Ostomy care, which follows the surgical creation of a stoma, requires specialized products to maintain a secure and comfortable pouching system. This involves ensuring the adhesive barrier, or wafer, remains securely attached to the skin to collect waste and protect the surrounding area. Accessories are often incorporated into the routine to manage the contours of the abdomen and achieve this secure fit. This article defines ostomy paste, explains its function, and provides guidance on its application and removal.
Defining Ostomy Paste and Its Function
Ostomy paste is a pliable compound that comes in a tube, resembling a caulk or sealant rather than a traditional adhesive. It primarily consists of hydrocolloids (like pectin or gelatin) suspended in an alcohol-based solution, giving the product a thick, moldable consistency.
The paste acts as a filler for uneven skin contours, creases, or small dips immediately surrounding the stoma. By filling these irregularities, it creates a level, smooth surface for the ostomy barrier to adhere completely. This leveling action ensures the wafer is flush against the abdomen to prevent leaks.
A smooth skin surface allows the adhesive wafer to maintain full contact, extending the wear time of the pouching system. The paste also provides protection for the peristomal skin. It forms a chemical barrier that prevents corrosive stoma output from seeping underneath the wafer and causing irritation or breakdown.
Step-by-Step Application and Removal
Application should begin only after the skin around the stoma has been thoroughly cleaned and dried. Moisture or residue interferes with the paste’s function and the barrier’s ability to stick. Apply the paste as a thin bead, either to the inner edge of the adhesive barrier or directly onto the skin areas needing correction.
A small, pea-sized amount is usually sufficient to fill minor gaps. Manipulate the paste using a clean, moistened finger or a spatula to create a smooth ring around the stoma opening. Allow the paste one or two minutes to “set up” or slightly dry, making it tacky before the wafer is applied.
Once the paste is applied and smoothed, center the ostomy barrier over the stoma and press it firmly into place. This pressure distributes the paste to fill microscopic gaps, forming a tight seal. A brief stinging sensation may occur due to the alcohol content reacting with minor skin abrasions.
When changing the system, the paste is generally removed along with the adhesive barrier. If residue remains, remove it gently using warm water and a soft cloth or specialized adhesive remover wipes. Scrubbing vigorously is not recommended, and a small amount of clean residue can be left in place before applying the new system.
Addressing Common Misunderstandings
A frequent point of confusion for new users is the misconception that ostomy paste acts as a glue or an adhesive to physically bond the wafer to the skin. The paste is strictly a filler and sealant; applying too much can actually interfere with the primary adhesive of the wafer. Its purpose is to caulk the space, not to serve as the main attachment for the pouch.
Another common misunderstanding involves differentiating ostomy paste from ostomy barrier rings or seals. Paste is a semi-liquid, moldable substance that comes in a tube, allowing for precise application to small, specific dips or scars. In contrast, barrier rings are solid, pre-formed, and often alcohol-free, designed to be molded and placed around the stoma as a ring or seal.
While both products serve the function of protecting the skin and improving the seal, the choice depends on the nature of the skin contouring needed. For product maintenance, store the tube tightly capped to prevent the paste from drying out. The shelf life for a sealed tube is two to three years, but once opened, the paste should be used within a few months to ensure its pliability and effectiveness remain optimal.