Anyone here have any ideas on what else can be done for this patient? He has an ileostomy that is leaking constantly. His skin is so irritated right now, and he also has an old incision scar that is about a half inch wide that the corner of the wafer unfortunately has to go over - he doesn't have a nice smooth surface of skin for the wafer to cling to - so his ileostomy leaks after a couple of hours, no matter how often we empty the pouch or stool or gas, etc...he is currently using skin prep, stomahesive to apply the wafer. I'd appreciate any advice and suggestions on this one - the doc we have read somewhere that heating up the wafer can soften it up, thus allowing it to have a better seal with the skin, but that is not working either. You know how if a wall has a hole and you can spackle over it to make it smooth? I wish there was something like that for him, just so he can have some relief! And maybe some nice uninterrupted sleep too....
Oh....forgot to say, the ostomy nurse from one of the hospitals came to check things out and unfortunately did an even worse job changing the wafer and bag than we've been