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Switching to a 1-piece and need advice  

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figsisters2
Active Member
Joined:2 months  ago
Posts: 7
20/10/2017 11:32 am  

I've used the Sensura Mio two piece successfully for over three years and I've just about mastered it. But because I pay out of pocket AND I didn't even know there was a 1-piece option I've given it a try.

My success rate is 50% Three times it went well, lasted three days with no problems. And three times I didn't get the entire stoma in the opening and it leaked into the adhesive ring around it. 

Any tips would be greatly appreciated! I'd love to increase my success rate and use the 1-piece with less worry. Thanks!


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VeganOstomy
Bag Master Admin
Joined:4 years  ago
Posts: 699
20/10/2017 1:02 pm  

The problem with most 1pc systems is that you really can't see around your stoma very easily and if your stoma just touches the adhesive it'll ruin it.

When I apply a 1pc, I always try to apply the bottom (under my stoma) first, then roll it up towards the top. With something like a Sensura Mio, it's a little easier to do because the wafer is flexible. With something like Hollister products, you have to make sure that you've cut the hole large enough so it fits without touching your stoma or leaving too much of a gap - there certainly is a learning curve to this!

Now, Mio's have an inspection window on them, which will make it easier to apply vs. a fully opaque system. Use that to your advantage when applying it. 

And I always test to make sure that my stoma fits through the hole BEFORE removing the release liner. That way, I can make adjustments as I go.

 

Just your friendly neighborhood ostomate.

~ Crohn's Disease ¦ Ileostomy ~


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figsisters2
Active Member
Joined:2 months  ago
Posts: 7
14/11/2017 8:36 pm  

I’ve discovered a little trick. I fold the one piece like a taco. It allows me to place it securely over my stoma while actually guiding my stoma into the bag. I’ve had much more success since I started my taco trick. I took a pic but can’t figure out how to post. Hope this info helps!


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VeganOstomy
Bag Master Admin
Joined:4 years  ago
Posts: 699
14/11/2017 11:36 pm  
Posted by: figsisters2

I’ve discovered a little trick. I fold the one piece like a taco. It allows me to place it securely over my stoma while actually guiding my stoma into the bag. I’ve had much more success since I started my taco trick. I took a pic but can’t figure out how to post. Hope this info helps!

The taco trick! I love that 😂

I've done this before, but it only works well with certain appliances, but not all (i.e. It would be difficult to do with a convex product). 

Glad that works for you, though!

Just your friendly neighborhood ostomate.

~ Crohn's Disease ¦ Ileostomy ~


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Navey
Eminent Member
Joined:8 months  ago
Posts: 47
15/11/2017 8:09 am  

Hi figsistees2

I use Coloplast Sensura mio two click system, and Coloplast has a video for applying your appliance which shows exactly what you are talking about, the taco method. They have a number of videos showcasing their products (example barrier rings, leakage, etc,) it is worth looking at.


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figsisters2
Active Member
Joined:2 months  ago
Posts: 7
15/11/2017 11:08 am  

Darn! Thought it was a new idea! Oh well, I'm willing to concede there are other smart people out there. Here's a pic for those who are more visual. (image rotated 90 degrees, FYI)

1510762125-IMG2671.jpg
Edited: 5 days  ago

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john68
Reputable Member
Joined:2 months  ago
Posts: 377
15/11/2017 12:34 pm  

Hi Figsisters, What is they say "necessity is the mother of invention" Some one got their before ye lol, but just think how many folk didn,t know about this tip until you posted. I can do my whole change and no output BUT as soon as I have the wafer ready to put on!! I think its called "Sods law"

ileostomy 31st August 1994 for Crohns


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