Vice-President’s Message - wocet.memberclicks.net bulletin... · Chinese and Indians, along with...

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BullETin October 2017 1 Issue 4 October 2017 In this issue: VP Message in English, Chinese and French 1-4 WCET™ next conference: 5 WCET™ Membership Survey 2017 9 Time to Vote for WCET™ Executive Board Nominations 2018-2020 9 June 26: Happy Norma N. Gill Day™! 10 France: a step for a better 27 National recognition of ET Nursing In memoriam of Michelle Conte 27 The ETNEP in Taiwan 30 My contribution towards Nursing in the Surgical Ward at the Homabay Country Refferal Hospital, Kenya 38 Improve the Lives of 100 Children with Stoma 39 Other coming Education Events 39 Vice-President’s Message Impact Factor Elizabeth A. Ayello, PhD, RN, ACNS-BC, CWON, ETN, MAPWCA, FAAN WCET™ Vice President 2016-2018 How does one evaluate influence? In one of my “day jobs,” I am a clinical editor for an international interprofessional skin and wound journal. Spreading the word in the publication world is important. One of the measures as to how a manuscript is getting to people is the impact factor. For publications, it is a way to measure the frequency with which the average article in a journal is cited in any given year. So it is part of the metrics that one can use to assess and evaluate influence. Spreading the word is important. It got me thinking of how the concept of “impact factor” is relevant to ET nursing. Clearly, I was thinking of the number of times that I hear members and others talk about Norma N. Gill and the difference she made in the lives of nurses and patients. Each WCET™ member has their own story of perhaps how they were inspired by Norma to either become an ET nurse or to seek further education to enhance their practice. Norma’s influence continues to this very day, long after her own efforts to impact patient care through global education have earned her a place in ET immortality. In this issue of the WCET™ BullETin, some members have shared their personal reflections of the impact Norma had on them. This of course comes at a wonderful time of the year when WCET™ remembers with love and pride our founder and first President on her birthday- June 26 as WCET™ Norma N Gill Day™. Recognizing an individual who has had an influence on what we do is very important. So, in this issue, WCET™ also remembers Michelle Conge, pages 27-30, a nurse from Paris, whose tireless efforts are remembered not only in France, but by many others throughout the WCET™ community. Please read more about her in this issue of the bulletin where the expressions of sympathy and her impact on the lives of those who benefitted from her efforts are recalled. On a personal note, I would like to remember Therese (Terry) Haus, one of the icons in ET nursing from where I live which is the Metro New York area. In the late 1970’s, she was willing to give me her wisdom. Many of us in New York and beyond were impacted by her sharing the benefits of her clinical experience, knowledge, and passion for our specialty. She too will be missed.

Transcript of Vice-President’s Message - wocet.memberclicks.net bulletin... · Chinese and Indians, along with...

Page 1: Vice-President’s Message - wocet.memberclicks.net bulletin... · Chinese and Indians, along with the ethnic traditions of the Kadazan, Dusun, Iban and many more in East Malaysia,

BullETin October 2017 1

Issue 4 October 2017

In this issue:

VP Message in English, Chinese

and French 1-4

WCET™ next conference: 5

WCET™ Membership Survey 2017 9

Time to Vote for WCET™ Executive

Board Nominations 2018-2020 9

June 26:

Happy Norma N. Gill Day™! 10

France: a step for a better 27

National recognition of ET Nursing

In memoriam of Michelle Conte 27

The ETNEP in Taiwan 30

My contribution towards Nursing

in the Surgical Ward at the

Homabay Country Refferal Hospital,

Kenya 38

Improve the Lives of 100 Children

with Stoma 39

Other coming Education Events 39

Vice-President’s MessageImpact FactorElizabeth A. Ayello, PhD, RN, ACNS-BC, CWON, ETN, MAPWCA, FAAN WCET™ Vice President 2016-2018

How does one evaluate influence? In one of my “day jobs,” I am a clinical editor for an international interprofessional skin and wound journal. Spreading the word in the publication world is important. One of the measures as to how a manuscript is getting to people is the impact factor. For publications, it is a way to measure the frequency with which the average article in a journal is cited in any given year. So it is part of the metrics that one can use to assess and evaluate influence.

