What signs may indicate a need for pouching system adjustment?

The presence of leakage, odor, or skin irritation are key signs that indicate a need for adjustment of the pouching system. Leakage can suggest that the pouch is not fitting properly, which could lead to skin breakdown and further complications. Odor can be a sign that the seal is compromised or that there is an issue with the pouch contents, which may need to be addressed to maintain hygiene and comfort. Skin irritation points to a failure in the barrier's ability to protect the skin from the effluent, highlighting a need for reassessment of the pouching system to ensure it is appropriately sized and positioned for the individual's anatomy.

In contrast, infection or swelling around the stoma, while offering important clinical indications, may require different management strategies that do not directly relate to pouch adjustment. Similarly, pain during pouch changes could indicate other underlying issues but does not automatically suggest a need for pouching system modification. Redness at the skin barrier may indicate irritation or breakdown but does not capture the broader implications of leakage and odor that are critical for long-term stoma care.