Pay it forward

Mrs Julie Skinner1, Mrs Lorraine Andrews2
1Waitemata Distrint Health Board, Takapuna , New Zealand, 2Omnigon, Epsom, New Zealand

In 2003 Julie and her family emigrated to New Zealand.  Julie was appointed as  sole Stomal Therapist in the 600 bed Northshore Hospital where she completed the Post Graduate Certificate of Stomal Therapy Nursing.   When the community Stomal Nurse Specialist position became vacant Julie   combined a passion for Stomal Therapy with community nursing.

Ensuring that a person can end life with some dignity and in accordance with their personal values system is the final act of caring that a nurse can offer a family. To be facing the end of life while also learning the skills needed to manage a new stoma would seem to be double jeopardy with the potential to destroy any quality of remaining life.

Stomal therapy practice is unique in its involvement with patients long term and across the life span.  While each day presents many varied and new challenges the opportunity to make a difference is always a privilege.

This poster will present the end of life care of Harry and Rose.  Both Harry and Rose developed abdominal wall metastasis around their stomas.  The tumour growth and the challenges of adhering a pouch for effective containment on an abdomen with topography which changed almost daily, definitely had an impact on the quality of life Harry and Rose  had in their final weeks of life.

The poster will also explore the ways nurses learn and how their experiences influence their future practice.


In 1984, in the UK Julie commenced her nursing career  registering as an Enrolled Nurse.  While raising a young family Julie worked as a casual nurse and developed a passion for both surgical and stomal nursing.  In 2000 she  became a Registered Nurse.



This conference is proudly hosted by the Australian Association of Stomal Therapy Nurses:

One of the Association's major objectives is the promotion of quality care for a wide range of people with specific needs. These needs may be related to ostomy construction, urinary or faecal incontinence, wounds with or without tube insertion and breast surgery.

Patients/clients across the life span are provided with preventative, acute, rehabilitative and continuing care as required. Another objective is the maintenance and improvement of professional standards in relation to Stomal Therapy Nursing Practice to the highest degree possible. Recognition of the need for and encouragement of the development of specialist expertise in the field of Stomal Therapy Nursing underpins the Standards for Stomal Therapy Nursing Practice.

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