Spreading the word is important. It got me thinking of how the concept of “impact factor” is relevant to ET nursing. Clearly, I was thinking of the number of times that I hear members and others talk about Norma N. Gill and the difference she made in the lives of nurses and patients. Each WCET™ member has their own story of perhaps how they were inspired by Norma to either become an ET nurse or to seek further education to enhance their practice. Norma’s influence continues to this very day, long after her own efforts to impact patient care through global education have earned her a place in ET immortality.

In this issue of the WCET™ BullETin, some members have shared their personal reflections of the impact Norma had on them. This of course comes at a wonderful time of the year when WCET™ remembers with love and pride our founder and first President on her birthday- June 26 as WCET™ Norma N Gill Day™.

Recognizing an individual who has had an influence on what we do is very important. So, in this issue, WCET™ also remembers Michelle Conge, pages 27-30, a nurse from Paris, whose tireless efforts are remembered not only in France, but by many others throughout the WCET™ community. Please read more about her in this issue of the bulletin where the expressions of sympathy and her impact on the lives of those who benefitted from her efforts are recalled. On a personal note, I would like to remember Therese (Terry) Haus, one of the icons in ET nursing from where I live which is the Metro New York area. In the late 1970’s, she was willing to give me her wisdom. Many of us in New York and beyond were impacted by her sharing the benefits of her clinical experience, knowledge, and passion for our specialty. She too will be missed.

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Therese Haus

January 14, 1933 – August 1, 2017 ; 1933年1月14日 - 2017年8月1日; 14 Janvier 1933 – 1er Août 2017

After 11 years of gracefully fighting Alzheimer’s, she is at peace.

与阿尔茨海默氏症优雅地对抗11年后,她安息了。Après 11 ans de lutte contre la maladie d’Alzheimer, elle est en paix.

Shared in the WOCN (Metro NY, NER and National) website

在WOCN(Metro NY, NER and National)网站共享Partagé sur le site web du WOCN (Métro NY, NER et National) http://www.ner-wocn.org/affiliates/metro-ny/ 

Everyday around the world each WCET™ member has the opportunity to make a positive impact on the lives of others who have ostomy, wound or incontinence needs. For many of us, only our patients and perhaps even their families will remember the difference that those professional contacts made for them. They may not even express their gratitude, and perhaps that is not even needed. Instead, the fact that they can for example empty their pouch, apply their dressings, resume daily life activities without fear of wetness from incontinence is perhaps the hidden influence. Yet, the impact of our nursing actions can truly make the difference in recovery. So, as we celebrate the lives of ETs who in the past have made a difference, let’s remember that what we do or don’t do today, can be a life changer. Let’s make all our own impact factors positive ones.

Sincerely,Elizabeth

From: https://www.pinterest.com/

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影响因素Elizabeth A. Ayello 博士,註冊護士,ACNS-BC,CWON,ETN,MAPWCA,FAAN WCET™ 副總裁2016-2018

(Thanks to Michelle Lee for this Chinese translation)

如何评价影响力?在我的“日常工作”之一,我是国际专业皮肤和伤口杂志的临床编辑。在出版刊物的世界中,传播讯息是很重要的。如何将手稿到达人们便是衡量影响因素之一。对于刊物,它是衡量在任何一年引用杂志中的文章的次数。这是用来评估影响力的一种方式。

传播讯息是很重要。它让我想到“影响因素”的概念如何与ET护理有关。显然,我听过无数次会员和其他人谈论诺玛吉尔以及她如何改变护士和患者的生命。每位WCET™成员都有自己的故事,他们是如何受到诺玛的启发,要么成为ET护士,或寻求进一步的教育来提升自己的护理实践。在很久以前,诺玛努力通过全球教育来影响患者的护理,她的影响力持续到今天,使她在ET中成为不朽人物。

在本期的WCET™公报中,有些成员已经分享了他们对诺玛的影响的个人反思。 WCET™以爱和自豪来纪念这位创办人和第一任主席,以她的生日,6月26日定为WCET™ 诺玛吉尔日。

认识对我们所做的工作有影响的人是非常重要。因此,在这篇公报内,WCET™也怀念来自巴黎的护士Michelle Conge。她不懈的努力,不仅在法国,而且还被WCET™组织的许多其他人铭记。请在这篇公报内阅读更多关于她的事迹,她的同情心和由于她的努力对人们的生活的影响。在个人笔录中,我怀念Therese(Terry)Haus。她也是ET护理图标之一,是与我同住在纽约地区。在七十年代末期,她将她的智慧传授给我。她在纽约及以外地区的许多人分享了她的临床经验,知识和对这专科的热情。我们均受到她的影响。我们也很怀念她。

