Post on 05-Jun-2020
transcript
Triangle Area
Ostomy
Association
Since 2011 began, I have seen 120 smiles when I get the
girls up in the morning, changed about 1,000 diapers, made over 700 bottles, and lost out on 180 hours of sleep. Oh the
wonders of being a mom! The girls are growing so fast and
are on a great schedule. Unfortunately, the schedule means bedtime is at
8:30, so it is hard for me to make it to the meetings. I definitely have
intentions of attending, but if I‟m not there, then you‟ll know why. I
know that in my absence Jeff will do a great job!
This month the meeting will be break out sessions among the ostomy types. If you are an existing member, please come out and share your
knowledge with new ostomates and offer them your support.
The weather seems to be warming up, so hopefully snowy, cold weather
will not be an issue. See you on Tuesday!
Jennifer Higdon, President
President’s Message:
Triangle Ostomy Association Membership Application Name __________________________________ Today‟s Date: ___________ Spouse‟s Name _______________________________________________________
Mailing Address _____________________________________________________ Phone Number: ______________________________________________________
Email: ______________________________________________________________
[ ] I would like to receive the newsletter by email
I have a Colostomy _____ Ileostomy _____ Urostomy (Ileal conduit) _____
Other _____ Year of Surgery __________
I am not an Ostomate, but would like to be a member and support the organization ____
I cannot afford the dues but would like to be a member ____ (Confidential)
We welcome for membership ostomates and other persons interested in the in this group and its activities and appreciate the help they can provide as members. To join, complete
the above form and send it with a check or money order for $20.00 made out to Raleigh
Chapter of UOA and mail to Mrs. Ruth Rhodes, 8703 Cypress Club Drive, Raleigh, NC
27615. Dues cover membership in the local chapter, including a subscription to the local
By-Pass publication and help support the mission of our organization.
March 2011
8703 Cypress Club Drive
Raleigh, NC 27615
NEXT MEETING: Tuesday, March 1, 7:30 pm Rex
SPEAKER: Break out sessions
MEETING INFO:
Meetings are held the first Tuesday of each month
(except July and August) at 7:30 PM in the Rex Sur-
gical Center Waiting Room, 4420 Lake Boone
Trail, Raleigh, NC. Enter through the Rex Hospital
Main Entrance, which is near the Parking Garage.
REMINDER:
In the event of inclement weather on the day of a
scheduled meeting, please contact Rex Healthcare at
919-784-3100. If Wake County schools are closed
due to weather, then we will not meet.
GROUP OFFICERS AND CONTACT INFO:
President/Editor: Jennifer Higdon 919-333-4923
VP: Jeff Burcham 919-847-9669
Secretary: Bonnie Sessums 919-403-7804
Treasurer Ruth Rhodes 919-782-3460
Past President: Dan Wiley 919-477-8363
Webmaster: Ed Withers 919-553-9083
Member Support: Susie Peterson 919-851-8957
Alison Cleary 919-387-3367
Member Support: Shirley Peeler 919-787-6036
Donald Meyers 919-781-0221
Website: www.RaleighUOA.org
Email: TriangleUOAA@EmbarqMail.com
IN THIS ISSUE:
Reno, NV 2011 Conference Page 3
Electrolytes Page 4
How to Save a Penny or Two Page 5
Temporary Ostomies Page 6, 7
Flush or Retracted Stoma Page 8
Kidney Stones Page 9
Inner Peace Page 10
Minutes Page 11
DISCLAIMER
Articles and information printed in this
newsletter are not necessarily endorsed by the
Triangle Ostomy Association and may not be
applicable to everybody. Please consult your physician or WOC Nurse for medical advice
that is best for you.
MISSION of the Triangle Area Ostomy Association:
The mission of our organization is to assist people who have or will have intestinal or urinary diversions: including a colostomy, ileostomy, urostomy, and continent diversions including j-pouches. We provide
psychological support, educational services, family support, advocacy and promote our services to the
public and professional communities.
2
CALENDAR OF EVENTS:
March 1 UOAA Meeting, 7:30 Rex
March 8 Mardi Gras
March 17 St. Patrick’s Day
March 20 Spring Begins
March 21 CCFA Meeting, 7:30 Rex
CCFA SUPPORT GROUP
Date: Third Monday of every month
Time: 7:30 pm – 9:00 pm
Place: Rex Healthcare
Contact: Reuben Gradsky
reuben513@yahoo.com
MINUTES OF THE February 1, 2011
MEETING OF THE TRIANGLE AREA OSTOMY ASSOCIATION
11
Wake Med Leigh Ammons 919-350-5171
Melanie Johnson 919-350-5171
Wake Med, Cary Joanna Burgess 919-350-5231
UNC Hospital
Jane Maland 919-843-9234
Barbara Koruda 919-843-9234 John Worsham 919-843-9234
Durham Regional
Tom Hobbs 919-470-4000 Felicia Street 919-471-4561
Duke
Jane Fellows 919-681-7743 Michelle Rice 919-681-2436
Leanne Richbourg 919-681-6694
Duke Health Raleigh Hospital
Krys Dixon 919-954-3446 Maria Parham Hosp.
