • Use your finger to smooth any rough edges on the opening that you just cut.

7. Pre Cut Wafers

Pre Cut Wafers
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There are precut wafers available for your use after the swelling is resolved. This will occur at about 6 weeks post operative. Your stoma needs to be round.


8. Applying the Wafer
Applying the Wafer
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  • Center the wafer and place on your abdomen.
  • Rub the surface to adhere the wafer to your abdomen.
  • Hold pressure for at least 5 minutes to assure a good seal.

9. Applying the Pouch
Applying the Pouch
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  • Line the pouch up with the wafer and snap on. The wafer and pouch attach like tupperware or a ziplock bag.
  • Close the opening using the lock-n-roll closure or your clip.

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This web site is geared to new ostomates as well as those individuals who have had their ostomy for many years.


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