I am working with a pediatric patient that has midline prolapsed fistulae complicated by old surgical creases and divets from former surgeries. In addition, due to poor pouch fit, the pt has extensive maceration on the lower R/L abdomen. The pt is, as a result, in pain, both physiologically and psychologically. The pt refuses stomapast and stomadhesive as they burn the macerated skin. The current ostomy/continence staff has attempted multiple times with limited success to pouch the site in a way that contains the output.
My current question is (and there will possibly be more), is there an alternative to stomadhesive that might be used? I've heard of a "homemade" version using stomapowder and glycerine - but as I'm wearing in on my hand right now, I'm noticing cracks in it and it does take a while to firm up/dry.