Kathy Thomas 919-431-3700
Durham VA Center Mary Garrett 919-286-0411
Rex Hospital
Ann Woodruff 919-784-2048 Carolyn Kucich 919-784-2048
WOC Nurses
INNER PEACE 2/2011 UOAA UPDATE
If you can start the day without caffeine,
If you can always be cheerful, ignoring aches and pains,
If you can resist complaining and boring people with your troubles,
If you can eat the same food everyday and be grateful for it,
If you can understand when your loved ones are too busy to give you any time,
If you can take criticism and blame without resentment,
If you can conquer tension without medical help,
If you can relax without liquor,
If you can sleep without the aid of drugs,
Then You Are Probably The Family Dog! 10
Mark your calendars now for the upcoming UOAA conference. These are held
every two years, so if you don‟t go now, you won‟t get to go until 2013. The 3rd
National UOAA Conference will be held in Reno, Nevada on Aug 7-11, 2011.
Attendees will be staying at the John Ascuaga‟s Nugget Hotel where the conference
is held. Stay tuned to future newsletter for more information about events, topics,
and tours.
Some previous topics are as follows:
Free WOCNurse consultation
First Timers reception
CoCo (the Colossal Colon) returned, sponsored by Edgepark.
workshops of interest to all
special programming for those attending their first conference, children and their
parents, teens, young adults, 30+, and those with continent diversions
Exhibition Hall featuring all of the major ostomy product manufacturers and
distributors
2011 UOAA Conference
3
Kidney Stones and the Ileostomate
By Jill Conwell, RNET, Corpus Christi, TX, Edited by
B. Brewer, 2/2011 UOAA UPDATE
Kidney stones are fairly common medical problems. They occur
in about 5 percent of the population. They are more common in men with a seden-
tary lifestyle and in families with a history of kidney stones. The average age of
first occurrence is about 40, but they can occur at any age. For ulcerative colitis
patients, the incidence of developing kidney stones is about double that of the rest
of the population. For ileostomates, the incidence is 20 times greater. There are
two basic types of kidney stones; uric acid and calcium. Both may occur in ileo-
stomates since the underlying cause is dehydration. Uric acid stones are more fre-
quent.
One reason for this is the chronic loss of electrolytes, producing acid urine. The
stones may vary in size and shape, some being as small as grains of sand, while
others entirely fill the renal pelvis. They also vary in color, texture and composi-
tion.
Symptoms during the passage of a kidney stone include bleeding due to irritation,
cramping, abdominal pain, vomiting and frequent cessation of ileostomy flow. When
ileostomy flow stops, distinguishing between an obstruction versus a kidney stone
may be difficult since the symptoms are similar.
Treatment of most kidney stones is symptomatic and in most cases the stone
passes spontaneously through the urinary tract. Medication for the spasms is usually
administered. The urine should be strained in order to collect the stone for analysis.
Once the composition of the stone is determined, steps should be taken to prevent re-
currence of an attack. The physician will prescribe medication or dietary modifica-
tions depending on the type of stone. The best preventative measure is to drink
plenty of fluids (8 glasses) every day. If the urine appears to be concentrated, increase
fluids and use a sport drink that is rich in electrolytes to replaces losses.
Electrolytes and Why We Need Them
Edited by B. Brewer, 2/2011 UOAA UPDATE
Everyone needs to be aware of the fact that they need electrolytes in their life. If you have
ever noticed football players slugging down Gatorade or some other concoction when they
return to the bench, it„s because they need to replace the electrolytes they lost with their
perspiration.
For the ostomate, particularly those with an ileostomy, replacing electrolytes is very
important. The purpose of your colon is to store food waste and to return the liquid portion of
the stool to the body. When you no longer have a colon, that liquid is lost directly into your
pouch and is gone forever from your body. With that liquid, you lose a good portion of your
electrolytes. But, what are electrolytes, and what specifically do they do for us?
According to Tabor„s Encyclopedia Medical Dictionary; electrolytes are: 1) A solution
which is a conductor of electricity or; 2) A substance which, in a solution, conducts an electric
current and is decomposed by a passage of any electric current. Every muscle we move is
activated by our nervous system. And throughout our nervous system, each of our nerve cells
(neurons) is connected to each other by
means of electrical impulse, or synapse.
Electrolytes, largely made up of
sodium and potassium, are what give the
synapse the spark to function. Each time we
move a muscle, we use up a small portion of
our sodium and potassium – ergo, our
electrolytes. When we lose those
electrolytes, we also lose our zip and vigor.
For everyone, after excessive perspiration
in the summer or prolonged exercise, we
can become dehydrated and lose our
electrolytes in the process. For the
ileostomate though, just doing what comes
naturally will cost them their capacity to
spark. You can tell when you are becoming
dehydrated by a decrease in urine volume,
dark orange urine, overly dry skin, marked
thirst, abdominal cramps, exhaustion,
weakness and/or shortness of breath. The
answer? Drink a lot of fruit juice, Gatorade,
Gastrolyte, soda pop, water, bouillon or
tomato juice.
