Root Entry

Definition of Terms - 3

Two piece systems consist of a separate flange and pouch. The pouch contains a closing ring which mechanically attaches to a mating piece on the flange. The most common closure is a pressure fit snap ring, very similar to that used in Tupperware (TM).

One-piece systems, as the name implies, are those in which the wafer and pouch are assembled together in one piece and not separate.

Both two-piece and one-piece appliances can be either drainable or closed. Urinary pouching appliances used by urostomates can also be either one or two piece systems. however, these systems also contain a special valve or spout which adapts to either a leg bag or to a night drain tube connecting to a special drainable bag or bottle.

Some colostomates can "irrigate" using a procedure analogous to an enema.

This is done to clean stool directly out of the colon through the stoma. This requires special irrigation appliances. These consist of an irrigation bag and a connecting tube (or catheter), a stoma cone and an irrigation sleeve. A special lubricant is sometimes used on the stoma in preparation for irrigation.

Following irrigation, some colostomates can use a stoma cap, a one- or two-piece system which simply covers and protects the stoma. This procedure is usually done to avoid the need to wear an appliance.

These are the major types of appliances. There are also a number of styles. For instance there are flat faceplates and convex shaped ones. There are fairly rigid and very flexible ones. There are faceplates with and without adhesive backing and with and without a perimeter of tape. The decision as to what particular type of system to choose is a personal one geared to each individuals needs. ETs will tell people that there is no right or wrong choice, but each person must find the system that performs best for him or her.

A wide selection of equipment options exist. Generally the larger mail-order catalogues will illustrate the types and styles from all or most of the suppliers (see Chapter III). If you have any trouble with your current pouching system, discuss the problem with an ET or other caregiver (see Chapter II) and find a system that works better for you. It is not uncommon to try several types until the best solution is found. Free samples are readily available for you to try. There is no reason to stay with a poorly performing or uncomfortable appliance.

C. These are the major types of appliances. There are also a number of styles. For instance there are flat faceplates and convex shaped ones. There are fairly rigid and very flexible ones. There are faceplates with and without adhesive backing and with and without a perimeter of tape. The decision as to what particular type of system to choose is a personal one geared to each individuals needs. ETs will tell people that there is no right or wrong choice, but each person must find the system that performs best for him or her.