Stomal and Peristomal conditions: Focus on peristomal skin

This session aims to explore some of the common and not so common stomal and peristomal ‘complications’ that stomal therapy nurses may encounter in their practice. It aims to assist the STN in assessment and diagnoses of the condition and consideration of options for management.

This session is designed to be interactive with participants and facilitator sharing their joint experiences. In fact participants are invited to bring along individual cases/experiences and the insights they gained in treating and management of a particular situation.


Biography:

Carmen has been a stomal therapy nurse since 1986. Since then Stomal therapy nursing- (stoma, wound and continence) has become an integral part of her life.  Carmen has worked as a STN in private hospitals, public hospitals, in private practice and  in the community. She is currently employed by Omnigon as a clinical adviser and STN providing stomal therapy nursing services nationally.

In addition to working clinically Carmen is actively involved with the World Council of Stomal Therapy (WCET) and has been actively involved with the Australian Association of Stomal Therapy Nurses. She has published nationally on wound and stoma issues. Carmen has been involved in the education and training of nurses to become stoma, wound and continence nurses and has helped develop and direct educational programs in Australia, Indonesia, Iran, Kenya and other countries.

Carmen is currently on both the Education and Norma Gill Foundation Committees of the World Council of Enterostomal Therapy.

Colostomy irrigation and ACE procedure

Ian’s interest in colostomy irrigation stems from the improvement in Quality of Life expressed by patients after learning the technique. Colostomy irrigation is a simple procedure to teach and learn and can be life changing as it re-establishes control over continence.

This session aims to dispel some of the myths surrounding colostomy irrigation and provide practical advice and evidence based education.

Antegrade Continence Enemas (the ACE procedure) will also be discussed.


Facilitators:

Ian Whiteley is the Nurse Practitioner in Stomal Therapy and Wound Care at Concord Repatriation General Hospital in Sydney, a position he has held since 2005. The Stomal Therapy Department coordinates the care of both in-patients and out-patients with abdominal stomas. The service includes a nurse-led out-patient clinic.

Ian has academic affiliation as a Clinical Senior Lecturer with the University of Sydney Nursing School & Concord Clinical Medical School, Discipline of Surgery. He is a member of the Australian Association of Stomal Therapy Nurses and is a preceptor for nurses undertaking the Graduate Certificate in Stomal Therapy Nursing. He has published in national and international journals on a variety of topics.

Advanced Wound Debridement Workshop

  • Time: 1300-1500
  • Cost: $95
  • Facilitated by: Keryln Carville RN , STN(Cred), PhD, Professor Primary Health Care and Community Nursing, Silver Chain Group and Curtin University and Cheryl Franks

The consensus amongst eminent scientists and wound clinicians is that biofilms cause chronic wounds or alternatively, chronic wounds contain biofilm.  Wound bed preparation and biofilm based wound management are relatively synonymous terms for creating an environment in chronic wounds which is conducive to healing.  Wound cleansing and debridement are paramount interventions in this endeavour.  Debridement is derived from the French debrider to unbridle and relates to the removal of foreign bodies, necrotic or infected tissue. There are many methods employed for wound debridement and the advantages and disadvantages of each will be outlined in this workshop. However, the focus of the workshop will be primarily on developing clinical competency for conservative sharp wound debridement on an animal model (pig’s trotters) and an introduction to low frequency ultrasound debridement as an alternative method.


Facilitators:keryln_300

Keryln has extensive clinical experience and is committed to research and education within the domains of wound and ostomy care. She is
Chair of the Wounds Australia Pressure Injury Advisory Panel and Australia Wound Standards Committee and Chairs the Pan Pacific Pressure Injury Alliance. She was appointed a Fellow of the Australian Wound Management Association (now Wounds Australia) in 2006 and Life Membership of the Australian Association of Stomal Therapy Nurses in 2015. She is a lead researcher in the Silver Chain and Curtin University Wound Management Innovation Cooperative Research Centre (CRC) projects.

 

 

 

Cheryl_Frank_300Cheryl Frank has worked in Wound Management since 1989. Commencing in NSW community health as a CN for 8 years. Cheryl worked as the Wound Management CNC Gold Coast Health District 15 years. Cheryl accepted a voluntary redundancy in 2012, and commenced work with Wound Busters as a Director and worked with a Chinese Manufacturer to develop an ultrasonic debridement machine designed for Primary Health Care. Cheryl continues to work as a Director of Debriflo Pty Ltd. Cheryl has worked with ultrasonic debridement since 1999.

 

 

 


Product support:

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Novice Wound Workshop

  • Time: 1300-1500
  • Cost: $85
  • Facilitated by: Bronwyn Overall (Clinical Practice Consultant, Flinders Medical Centre) and Margie Reid CPC (Stoma & Wound Clinical Practice Consultant (Cred), Lyell McEwin Hospital & Modbury Hospital)

Special Offer: Attend this workshop and Wound Day on Wednesday 15th March for only $335! (that’s a $50 discount for non-members)

The Novice Wound Assessment Workshop provides the opportunity to develop knowledge, skills and clinical reasoning in the management of complicated and uncomplicated wounds. This workshop aims to teach nurses in clinical practice, up to date, evidence based care and management of patients and clients who experience various wound pathologies.

We recognise that each practitioner brings with them a wealth of knowledge in assessing and managing a variety of health conditions. This course will expand on current knowledge and skills. The participants will gain knowledge on a range of assessment tools that can be useful to determine the aetiology of a wound and how to use these assessment findings to implement the latest best evidence care.

The “9 C’s of wound assessment” will be explained leading to efficient management of the person and communication between health practitioners. You will also learn about the elements of wound assessment including sizing, staging and categorising.