世界各地的每位WCET™成员都有机会对造口,伤口或失禁需求的人的生活产生积极的影响。对于我们许多人来说,只有我们的病人,甚至是他们的家人会记起这专业对他们造成的区别。他们可能不表示感激之情。可是,他们可以清空他们的袋子,应用他们的敷料,恢复日常生活活动而不需担心失禁所造成的渗漏,这些影响全是隐藏着的。事实上,我们的护理行动真的可以影响他们的康复。所以,当我们庆祝过去曾经有所贡献的ET时,请记住,我们今天所做的或不做的,是可以改变个人的生命。让我们作出所有积极的影响。

“有时候,人们进入你生命中一会儿。一天,或一生。 重要的不是他们与你在一起的时间,

而是在当时如何影响你的生命。”

作者身份不明

此致 ,

伊丽莎白

Facteurs d’influenceElizabeth A. Ayello, PhD, RN, ACNS-BC, CWON, ETN, MAPWCA, FAAN WCET™ Vice-Présidente 2016-2018

(Thank you Laurent Chabal for this French translation)

Comment mesure-t-on l’influence? Je suis, entre-autre, employée comme éditorialiste clinique pour un journal interprofessionnel et international sur la peau et les soins de plaies. Dans le monde de la publication, répandre l’information est importante. Les facteurs d’influence sont une manière de mesurer comment un manuscrit est diffusé. Dans le cadre d’une publication, c’est mesurer la fréquence moyenne avec laquelle un article d’un journal est cité au cours d’une année donnée. C’est ainsi une partie des données que l’on peut utiliser pour évaluer et estimer son influence.

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Diffuser l’information est importante. Cela m’a permis de réfléchir à comment cette notion de «facteurs d’influence» était pertinente dans les soins infirmiers en Stomathérapie. J’ai immédiatement pensé au nombre de fois où j’entends parler de Norma N. Gill et de ce qu’elle a pu apporter dans la vie des infirmières et des malades, que cela vienne des membres du WCET™ ou d’autres. Chaque membre du WCET™ a sa propre histoire sur comment ils ont été inspirés par Norma et sont devenu infirmier-e Stomathérapeute, ou qui les a conduit à suivre une formation complémentaire en vue d’améliorer leurs pratiques. L’influence de Norma se poursuit encore aujourd’hui, longtemps après qu’elle se soit efforcée d’influencer les soins aux patients grâce à un enseignement global ; ce qui lui a valu une place dans l’immortalité de la Stomathérapie.

Dans ce numéro du BullETin du WCET™, certains membres ont partagé leurs réflexions personnelles sur l’impact qu’avait eu Norma sur eux. Le 26 juin, la Journée du WCET™ Norma N. Gill™, est ainsi un moment extraordinaire de l’année où le WCET™ se souvient avec amour et fierté de notre fondatrice et première Présidente, à l’occasion de son anniversaire.

Reconnaître un individu qui a eu une influence sur ce que nous faisons est très important. Ainsi, dans ce numéro, le WCET™ se souvient également de Michelle Conge, une infirmière de Paris, dont les efforts inlassables sont ici rappelés non seulement par la France, mais aussi par bien d’autres pays de la communauté du WCET™. Vous en apprendrez plus sur elle à travers la lecture de ce numéro du BullETin. Des expressions de sympathie, ainsi que l’impact qu’a eu ses efforts sur la vie de ceux qui ont pu en bénéficier, y sont rassemblés. Permettez-moi une note personnelle, je souhaiterais me rappeler de Thérèse (Terry) Haus, l’une des icônes de la Stomathérapie de région de Métro à New-York où je vis. À la fin des années 1970, j’ai pu bénéficier de sa sagesse. Beaucoup d’entre nous à New-York et au-delà ont été influencé par son partage d’expériences cliniques, ses connaissances et sa passion pour notre spécialité. Elle se manquera aussi.

