Showering with an ostomy appliance is a routine part of daily hygiene, as modern wafers and pouches are designed to withstand water exposure. The primary goal when showering is to protect the integrity of the adhesive seal, known as the skin barrier or wafer. Maintaining this seal prevents water from compromising the adhesion and irritating the sensitive peristomal skin surrounding the stoma. A few preparatory steps and specific techniques help ensure the appliance remains secure throughout the bathing process.
Preparing the Pouch and Skin Barrier
Before stepping under the water spray, performing a few preparatory actions helps maximize the security and wear time of the appliance. It is advisable to empty the pouch completely, especially for drainable systems, to prevent the bag from ballooning or feeling heavy when wet. Many people choose to shower right before a planned change to allow water to run directly over the stoma and clean the skin. Using a mild, oil-free soap on the skin barrier area is recommended, as oily residues can weaken the adhesive bond of the next appliance.
If a full change is not scheduled, reinforcing the edges of the skin barrier can provide an extra layer of security against water intrusion. Products such as flexible barrier strips or flange extenders can be applied around the perimeter of the wafer. These thin, adhesive borders help to prevent the edges from lifting or rolling up when exposed to steam and direct water. This preparatory step is particularly helpful for individuals who have contours or creases in the skin near the stoma.
Techniques for Protecting the Appliance During Showering
The most common method for managing the appliance in the shower is to simply allow it to get wet, as the hydrocolloid material of the wafer is waterproof. However, many find comfort in shielding the pouch itself to minimize saturation or to protect the filter on filtered bags. If your pouch features a charcoal filter, cover the vent with the provided sticker or a small piece of waterproof tape. This prevents the filter from becoming waterlogged, which would compromise its deodorizing function.
For those who prefer to keep the entire system dry, several commercial and do-it-yourself (DIY) waterproofing options exist. Specialized, reusable ostomy shower shields or covers are available, often made of rigid plastic or water-resistant fabric, designed to create a protective dome over the appliance. This method is effective for blocking the direct flow of water from reaching the pouch.
Alternatively, some users find success with a DIY approach, such as securing a sheet of plastic wrap over the pouch and wafer. This plastic film must be carefully smoothed over the entire appliance and secured at the edges with waterproof medical tape to form a reliable seal. Another cost-effective DIY technique involves using a disposable shower cap, secured snugly over the pouch and wafer. Regardless of the method chosen, keep the shower water temperature warm rather than scalding hot, as excessive heat can cause the adhesive material to soften prematurely.
Strategic positioning during the shower can significantly reduce the amount of water impacting the appliance. Standing with the back facing the main shower spray helps deflect the water flow away from the abdomen and stoma area. Using a handheld shower nozzle provides greater control, allowing the user to direct the water flow only to areas that need cleansing, avoiding a direct, high-pressure stream onto the wafer. Some individuals may choose to shower without the pouch entirely on a change day, which allows for thorough cleaning of the peristomal skin.
Post-Shower Inspection and Drying Procedures
Immediately upon exiting the shower, thoroughly dry the appliance and the surrounding skin to prevent moisture damage and maintain the seal’s longevity. Use a clean, soft, absorbent towel to gently pat the skin barrier and the outside of the pouch, removing surface moisture without rubbing, which could dislodge the appliance. Pay close attention to the perimeter of the wafer and any fabric backing on the pouch, as these areas tend to hold water.
To ensure complete evaporation of moisture, particularly from the edges of the skin barrier, a hair dryer set to a low or cool temperature setting can be used. Hold the dryer at a safe distance, typically 6 to 12 inches, and move it constantly in a circular motion around the wafer for a short duration. Applying heat for too long or using a high-heat setting risks melting or warping the adhesive material, which would compromise the seal.
After drying, a close visual inspection of the skin barrier’s edge is necessary to check for any signs of lifting, bubbling, or saturation. Minor lifting can sometimes be addressed by applying an adhesive sealing strip or a barrier wipe to re-secure the edge. If the wafer appears saturated, spongy, or shows significant detachment from the skin, a full change of the appliance is required to protect the underlying peristomal skin.