Living with an ostomy presents unique challenges, from adapting daily routines to managing healthcare needs. Understanding and effectively utilizing tools like ostomy barrier rings is key to this adaptation. These essential components significantly enhance ostomy care, offering comfort and preventing leaks.
This guide delves into ostomy barrier rings, illuminating an in-depth understanding of their function, benefits, and proper application.
Understanding Ostomy
An ostomy is a surgery that makes an opening in the belly to reroute urine or feces away from the digestive system. The three primary types are colostomies, ileostomies, and urostomies. Colostomies change the path of feces from the colon, ileostomies from the ileum (a small intestine part), and urostomies from the bladder.
Why Ostomies Are Needed
People might need an ostomy for various reasons, like:
- Inflammatory bowel disease (IBD), such as Crohn’s disease or ulcerative colitis
- Diverticulitis
- Cancer in the colon, rectum, or bladder
- Congenital conditions
- Injuries
Adapting to Life with an Ostomy
Adjusting to life with an ostomy involves certain changes. Individuals with ostomies must use an ostomy pouch to collect bodily waste. They should also learn to care for their ostomy, which involves regular pouch changes and maintaining clean, dry skin around the ostomy site.
Ostomy Patients’ Common Challenges
- Leakage
- Skin irritation
- Social anxiety
- Concerns about body image
Nevertheless, most with ostomies lead fulfilling, active lives. Proper care and support can grant them renewed independence and control.
Ostomy Barrier Rings: An Overview
Barrier ring for ostomy are thin, flexible rings made from hydrocolloid or silicone. They fit around the stoma to provide extra protection and security against leaks. These rings are available in various shapes and sizes to suit different stoma types and skin contours.
Different Types of Ostomy Barrier Rings
There are three main kinds of ostomy barrier rings:
- Flat Barrier Rings: Best for flat or slightly indented stomas, these rings create a flat surface for the ostomy pouch to stick to.
- Convex Barrier Rings: Suited for stomas that stick out or are at risk of hernias, convex barrier rings jut outward, helping to keep the ostomy pouch off the skin reducing pressure and leaks.
- Barrier Extenders: These fill gaps or uneven areas around the stoma, offering extra support and a secure fit for the ostomy pouch.
How Ostomy Barrier Rings Function
Ostomy barrier rings create a flexible, watertight seal around the stoma, preventing leaks and protecting the skin from irritation caused by ostomy output. Made from hydrocolloid or silicone, these rings stick gently to the skin, molding to its shape. Some even contain ceramides, a skin lipid, to help keep skin moist and healthy.
Benefits of Ostomy Barrier Rings
Ostomy barrier rings bring several benefits:
- Reduced Leak Protection: They significantly lower the chance of leaks, giving users confidence in their daily lives.
- Enhanced Skin Comfort: These rings prevent skin irritation by reducing friction and acting as a moisture barrier.
- Improved Skin Health: They aid in skin healing and protection, keeping the area around the stoma healthy and comfortable.
- Increased Flexibility: Barrier rings allow more movement without risking leaks, improving comfort and confidence.
Choosing the Right Barrier Ring For Ostomy
Picking the right ostomy barrier ring is key for comfort, preventing leaks, and maintaining skin health. Several things need to be considered:
Key Factors to Consider
Stoma Type: Choosing a barrier ring that matches your stoma type – colostomy, ileostomy, or urostomy – is important as each has unique requirements.
Stoma Size and Placement: The size and position of the stoma help determine the best barrier ring size and shape. A stoma care nurse can assist in measuring and choosing correctly.
Skin Condition: Hypoallergenic barrier rings made from soft materials can be beneficial for sensitive or irritated skin.
Brands and Special Features: Look into various brands and their special features, like ceramide-enriched rings for skin care or extenders for uneven skin areas.
