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: