Susie appears in the clinic with an ileostomy and changes he…

Susie appears in the clinic with an ileostomy and changes her pouch every 7 days although recently she has experienced inconsistent  pouch  wear  time  due  to  leakage. Her  stoma protrudes, is  1 ¼” round  and  has erythema and denudation from 6 o’clock to 9 o’clock. Her abdomen is flat and firm, so you do not believe convexity is needed. Her pouch has an extended wear skin barrier and is  the correct  size.  She recently began playing tennis daily  in competitions. Your recommendation is: