If you start someone in convexity, what must you do?

• A. You should switch to flat barrier if discomfort
• B. You must monitor frequently and closely
• C. You should discontinue convexity after 24 hours
• D. You should avoid monitoring

Answer: (B)

Starting someone in convexity changes how much pressure is applied to the peristomal skin, so the initial fit and seal can shift as the appliance settles. Because skin reaction, leakage risk, and stoma output can change quickly, it’s essential to monitor frequently and closely at the beginning. This enables early detection of issues like leakage, skin irritation or breakdown, or an improper seal, and allows timely adjustments to the barrier or convexity level. Discontinuing convexity after a fixed time or not monitoring at all aren’t appropriate approaches, and switching to a flat barrier simply due to discomfort isn’t the primary solution without careful assessment.