Hi there Lynsie.I just read your blog and I'm new to the site. Just became a member tonight. I hope that I can help give you some relief with your constant changing of wafers for I have been there, done that.I too had a homecare nurse who was great! When my wafers would lift and I would feel that burning, I didn't realize at the time that it meant, change. Of course, this led to a huge problem under the wafer and even though I tried the crusting, I still couldn't get the darn wafers to hold long enough to keep the skin under the wafer clean. I spent months looking for answers and finally came across a product that may just help you as well.The product is called Skin Tac and made by Torbot. It comes in a clear bottle and is gold in color. I call it my liquid Gold because it truly has become a life saver to my wafer issues. I found out that my body has a chemical imbalance that for some reason I am a really warm bodied person which in turns makes me sweat a lot and that is what causes my wafers to lift. The moisture from my skin gets up under the wafer and causes the glue to break down and hense, the burning. Since the Skin Tac though, it's made for moist environments and believe me when I tell you, it has helped me!Try and find this product if you can through your supplier. Edgepark.com offers it and it's a 4 ounce bottle that will go a LONG way.If you try it, let me know how it goes!One more thing my nurse told me that may be of help to you is to NOT put the powders on the skin. I can tell you step by step instructions on what to do with putting on your wafers in hopes to help you acheive a better hold. When I first had my ileostomy in December of 2010, I didn't think I was ever going to hold a wafer on more than a few hours. Today, I have my wafers hold for up to 10! Yes, it's true!!! SKIN TAC is the main key. Make sure to continuously wipe the stoma and keep it as dry as possible while applying your appliances. The slightest moisture will allow the stool to take the path of least resistance. The excretion from the stoma could be getting under the appliance without you realizing that as well...Hope all goes well.TomshaPS: Hollister is the best appliance out there as far as molding around the extension of the hernia. I'm a large woman and have the hernia extension behind my ostomy as well. I find Hollister to be the best to contour around the stoma and adhere to the rounding of the area. I've tried them all and Hollister also has a feel like no other appliance. For the most part, I don't even know it's there. Only difference is, I'm on a two piece.If I can be of assistance to you, please feel free to message me.God Bless!