Hi all I am at the end of my rope with one of my home health pts. He has a diverting colostomy due to a very nasty peri-anal wound (he has a wound vac in place). Any way the issue is not with the pts wound vac it is with his diverting colostomy. The darn thing no matter what I do, how hard I try, I am talking duoderm lite, wound vac drap, stomehessive paste you name it Iv'e tried it it always holds for 1/2 to a full day then after that it starts to leak in the same place everytime. The colostomy is on the pts left side and the leak always happens on the pts right hand side between the stome site and the pts naval. I am serious here folks I have tried everything and called everyone that I can think of her, I have in not so many words used up my list of people to call and used all of the tricks that I know to do. Please help I will take any advice that you can give me here. The pt is on blood thinners and his skin is so broken down now I have to put a piece of duoderm lite on a spot due to so many different appliances being put on and then off, between that and the stool eating his skin away it wont be long before he wont have any skin left to place a appliance there anymore. Thank you for any thing that you all can think of.