As fun as the winter weather can be, it also means individuals with ostomies need to understand how cold weather can affect their ostomy adhesives.

The way ostomy adhesives function can be affected by hotter or colder weather. Cold temperatures make ostomy adhesives take longer to activate, and they become less flexible and edges are more likely to lift, making leaks more likely as well. Sudden temperature changes, such as coming inside after some time in the cold, can cause additional stress on the adhesive as well.

Storage

Try to store your ostomy supplies at room temperature (generally 15–30°C), and avoid temperature extremes such as storing supplies in your car or garage.

Skin Prep

Like individuals without ostomies, cold weather can also cause dry skin. Cold air and low-humidity winters in general can dry out your skin. Dry skin can make it hard for the ostomy adhesive to grip and seal well. To avoid skin irritation, make sure to use gentle, fragrance-free soap. Avoid lotions, oils, or creams in the peristomal area. To help protect your skin and improve adhesion, try using barrier wipes or sprays. Here is some information on ostomy accessories, including barrier wipes and sprays. Finally, make sure your skin is dry before applying the wafer.

Here is some additional information on dealing with itchy or irritated skin as well.

Application Tips

If your wafer is cold, gently warm it first to get a better fit. You can hold it and warm it up with your hands, or hold it under your clothing to warm it up with your body heat. Do not place it in the microwave to avoid damaging the adhesive. When applying, use firm pressure and hold the wafer for 1-2 minutes, especially focusing on the edges. If needed, consider changing your appliance earlier, especially after potentially sweating in your winter layers. Try to use moisture-wicking base layers as well to reduce the amount of moisture weakening the adhesive.

If you need extra support, consider trying a barrier ring or ostomy belt. Here is the article mentioned above on ostomy accessories if you would like to learn more.

Additional Supports

Although changes in wear time with the winter season are common, that doesn’t make them any less stressful. However, they are manageable. Try keeping a diary of temperatures/activities and things you’ve tried. If you are struggling to manage your ostomy system despite these tips, bring your concerns to your healthcare provider or Nurse Specialized in Wound, Ostomy and Continence (NSWOC). There are many products available for a wide variety of issues and you may require a more personalized plan. This page can help you find a peer support group near you.

Source

By Erika Kana, RN, Content Writer, Ostomy Canada Marketing Team.