Connecting through telehealth

Miss Jenny O’Donnell1, Miss Karen Cole1
1John Hunter Hospital, New Lambton Heights, Australia

Connecting via smart phones/ tablets and computers using Facetime or Skype has become the norm in the 21st century but does it have a role in Stomal Therapy? This is the question we have asked ourselves at John Hunter Hospital. John Hunter Hospital (JHH) is the major retrieval hospital in Hunter New England Local Health District. The district is a mix of a major metropolitan centre (JHH), several large regional centres and many small rural centres and remote communities within its borders. The district covers an area of 131,785 square kilometres- the size of England. The Stomal Therapy role is a 1.2 jobshare position and due to the workload we only see patients with stomas and fistula. Last year our surgeons created approximately 165 new stomas. Earlier this year, due to increase pressure for rooms in Surgical Outpatients our clinic hours were cut to 3 mornings a week. The decreased clinic hours and increasing patient numbers forced us to question “How can we improve the connection between the ostomy patient and STN?” Keeping in line with the HNELHD Strategic plan to improve equity of access and service delivery, telehealth was thought to be an obvious option. This presentation is about our journey using Telehealth, a secure transmission by videoconference over the internet. Included in this presentation are mindsets that had to change, what worked and what didn’t work, what questions to ask, patient feedback and future plans.


Biography:

Jenny O’Donnell has been relieving in Stomal Therapy since completing Stomal Therapy Certificate in 1985 and has been in her present CNC position for over 15 years. She was a member of the first AASTN Team of the inaugural Enterostomal Therapy Nurses Education Program (ETNEP) in Kenya. Jenny has presented at various conferences and study days.

Karen Cole is a registered nurse with 29 years’ experience. She completed her Stomal therapy certificate in 2000. Karen has been relieving in the jobshare position of Stomal Therapist for the past 18 years and is a committee member of NSW branch AASTN.

The impact of stomal therapy nurse clinics on appliance usage

Dr Vicki Patton1, Mrs Elizabeth English
1Sir Charles Gairdner Hospital, Hillarys , Australia

Aims: To assess the impact of the stomal therapy nurse visit on stoma appliance useage

Methods: Australian ostomates are very fortunate to have access to the Australian appliance scheme.

Patients were approached when they attended the stomal therapy clinic for follow-up or ostomy association for supplies. Patients were asked to complete a survey to elicit appliance usage before and after stomal therapy nurse consultations.

Results: Descriptive statistics and thematic analysis were used to analyse the results, which will be presented.

Discussion: There is a paucity of data around how the stomal therapy nurse clinics impact on the ostomate’s usage of appliances.  This study should give some insight into the economic effect of these clinics in relation reducing the cost burden to the appliance scheme.


Biography:

Elizabeth English has retired from the Royal Adelaide Hospital after 34 years as a Stomal Therapy Nurse and is now working in the Ileostomy Association of SA Stoma Clinic.  She continues as Team Leader for the WCET AASTN Australia: Kenya Twinning Project and is currently involved with developing Stomal Therapy Nursing in Mauritius.

 

Enhancing quality of life with a 2 – piece appliance: A series of case studies

Mrs Sarah Haughey1
1TG Eakin, Comber, United Kingdom

Enhancing quality of life with a 2 – piece appliance: a series of case studies.

Choosing the correct appliance is essential for enhancing a person’s quality of life. The journey of living with a stoma is not always straightforward and a person’s needs can alter for many reasons. Actual or potential stoma problems, (long term or short term), will cause a person to look for an alternative appliance to help them mange their stoma more effectively.

This presentation will look at 3 real life scenarios where the Eakin Dot 2 – piece appliance has proven to be the product which prevented potential problems from occurring, or solved problems experienced using an alternative product.

The three scenarios are:

  1. Peristomal skin problems
  2. A carers perspective
  3. Managing a stoma with a long-term health condition – Parkinson’s disease

The presentation will highlight 3 features of the Eakin Dot 2 piece which meets the needs of both nurse and patient.

Learning objectives:

  1. To create an awareness of a new product with a skin smart hydrocolloid and the benefits offered by this skin barrier.
  2. To create an awareness of the relationship between effective stoma management and improved quality of life.

