Clean the peristomal skin as directed by the Stoma Care nurse or protocol:
1. Apply a light layer of Ilex on the area requiring treatment
2. Cut the appliance aperture/ template to the outside edge of the Ilex. Ilex will provide an occlusive barrier so will protect the area of clearance between the stoma and the appliance wafer, thus preventing the digestive enzymes to come in contact with the skin. If the Ilex needs to be used beyond the perimeter of the stoma an adhesive spray should be applied over the Ilex to assist with the adherence of the appliance.
3. Reapply a layer of Ilex at each appliance change. Do not forcibly attempt to remove any remaining residue of Ilex on the excoriated area. This residue should be left in place so as not to damage the skin.
4. When wanting to completely remove Ilex use a soft cloth and mineral oil/ baby oil
Instructions For Use - Ostomy Care
Scenario 1 - Peristomal sore skin that does not extend beyond the cutting area of the appliance
1. Clean peristomal area as directed by local stoma care protocol
2. Create a template to encompass both the stoma and the area to be treated - iLEX will provide an occlusive barrier so will protect the skin beneath from stool / digestive enzymes
3. Cut aperture of appliance to this template
4. Apply a light layer of iLEX paste to the area to be treated
5. Position appliance
Scenario 2 - Peristomal sore skin extends beyond the cutting area of the appliance
1. Clean peristomal skin as directed by local protocol
2. Measure stoma and cut aperture of appliance to this size
3. Apply a light layer of iLEX paste to the are to be treated
4. Remove release paper from appliance and spray the skin barrier / flange with medical adhesive (eg Adapt)
5. Position the appliance
NB: if the area being treated extends beyond the skin barrier/flange of the appliance even further, an occlusive dressing (such as Duoderm) can be applied to prevent the iLEX sticking to clothing. Remember to use adhesive spray on the occlusive dressing too.
Scenario 3 - Fistula next to stoma (where fistula output does not need to be monitored separately to stoma output)
1. Produce a template and cut the appliance to accommodate both the stoma and the fistula
2. Apply a light layer of iLEX paste to 'bridge' the area between the stoma and the fistula - iLEX will protect the skin beneath
3. Position the appliance to accommodate stoma and fistula
To re-apply iLEX
Reapply a layer of iLEX at each appliance change. Do not forcibly attempt to remove any remaining residue of iLEX from the excoriated area, this residue should be left in place so as not to damage the skin. If the iLEX becomes 'patchy' an additional layer can be applied over the top.
When wanting to completely remove iLEX, use a soft cloth and mineral/baby oil to prevent damage to the skin.