February 2016

CHARLOTTE COUNTY OSTOMY SUPPORT GROUP

Website www.ccosg.org

A 501(C) (3)nonprofit organization (Tax deductible donations)

Officers

President: Jerry Downs 629-7568……… Email: fldowns@embarqmail.com

Vice President: Bonnie Coker: 423:8542 … Directors

Secretary: Lovelle Meester: 637-8167            Lorelie Godbout603-474 9063

Treasurer: Karen Chalfant:   623-0088           Joan Huber……941-575-8708

Committees

Newsletter : Gloria Patmore RNET (Retired) & Karen Chalfant

Programs and Education: Jerry Downs, Penny Maki RNET,CWS 205-2620

Gloria Patmore RNET (retired) Nancy Frank RN,BSN,CWOCN: 629-5118

Jill Lindsay RN,BSN,CWOCN 629-1181

Visitation: Penny Maki RNET CWS, Nancy Frank RN,BSN,CWOCN

Library: Karen Chalfant  Products: Bonnie Coker

Professional Advisors:

John P. Rioux MD, F.A.C.S. Penny Maki RNET,CWS, Jill Lindsay,RN,BSN,CWOCN

Nancy Frank RN,BSN,CWOCN

Next Meeting: Tuesday February 9, 2016  2PM

South Port Square Gables East 2nd floor alcove

23023 Westchester Blvd, Port Charlotte

Program: Speakers: Penny Maki, RNET, CWS and Gloria Patmore, RNET!

Ostomy care through the ages

Chance Drawings: Panera Bread $20, Luigi’s large pizza

Pizza Hut Specialty Pizza, 6” subway@ Harbor and 41

                                                  February newsletter for the Charlotte County Ostomy Support Group

We missed those of you that didn’t make this excellent meeting. The room where we are now meeting is very comfortable and lends itself well for all we do. The refreshments are outstanding too. We have been given space in a closet for our library as well. Thank you South Port for your wonderful hospitality!

Our January speaker, Hollister representative, Paul Bixler, did an excellent job of introducing their new products. Phone # for the company is 1-888-808-7456. The company is 90 years old, a private company with its focus on the patient. He explained the secure start program that offers help to individuals after they leave the hospital. It is a free service and receives over 77,000 calls a year. It is base out of Libertyville, Il, and provides positive patient outcomes. It provides wellness booklets, DVDs, online materials and one on one support. He also discussed with individuals their particular needs and made suggestions of how these new products could possibly solve issues that were bothering them. Items he showed included a paste that can be added to a barrier that aids in removal, rings that can be shaped and molded to provide fill in where needed, and the lubricating deodorant that helps when emptying a pouch.

The following information on each of these following new products was sent to me to forward on to you.
“Unfortunately peristomal skin problems are too common. About1/2 of those living with a stoma will report peristomal skin issues at some point in their lives.

Many even think that skin problems are a normal part of living with a stoma.
Hollister disagrees. Ostomates do not need to suffer, and Hollister’s goal is to maintain healthy peristomal skin from the start.”
Cera plus skin barrier has arrived. Hollister is pleased to add another innovative option to its full menu of skin barrier choices available. The Cera Plus skin barrier is infused with Ceramide, a naturally occurring lipid in the skin which protects against dryness.
The Cera Plus skin barrier is designed to protect against dryness.
The Cera Plus skin barrier is designed to maintain adhesive qualities and features a formulation to help:
4) Protect the skin’s natural moisture barrier.
5) Maintain good peristomal skin health.
6) Decrease trans-epidermal water loss(TEWL) from damaged or eroded skin.
The Ceramide Advantage
Ceramide is a natural component of the skin, consisting of waxy lipid molecules.
Ceramide links cells of the outer skin (epidermis) together to form a waterproof protective barrier.
Ceramides help prevent water loss that can lead to skin damage and dryness. Many skin moisturizing products contain ceramide as a component to help protect the skin against loss of its natural moisture.
Hollister’s new Cera Plus skin barrier is designed to support healthy skin from the start, so that ostomates can maintain good skin health.
Introducing Premier Soft Convex Pouching system.
Designed to stay secure, no matter what shape the body takes.
When it comes to finding the right solution, fit comes first. Comfort and ease of use are also essential to help ensure positive outcomes.
Premier Soft Convex is a new pouching system that delivers both convex support and flexibility. The skin barrier is designed to conform to the body without compromising fit. Belt tabs with a tape bordered barrier help provide extra security, and the new viewing option offers a convenient way to help position the pouch and observe output.
The new shape of convexity has arrived.
Premium soft convex delivers a secure and flexible fit.
6) The integrated soft convex barrier helps create an optimal fit by providing gentle pressure around a flush of recessed stoma while conforming to uneven body contours.
7) Designed to conform and protect against leaks. Fewer leaks can help maintain healthy peristomal skin.
8) The viewing option allows you to assess the stoma and observe output with a lift of the flap.
9) The skin barrier has a tape border for enhanced security.
10) Built in belt tabs can help keep the pouch in place for added security.
A great pouch becomes even better.
Introducing the improved New Image Urostomy Pouch available with a variety of comfort and performance options to meet the needs of urostomates. Hollister is introducing two product innovations.
3) A new multi chamber collection system with
4) a re-designed valve.
Enhanced Flow Control Valve
The new valve is made with softer material and a streamlined shape. The goal of this design is to increase comfort against the body, so you can do more.
New multi chamber design
Is designed to facilitate even distribution of urine. As urine flows into the pouch it is dispersed among the chambers. This results in a more balanced collection of urine and a lower pouch profile for most urostomates.
New Enhancements and odor barrier pouch film: Transparent, ultra-clear, and beige options.
Valve indicator.
Soft comfort wear panels.
Belt tabs complete this Hollister Urostomy Pouch.
The ultimate goal is a greater sense of control.
No matter what the day presents you deserve an uneventful experience with your pouch. These Hollister urostomy pouch enhancements are designed to deliver more opportunities to make that increased sense of control possible.
To contact Hollister for samples of their products call 1-800-323-4060
Information gathered from my files
Stoma facts
By Diana Kasner, RN,MS,ET
December 07 UOAA update