Biography:

Prior to joining TG Eakin as Clinical Advisor in 2015, Sarah was the lead the Stoma Care Nurse in the Belfast Trust Northern Ireland. Her role extends across all departments within TG Eakin. She works closely with R&D from the concept stage of product development through the trialling and testing during the user study stage.  Sarah provides the clinical evidence behind the usage of all products.Sarah has a keen interest in developing the knowledge base of both stoma nurse specialists and those nurses who support the specialist nurses in delivering expert care to this group of patients.

Enhancing care using digital technology.

Mrs Sarah Haughey1
1TG Eakin, Comber, United Kingdom

Enhancing Care Using Digital Technology.

The world of healthcare is changing, and the impact of the digital revolution is changing how we as health professionals and users of these services receive information and communicate with each other.

We can receive a text message or email for reminder to attend appointments. Telemedicine is contributing to patient focused care where access to services is limited.

The use of digital technology is useful in everyday life and in healthcare. Fitness and lifestyle apps are used daily by millions of people worldwide. People with various health conditions can monitor their progress and record information for a review appointment.

Social media forums are growing with many offering support and advice but are often not clinically led or moderated. This can lead to the sharing of incorrect or inappropriate advice.

Could a digital community dedicated to the stoma care journey, help to support and empower patients to manage their own condition better?

Enhanced recovery offers benefits and challenges, an evidence based digital resource could enhance the benefits and reduce the challenges by helping the patient become an equal partner in their care.

This oral presentation will show how a digital approach to stoma education on a variety of platforms will complement the teaching provided by the nurse. This will be provided by offering up to date clinically evidenced information before surgery, during the in-patient stay and on discharge. The aim will be to support and encourage the person to manage their stoma in a confident, competent manner.


Biography:

Prior to joining TG Eakin as Clinical Advisor in 2015, Sarah was the lead the Stoma Care Nurse in the Belfast Trust Northern Ireland. Her role extends across all departments within TG Eakin. She works closely with the marketing team to provide expert clinical opinion for all digital applications.Sarah has a keen interest in developing the knowledge base of both stoma nurse specialists and those nurses who support the specialist nurses in delivering expert care to this group of patients. Part of this is helping to create material which helps inform the patients at all stages of their stoma journey.

Evolution of stoma accessories – customised stoma seals using individualised bioengineered 3D modelling technology

Mrs Wendy McNamara1, Dr David Morrison1
1Royal Perth Hospital, Perth, Australia

There is a significant cohort of patients who require the use of paste to fill deficits or creases in their peristomal skin prior to applying their pouching system. For some patients the use of paste can be messy, painful and time consuming. The use of a re-usable individualised silicone device fitting into the crevice or skin fold near the stoma is a new and novel solution. In turn it is hoped to increase wear time of the stoma pouching system, improve quality of life and decrease the financial burden on the Stoma Appliance Scheme.

Royal Perth Hospital Stomal Therapy Service in partnership with the Bioengineering Department has been developing customised silicone stoma seals. The seals are re-usable and are used in conjunction with conventional pouching systems. The seals are designed to fill skin folds or creases that may otherwise contribute to leakage, appliance failure and peristomal skin complications.

Bioengineering undertake a 3D scan of the patient’s abdominal topography in a seated upright position to demonstrate all folds and creases. From this, a reverse mould is 3D printed and an individualised silicone seal manufactured. The Stomal Therapy Service educates the patient on the correct application. A comprehensive evaluation of the device is also being undertaken.  This is proving to be an easier and cost effective solution to potentially complex clinical situations.

Implications for practice within the Stomal Therapy Nursing community could be immense given the cost of service delivery both to an individual, quality of life, health services and the environment.


Biography:

Wendy McNamara is the Clinical Nurse Consultant for the Stomal Therapy Service at Royal Perth Hospital. She has post-graduate qualifications in stomal therapy and continence and completed her Master’s in Clinical Nursing in 2016. She is involved in research at Royal Perth Hospital and is currently undertaking her PhD at Curtin University. Wendy sits on the Stoma Product Appliance Panel, is president of the WA Branch of the AASTN and in her spare time volunteers at the Western Australian Ostomy Association and loves spending time with her family and friends including 2 dogs, 1 cat and multiple fish.

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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