Chaque jour, dans le monde, chaque membre du WCET™ a la possibilité d’avoir une influence positive sur la vie d’autres personnes rencontrant des besoins en soins de stomie, de plaies ou de troubles de la continence. Pour beaucoup d’entre nous, seuls nos patients et peut-être même leur famille se souviendront de ces contacts professionnels et de la différence que cela leur a apporté. Peut-être même qu’ils ne pourront pas exprimer leur gratitude, et ce n’est peut-être pas nécessaire. Cependant, le fait qu’ils puissent, par exemple, vider eux-mêmes leur poche, changer leurs pansements, reprendre leurs activités de la vie quotidienne sans craindre l’humidité due à leurs troubles de la continence est sans doute autant d’expressions de cette influence cachée. En effet, l’impact de nos activités infirmières peut vraiment faire la différence sur leur récupération et leur devenir. Ainsi, lors ce que nous célébrons la vie des Stomathérapeutes qui ont fait une différence dans le passé, rappelons-nous que ce que nous faisons ou ne faisons pas aujourd’hui peut être facteur de changement de vie. Faisons tous nos propres facteurs d’influence positive.

Certaines personnes entrent dans nos vies pour un moment, un jour ou une vie.

Peu importe la durée pendant laquelle nous les ayons côtoyés, ce qui est important c’est l’impact qu’ils ont eu sur nous

dans ce laps de temps.

Source inconnue

Cordialement,Elizabeth

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WCET™ Next Conference, Kuala Lumpur – Malaysia

Book your place NOW! October 1st COUNT DOWN 196 DAYS

Malaysia is a country with fascinating people and enthralling range of attractions. Its three major races, the Malays, Chinese and Indians, along with the ethnic traditions of the Kadazan, Dusun, Iban and many more in East Malaysia, make up the delightful multicultural fabric of Malaysia.

The potpourri is enriched further with the influence of the British, Portuguese, Dutch and Thai. The Federation of Malaysia comprises Peninsular Malaysia; made up of 11 states; three federal territories and the states of Sabah and Sarawak in Borneo.

You will find below some practical information to prepare your trip.

How to apply for a VisaVisa applications must be made at any nearest Malaysian Representative Office Abroad or at the Malaysian Embassy in your country. Applications can also be made online through I-Visa System (Applicable for tourist from India and China only).

Application for a visa without reference:

Documents required for the application of a visa without reference (approval of visa is given by High Commission of Malaysia) are:

Original passport• Two photocopies of the applicant’s passport• Two photocopies of the visa application form (Form IMM.47)• Two passport size photographs of the applicant• Original and two photocopies of the ticket (confirmed and returned ticket)• Bank statement / traveller’s cheque• Invitation letter (if any)• Payment of visa fee

Note: Visa Without Reference is required for the purpose of a social visit.

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Here is the list of Countries which require Visa to enter Malaysia:

Please check for more information on:

http://www.imi.gov.my/index.php/en/main-services/visa/visa-requirement-by-country

LanguageMalay language is the official language but English is their second language. In general many Malaysians are able to speak English.

ClimateWith a temperature that fluctuates little throughout the year, travel in Malaysia is a pleasure. Average temperature is between 21˚C and 32˚C. Humidity is high. Rain tends to occur between November to February on the east coast of Peninsular Malaysia, on western Sarawak, and north-eastern Sabah. On the west coast of Peninsular Malaysia the rainy season is April to May and October to November.

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CurrencyThe Malaysian ringgit (RM) consists of 100 sen. Coins in use are one, five, 10, 20 and 50 sen, and RM1; notes come in RM1, RM2, RM5, RM10, RM50 and RM100. The value is approximately USD1 = RM3.50. Foreign currency can be exchanged at banks and money exchange.

Please note that you are permitted to carry into and out of Malaysia, ringgit notes not exceeding RM 1,000 per person. There is no limit to bring in foreign currency notes and traveller’s cheques to Malaysia. A non-resident is permitted to carry out of Malaysia, foreign currency and traveller’s cheques not exceeding the amount declared when arriving into Malaysia.

Credit CardsMost hotels and establishments accept credit or charge cards such as VISA, American Express, MasterCard and Diners Club. Traveller’s cheques may be cashed at major hotels and are accepted by all banks, hotels & major department stores.

Banking HoursMonday - Friday: 9.30 am to 3.30 pm.

Saturday, Sunday & Public Holidays: Closed (Some banks and their branches open on Saturdays).

TelecommunicationsThe country code for Malaysia is 60. Outgoing international code is 00. IDD is available.