Distinguish between undermining, tracts, sinuses and fistulae and how to best manage and document them. Wound bed and peri wound assessment with ideal ways to describe and document including pictures plus management plans will be presented.

This workshop is an interactive session with opportunity for discussion. We encourage participants to use this opportunity to reflect on past and current patients and clients, how their wounds were assessed and managed, and where there could be improvement in clinical practice.

Advanced Wound Assessment Workshop

  • Time: 1000-1200
  • Cost: AUD$85
  • Facilitated by: Kerrie Coleman (Nurse Practitioner) & Kathy Hocking

Special Offer: Attend this workshop and Wound Day on Wednesday 15th March for only $335! (that’s a $50 discount for non-members)

This interactive workshop will explore in-depth wound assessment related to complex wound healing situations such as infected wounds, inflammatory wounds, and acute and chronic surgical wounds.  During this time there will be discussion around a number of alternative therapies used in wound management and describe the indication and advantage for each approach.


Facilitators:

Kerrie is a Nurse Practitioner in wound management and was instrumental in setting up the Skin Integrity Service at the Royal Brisbane & Women’s Hospital. Kerrie has approximately 20 years’ experience in wound management and has worked primarily in tertiary hospitals in NSW and Qld.  She manages an outpatient wound clinic, provides inpatient consultations, and is a resource for the Metro North Health Service District and across Queensland.  Kerrie has been a guest lecturer for various universities on wound care as well as providing continuing education programs for the Metro North Health District. She has completed a Masters in wound Care and NP Chronic Disease and is a PhD candidate with Central Queensland University. Her doctoral studies will investigate the impact of chronic wounds on people’s relationships.  In 2016, Kerrie was awarded the Ian McFarlane Award for nursing excellence in clinical education and clinical practice. In amongst all of this Kerrie does manage to find time to spend with her family especially her two beautiful granddaughters.

Digestion after stomal surgery: Same or different?

  • Time: 1000-1200
  • Cost: AUD$80
  • Facilitated by: Margaret Allan (Nutritionist) & Anna Klusak (Pharmacist)

This workshop is a discussion of the varied nutritional needs and digestive capacity of all ostomates post stomal surgery.   Stomal surgery can be a large and life-changing operation with many positive aspects and possible pitfalls, and the outcome for individuals can vary depending on many factors.  Some people can have stomal surgery and hardly miss a step, whilst others experience significant repercussions that are chronic and deeply entrenched.  The nutritional implications of this surgery on the individual can also vary significantly, so that some people just need tweaks to their dietary intake once they leave hospital, whilst others need a much greater degree of nutritional education and support.

Difficulties with dietary intake after becoming a colostomate or ileostomate in particular can be due to a myriad of factors that may be unrelated to the actual foods being consumed.  Digestive capacity can be affected by stomal surgery in many ways, which can have far-reaching consequences for some ostomates.  This often needs to be addressed and supported before dietary intake can be expanded and nutrient absorption maximised.  An emphasis on digestive function can benefit the health of urostomates as well.

As a Nutritionist Margaret uses a three-pronged approach to maximising the health of her ostomy clients which includes a strong focus on digestive function.   This workshop will examine ‘normal’ digestion versus digestion after stomal surgery and discuss the varied nutritional needs of your patients.

 

The second half of this workshop will focus on the numerous medication issues that arise for patients post stomal surgery. Patients with ileostomys in particular, are prone to absorption issues, which may result in reduced medication efficacy or drug toxicity, as well as drug interactions from medicines introduced post-surgically. These medication issues can be difficult to predict and an individualised approach is always required. This workshop will highlight which therapeutic groups of drugs may be a cause for concern and how they can be managed, as well as resources that can be used to determine when a medication review is required.  Case studies will be presented so that you may consolidate concepts presented and relate them to your individual practice.


Facilitators:

MargaretAllan_300Margaret Allan is a qualified Nutritionist and the director of Nutrition For Ostomates, a consulting service that provides specialised nutritional support catering to the varied yet specific health needs of ostomates.  She has had extensive exposure to the particular challenges and concerns of ostomates, and is passionate about supporting individuals in their journey towards health after stomal surgery.

Margaret has spent many years researching and evaluating the dietary needs of ostomates in comparison to the general population, and understands the potential nutritional demands and dietary limitations that can arise from stomal surgery. She provides quality nutritional advice that is personally tailored to individual needs, and uses a common sense approach to provide practical solutions to a range of dietary issues across all stoma types.NFO_Logo-650

 

 

 

 

 

Anna_Klusack_300

Anna Klusack is a Senior Specialist Pharmacist at Mater Health as well as an Associate Lecturer for the School of Medicine, University of Queensland.  She has completed a Bachelor of Pharmacy with Honors (UniSA) and Masters in Pharmacy Practice (Monash) with specialist units in virology and HIV undertaken through the London School of Tropical Medicine and Hygiene. Anna has completed accreditation as a pharmacist consultant through the Australian Association of Consultant Pharmacists. Her interests include Antimicrobial Stewardship and use of optimal dosing strategies and drug formulations to improve medication efficacy and adherence for patients.

 

 

 

 


Queensland Stoma Association Inc is a non-government not for profit organisation delivering stoma related information and support to ‘ostomates’ living within Brisbane and surrounding areas. Our key objective is to assist ostomates living within our community to return to and to maintain a normal quality of life following ostomy surgery.QLD_Stoma_Ass

AASTN

This conference is proudly hosted by the Australian Association of Stomal Therapy Nurses: www.stomaltherapy.com

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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