4 9
Management of a Flush or Retracted Stoma
By Gloria Johnson, RN, BSN, CWOCN, Edited by B. Brewer, 2/2011 UOAA UPDATE
The ideal stoma is one that protrudes above the skin, but this not always possible
and a flush (or skin level) or retracted (below the skin level) may result. The
surgeon may be unable to mobilize the bowel and mesentery adequately or be able
to strip the mesentery enough without causing necrosis or death to the stoma. (Note:
mesentery is a membrane in the cavity of the abdomen to retain the intestines and
their appendages in a proper position.)
Some causes of stoma retraction after surgery may be weight gain, infection,
malnutrition, steroids or scar tissue formation. Stomas that are flush or retracted
can lead to undermining of the pouch by the effluent (drainage). This continued
exposure can lead to irritated and denuded skin as well as frequent pouch changes.
These problems can be very stressful and expensive.
The inability to maintain a pouch seal for an acceptable length of time is the more
common indication for a product with convexity.
Shallow Convexity may be indicated for minor skin irritations and occasional
leakage
Medium Convexity may be indicated for a stoma in a deep fold, with severe
undermining and frequent leakage
Deep Convexity is used when medium convexity is not sufficient, stoma
retracted, in deep folds or leakage is frequent and the skin is denuded.
Pouches designed with convexity are available in both one and two-piece systems.
These can be shallow, medium, or deep and can be purchased as either pre-cut or
cut-to-fit. Addition of skin barrier gaskets (seals) around the stoma can be cut or
purchased pre-cut. You can use one layer or several layers. Products like the
Eakin Wafer or Coloplast Strip Paste, can be pressed into shape around the stoma
to protect and seal.
8
HOW TO SAVE A PENNY OR TWO By Jennifer Higdon,
President Triangle Area Ostomy Assn.
With rising gas prices and fluctuating
markets, saving money on anything is a
plus. The following websites have
great money saving deals which I have
actually purchased from, so I‟ve seen
the benefits.
1. Buy gift cards to places like Target,
WalMart, restaurants, or movie thea-
tres at discounts up to 30%.
www.plasticjungle.com
www.cardwoo.com
2. Deals emailed daily averaging 50%
off services or products at various
merchants such as hair salons,
house cleaning, and restaurants. On
some of these sites, if three or more
friends “buy” the daily deal, then
you get it for free.
www.groupon.com
www.livingsocial.com
www.twongo.com
3. Buy $25 restaurant certificates for
$10, other increments available.
www.restaurant.com
5
7
Temporary Ostomies continued from page 6
Persons with temporary ostomies face many of the same problems permanent
ostomates may have. It„s just as important for them to have support, reassurance, and
teaching as it is for persons with permanent ostomies. They must learn proper skin
care, stoma care, and pouching techniques. Often, stomas are not ideally situated on
the abdomen, because of the urgency of the surgery. Thus, pouching and skin care can
pose difficult problems.
Following temporary surgery, measures need to be taken to improve the patient„s
health. He or she must be in the best condition physically to undergo the major
surgery for reconnection. There is also a time for the patient to deal psychologically
with past surgery, upcoming surgery, and possibly a newly diagnosed disease. It may
be a difficult time with all the changes and new challenges. Often, there are many
fears and unanswered questions. Other people with ostomies and WOC Nurses
(ostomy nurses) may provide reassurance and the answers to many questions.
For more information contact our Customer Interaction Center at
1-800-422-8811 Monday – Thursday, 8:30 a.m. – 8:00 p.m., ET
Friday, 8:30 a.m. – 6:00 p.m., ET
www.ConvaTec.com 6
TEMPORARY OSTOMIES by Nancy Brede, RNET, Edited by B. Brewer, 2/2011 UOAA UPDATE
Temporary ostomies are surgically created with the intent of reconnecting in the
future. The anatomy of the gastrointestinal system or urinary system is left intact.
Permanent ostomies are created with the intent that the ostomy surgery will not be
reversed and usually the anatomy in the gastrointestinal or urinary system has
been removed. Permanent ostomy surgery is usually performed when disease or
injury prevents maintaining the anatomical structures needed for reversal.
A large number of temporary ostomies involving the colon are done on an
emergency basis. The colon becomes obstructed or blocked, and stool cannot pass
through. Because of the emergency nature of the surgery, the bowel cannot be
cleaned and prepped ahead of time. Reversals, or reanastamosis (hooking the
normal anatomy back up), then can be done later, when infection is not as likely
and proper healing can take place.
The most common situations and diseases requiring a temporary ostomy are:
Cancer of the colon with obstruction (or other abdominal cancer affecting
the colon).
Hirschsprung’s Disease, a disorder/malfunction in infants that prevents
passage of stool. Due to lack of nerve cells in certain areas of the large
intestine, stool is not moved through, and an ostomy is necessary.
Diverticulitis, small out-pouchings in the wall of the intestine, called
Diverticula, becomes infected. The Diverticula may rupture or cause
obstruction.
Inflammatory Bowel Disease or Crohn's Disease may necessitate a
temporary ostomy to allow the diseased bowel to heal.
Continued on page 7