What is involved in “inspecting” a stoma?

At each pouch change check your stoma for color, shape, and function. Watch for problems such as swelling, retraction, stenosis, and prolapse. Urostomates should be on the lookout for crystal formation of alkaline encrustation (gritty white deposits coating the stoma). Any stoma complications should be reported to your MD or RNET or WOC nurse.
Why does a stoma sometimes bleed?
Some bleeding may occur with rubbing the stoma because the mucous membrane out of which the stoma has been formed is highly vascular. This bleeding should stop quickly. Prolonged bleeding, an increased amount of bleeding or very easy bleeding may be indicative of another problem and should be reported to your MD.
Can a stoma get cut?
Cuts or lacerations of the stoma can occur and can be quite serious. SInce a stoma has no sensory nerves, and therefore no feeling, it can be cut without causing any pain. Causes of stoma laceration include shifting of the faceplate or skin barrier, too small an opening (of the pouch), incorrect pouch application, etc. Your MD or ostomy nurse should be consulted for diagnosis and treatment in any case of stoma laceration.
How should a stoma be protected?
Stomas are fairly hardy, but some common sense rules apply. Stomas should be protected from direct physical blows, from too tight clothing and from rigid objects (e.g. belt buckles). This is not to say that these activities should be avoided. For example, ostomates engaged in contact sports can protect their stomas by wearing an additional binder for support.

Infections in Urostomies
December 07 UOAA Update

Germs are all over the world, but when they are in the urinary tract, either in the conduit, the ureters or the kidneys, they’re in an abnormal location and that’s what causes the infection.
What causes the infection? Mostly the reasons are unexplainable. Why do some people get more colds than others? Infections can be caused by an obstruction, kidney stones, tumors, cysts or scar tissues. Almost synonymous with obstructions is infection, and then too comes stone formation.
You can’t get rid of the infection. It’s kind of a cycle that goes around and around. Infection can be caused by urine being forced back to the kidneys through the conduit. This can occur by falling asleep with the pouch full of urine and accidently rolling over on the pouch, causing urine to be forced back into the stoma, through the urinary tract with tremendous pressure. Invariably the urine in the pouch will be contaminated. (All urostomates should hook up to straight drainage at night to prevent this.)
In general, to prevent and treat infections you need a good flow of urine much like a stream. That not only dilutes the bacteria of germs in the urine, but also helps wash them out. Two and one half quarts of liquids daily is required for the average adult.
Murphy’s Lesser Known Laws
Light travels faster than sound. This is why some people seem bright until you hear them speak.
He who laughs last, thinks slowest.
Change is inevitable, except from a vending machine.
Nothing is foolproof to a sufficiently talented fool.
The 50-50-90 rule: Anytime you have a 50-50 cahnce of getting something right, ther’s a 90% chance you’ll get it wrong.
If you lined up all the cars in the world end to end, someone would be stupid enough to pass them, five or six at a time…on a hill…on a curve….in the fog.
If the shoe fits, get another one just like it.
Give a man a fish and he will eat for a day. Teach a man to fish and he will sit in a boat all day drinking beer.
A flashlight is a case for holding dead batteries.
The shinbone is a device for finding furniture in a dark room.
A fine is a tax for doing wrong. A tax is a fine for doing well.

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