Barrier Rings for Colostomy Compared to Other Types
While common guidelines apply to all ostomy types, colostomies have their own specific needs:
Colostomy Output: Since colostomy waste is thicker and more likely to leak, barrier rings must provide a strong seal and support.
Stoma Bulging: Colostomies often bulge more, requiring rings that support this shape and reduce stoma pressure.
Skin Sensitivity: As colostomy waste can irritate the skin, it’s important to use gentle barrier rings that help in skin healing.
Applying and Using Ostomy Barrier Rings
Using ostomy barrier rings correctly is key to a secure, leak-free, and comfortable experience. Here’s a step-by-step guide for effective use:
Stoma and Skin Preparation
- Clean and Dry: Wash the stoma and surrounding skin with gentle soap and water. Dry the area with a soft, clean towel.
- Skin Barrier Application: Put a thin layer of skin barrier or use a barrier wipe on the skin around the stoma for irritation protection and to help the barrier rings stick better.
Applying the Barrier Rings
- Size and Cut: Measure the barrier rings to your stoma’s size. Cut them with sterile scissors.
- Shape and Fit: Stretch and shape the barrier rings to fit your stoma’s shape. This ensures a tight fit and prevents leaks.
- Secure Placement: Carefully place the barrier rings around the stoma, ensuring they seal tightly. Smooth out any folds or air pockets.
Changing Barrier Rings
- Change Frequency: Change the barrier rings every 3-7 days or when they show signs of wear or leakage.
- When to Change: Change the barrier rings if they leak, loosen, irritate the skin, or appear damaged.
- Disposal: Wrap used barrier rings in plastic and dispose of them in the trash.
Cleaning and Maintenance
- Stoma Care: Gently clean the stoma with warm water and mild soap. Avoid strong soaps and scrubbing.
- Barrier Ring Replacement: Replace the barrier ring if it shows wear, tear, or leaks.
Remember, correctly applying and caring for ostomy barrier rings is vital for a healthy, comfortable ostomy. For personalized advice, consult your stoma care nurse.
Additional Tips and Resources
Beyond the correct use and maintenance of ostomy barrier rings, these additional tips and resources can improve your ostomy care:
Handling Skin Issues and Allergies
Especially for sensitive skin, skin irritation or allergies can occur with ostomy barrier rings. To manage this, consider:
- Hypoallergenic Choices: Use hypoallergenic barrier rings and wipes to lower the chance of skin reactions.
- Protective Skin Layer: Before putting on barrier rings, apply a skin barrier layer around the stoma to guard against irritation.
- Reduce Friction: Wear loose, soft clothes to reduce rubbing between the barrier rings and your skin.
- Gentle Stoma Care: Wash the stoma area with mild soap, drying it gently. Avoid rough soaps or scrubbing.
- Expert Advice: If irritation continues, get advice and treatment options from a stoma care nurse.
Troubleshooting Common Issues
Leaks:
- Correct Application: Make sure the right size and shape of barrier rings are applied well to seal around the stoma.
- Stoma Adjustments: Change the barrier ring size and shape to match your stoma.
- Adhesive Issues:
- Dryness: Keep the skin around the stoma dry to help the barrier rings stick better.
- Skin Barrier Use: A thin skin barrier layer can protect your skin and improve the ring’s adherence.
- Choose Right Barrier Rings: Use barrier extenders or strips for extra support.
- Professional Tips: Ask your stoma care nurse about barrier ring choices and application.
Living a Healthy Ostomy Lifestyle
A good ostomy lifestyle is more than just using barrier rings properly. Important aspects include:
- Hydration and Diet: Drink plenty of water and eat a balanced diet with fruits, vegetables, and whole grains.
- Regular Exercise: Stay active to boost overall health, blood flow, and stress relief. Get advice on suitable exercises from a doctor or stoma care nurse.
- Stress Management: Practice yoga, meditation, or spend time outdoors to handle stress well.
- Emotional Support: Lean on family, friends, or support groups for emotional backing. Counseling can also be beneficial.
Remember, informed and proactive ostomy care, including proper use of barrier rings, is key to enhancing comfort, confidence, and quality of life.
Frequently Asked Questions
Can the barrier ring touch the stoma?
Yes, barrier rings can safely touch or rest on the stoma. They're made from soft, flexible materials that won't hurt the stoma. Ensure they don't squeeze the stoma, which could block waste flow.
How to burp an ostomy bag?
To burp your ostomy bag without leaks, get a towel, gloves, and a spot to place the bag. Open it gently to release air, making sure nothing spills. After emptying, close and correctly dispose of the bag.
What do you do if you run out of ostomy bags?
If you're out of ostomy bags, stay calm and try these steps:
1. Reach out to your supplier for emergency delivery.
2. See if local pharmacies have them in stock.
3. Temporarily, a clean plastic bag might work.
4. Ask your stoma nurse for advice.
Also, prepare for such emergencies by keeping extra bags or arranging for help from friends or family.
How do you keep an ostomy bag from ballooning?
To stop your ostomy bag from ballooning, try these tips:
1. Choose a close-fitting pouch to block air entry.
2. Use a filter for controlled air release.
3. Avoid foods that cause gas.
4. Regularly burp the bag to let air out.
If ballooning happens, carefully open the bag's end to release air, avoiding spills.
How do you let air out of the ostomy bag?
To let air out of your ostomy bag, do this:
• Find the filter on top of the bag.
• Open it to release air, listening for a hiss.
• Close the filter tightly to avoid leaks.
• Check for leaks around the stoma and bag.
If you struggle, ask your ostomy nurse or healthcare provider for help.
How often should an ostomy bag be emptied?
Empty your ostomy bag every 3 to 7 days or when it's one-third to half full. How often depends on your body's output, ostomy type, and bag size.
Can you take gas-x with a colostomy?
If you have a colostomy, you can usually take Gas-X, which contains simethicone to help reduce gas and bloating. But always check with your doctor before using it or any over-the-counter medicine to avoid interactions with your ostomy or other medications.
How long off work after colostomy?
After a colostomy surgery, the time off work varies. It depends on your surgery type, recovery speed, and job. Usually, it's 2 to 6 weeks, but some might need more time based on their situation.
What is ostomy paste?
Ostomy paste, a thick and sticky material, helps fill gaps around the stoma and smooths uneven skin. It prevents leaks and skin irritation from ostomy drainage. Made of hydrocolloid, silicone, or both, it adds extra protection.
Final Thoughts
Ostomy barrier rings are essential yet often overlooked tools in ostomy care, crucial for enhancing comfort and confidence. Understanding their use, selecting the right type, and applying them properly can greatly reduce leaks and protect the skin, leading to a more comfortable ostomy experience.
By embracing these tools and staying informed about ostomy care, individuals can lead active, fulfilling lives, effectively navigating the challenges of living with an ostomy.
Read next: Cephalohematoma – Newborn Birth Injuries Risk Factors
References:
- PubMed Central, Clinics in Colon and Rectal Surgery, Douglas R. Murken et al., 2019, “Ostomy-Related Complications”
- National Library of Medicine, StatPearls, Francesk Mulita1 and Saran Lotfollahzadeh, 2023, “Intestinal Stoma”
- United Ostomy Association of America Inc. (UOAA), New Ostomy Patient Guide – 2020
- National Library of Medicine, Advances in Skin and Wound Care, Mary Quigley et al., 2021, “Evaluation of a Novel Ostomy Barrier Ring with Assisted Flow for Individuals with an Ileostomy”
- UNM Health Science, Esther Hattler, BS, RN, WCC, “Ostomy Care”
- University of Limerick, Journal: Advances in Skin & Wound Care, Quigley M. Hannigan et al., 2021, “Evaluation of a novel ostomy barrier ring with the assisted flow for individuals with an ileostomy”