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Pouching Tips
• Prepare your new pouching system before you remove your used pouch.
• Empty your pouch when 1/3 to 1/2 full of discharge or gas. Do not let the pouch overfill.
• Empty your pouch before activities and before bedtime.
• If you notice that you have a lot of gas in your pouch (colostomy or ileostomy) you may
want to consider a pouch with a filter.
• The best time for a routine pouching system change is in the morning before you have
had anything to eat or drink.
• After you apply your skin barrier, press it gently against your skin for about 30-60
seconds. Gentle pressure and warmth help with the initial contact.
• If you wear a two-piece pouching system, try placing the skin barrier on your body in
a diamond shape for a smoother fit.
Skin Care Tips
• Remember, less is better when caring for the skin around your stoma.
• For most people, water is sufficient for cleaning the skin. Remember to wash your hands
after changing or emptying your pouch.
• If soap is needed, use a mild soap without lotions or creams that may leave a residue or
film on your skin. This can interfere with the adhesive.
• Skin prepping wipes used under extended wear skin barriers may decrease your wear time.
• If you use an adhesive remover wipe, wash your skin with soap and water. Rinse and dry
thoroughly before applying your next skin barrier.
• Things NOT recommended for routine skin care around your stoma: soap with lotions,
creams, lotions, powders, baby wipes, isopropyl alcohol, steroidal medications or ointments.
• No skin irritation is “normal.” If you discover you have red, broken or irritated skin, seek
the assistance of a qualified healthcare professional like a WOC nurse.
Day-to-Day Tips
• Change your pouch on a routine basis, before it leaks. You will get more comfortable with
this after you learn what works best for you.
• Twice a week changes are considered usual. Seven days is generally recommended as
the maximum length of time you should wear a single skin barrier.
• If your wear time becomes erratic or unpredictable, consult your ostomy nurse specialist.
• Pouch wear time may decrease during warmer seasons when you are perspiring more or
during times of increased activity. This is normal, so anticipate and plan appropriately.
• When traveling, plan ahead. Some suggestions include: take extra supplies, pack
your ostomy products in your carry-on bag when flying, pre-cut your cut-to-fit skin
barriers so you don’t need to carry a scissors on the plane, and obtain a travel ID
which explains your need for specific supplies when traveling.
Routine Care of Your Ostomy
Ostomy Care Tips