Stoma powder is a specialized product in ostomy care, designed to protect the skin around a stoma and enhance the adhesion of the ostomy pouching system. It serves as a key tool for individuals managing an ostomy, helping to maintain skin health and improve the security of their appliance. Proper application of this powder can contribute to comfort and prevent common skin complications.
Understanding Stoma Powder
Stoma powder is a finely milled, absorbent powder specifically formulated for the peristomal skin, the area around the stoma. It is typically composed of hydrocolloid materials such as pectin, sodium carboxymethyl cellulose, and gelatin, which are known for their moisture-absorbing properties. The powder absorbs excess moisture from raw or weeping skin, creating a dry surface beneficial for healing and secure barrier adhesion.
The primary function of stoma powder is to absorb moisture from irritated or compromised skin, rather than acting as a skin protectant itself. When applied to moist skin, the powder gels, forming a protective layer that shields the skin from irritating stoma output. This helps to reduce irritation, prevent further skin breakdown, and promote a healthier environment for the skin to recover. Moisture compromises adhesive, so by absorbing it, stoma powder allows for better adhesion and extended wear time.
Applying Stoma Powder Correctly
Before applying stoma powder, ensure the skin around the stoma is clean and thoroughly dry. Gently wash the peristomal area with water and mild soap, or as advised by a healthcare professional, then pat it completely dry. Any lingering moisture can hinder the powder’s effectiveness and the subsequent adhesion of the ostomy barrier.
To apply the powder, sprinkle a small, light dusting directly onto any irritated, weeping, or raw skin around the stoma. Avoid applying a thick layer, as this can negatively impact the adhesion of the ostomy barrier. Some products come in a puffer bottle, which can help with precise application.
After sprinkling, gently pat or brush away any excess powder from the surrounding healthy skin. Only the powder that sticks to the moist, irritated areas should remain, as any loose powder on healthy skin can prevent the ostomy barrier from forming a secure seal. The goal is to create a thin, dry film over the affected skin.
Optimizing Use and Important Considerations
After applying stoma powder, a technique known as “crusting” can be used to further prepare the skin and enhance adhesion. This involves gently dabbing a skin barrier wipe or lightly spraying a skin barrier film directly over the powdered area. This process helps to seal the powder onto the irritated skin, forming a protective “crust” that provides a more secure surface for the ostomy barrier. Ensure the area dries completely before applying the ostomy pouching system.
Stoma powder should only be applied to skin that is irritated, raw, or moist. Using stoma powder on healthy, intact skin is not necessary and can negatively impact the adhesion of the ostomy barrier. If the skin around the stoma is healthy and dry, the ostomy barrier can be applied directly. Discontinue using stoma powder once the skin has healed and is no longer moist or irritated.
Monitor the peristomal skin for signs of persistent irritation. Symptoms such as ongoing redness, itching, soreness, rashes, bumps, or bleeding should prompt a consultation with a healthcare professional. If skin irritation does not show improvement within one to two weeks of consistent care, seeking advice from an ostomy nurse or doctor is recommended to identify the underlying cause and adjust the care routine. Always follow the manufacturer’s instructions for product storage to maintain its effectiveness.