You can get your sim card – Digi, Celcom or Maxis/Hotlink at the airport on arrival or at any telecommunication company to add to your pre-paid card at any petrol station such as Petronas, Shell, Caltex etc. Internet services should be available at your hotel or you can get the data plan from your mobile as you wish. (we cannot guarantee that every hotel has internet).

TimeMalaysia is 8 hours ahead of Greenwich Mean Time (GMT).

ElectricityVoltage is 240 volts AC 50 Hz. Standard 3-pin square plugs and sockets.

What to wearLiving in a tropical climate, local people dress very informally (e.g. lightweight linens & cottons, T-shirt, shorts, jeans). For dinners and night spots, smart casual wear is the norm. When entering mosques and temples, wear long sleeves and loose trousers or long skirts as a sign of respect.

ShoppingMalaysians love shopping, which explains the vast number of luxury malls, stores and street-side stalls in the capital, Kuala Lumpur. From designer goods to the latest electronic gadgets, the constantly changing product range includes an extensive collection of designer labels from the fashion capitals of the world

The rule of thumb is that anything with a price tag on it cannot be bargained, particularly at supermarkets and malls. However, if you’re shopping at the roadside stalls or at night markets, this is where you may put your haggling skills to good use.

Cash is accepted at night markets while major credit cards are accepted in most shops in the malls and shopping complexes.

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Many malls in Malaysia open till late at night, around 10pm, ensuring there is plenty of time for your shopping adventures.

TransportationTraffic drives on the left and signposting is easy to understand. Taxis are easily available at the airports and at hotels, as well as from many places downtown. Some taxi do not use the meter, therefore it is advisable to fix the fare before getting into the taxi. UBER and Grab car are also available, including LRT and MRT.

Friday Prayers in the mosque (for male only)Islam is the official religion, so come any Friday, there would be an extended lunch break for Friday prayers for the male but the female will do their usual prayers at their working place.

WCET 2018 - Social Programme Opening of Congress and Parade of Nations (15 April, 16:30 –18:30).

The WCET 2018 organising committee invites all registered delegates and the accompanying persons to the Opening of Congress and Parade of Nations at Kuala Lumpur Convention Centre (KLCC).

Parade of Nations - Impressive parade of the Delegates from the nations

would be present in their traditional costumes and flag.

Be a part of Grand Opening on Sunday!

Congress Dinner (17 April, 19:00 –22:30)

The Congress Dinner will be held at Kuala Lumpur Convention Centre (KLCC). A festive opportunity for all participants to meet and socialize. Please register and pay for the dinner when you register for the congress.

To register: www.wcet2018.com/registration

Dress Code: Smart Casual

The organizer is planning to share Malaysia’s cultural heritage, it will be an exciting and memorable moment for all to learn and be a part of the event.

We cannot wait to welcome you all !

More information on: www.wcet2018.com

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.WCET™ Membership Survey 2017The WCET™ membership survey will close

on October 15, 2017.

Please participate!

 This Survey is available on the website and translated in Chinese, French, Indonesian, Portuguese and Spanish (https://www.surveymonkey.com/r/WCET2017Survey).

We invite you to complete it, your comments are really helpful to improve our actions and give us guidance.

Many thanks in advance.

On behalf of the WCET™ Executive Board

Elizabeth A. Ayello, WCET™ Vice President 2016-2018

Time to Vote for WCET™ Executive Board Nominations 2018-2020Eligible nominations are:

President: Elizabeth A. Ayello, PhD, RN, ACNS-BC, CWON, ETN, MAPWCA, FAAN ; USA Faculty Excelsior College and Clinical Editor Advances in Skin and Wound Care, New York, USA.

Vice-President: Laurent Chabal, RN, Specialised Stoma Nurse, University of Applied Sciences Lecturer ; Switzerland

Treasurer: No nomination

Education Committee: Denise Hibbert, RGN, DipHE, BSc (hons), ONC, STN, FSSCRS, MSc (Wound healing and Tissue repair) ; Saudi Arabia

NNFG™ Committee: Arum Ratna Pratiwi, Nurse, Enterostomal Therapist ; Indonesia

Publications & Communications Committee: Karen Bruton, RN, BScN, MCISc-WH CETN(C) ; Canada

You will find all their details published in the issue 3 of the WCET™ Journal and in the website, under: https://wocet.memberclicks.net/assets/site/2018/board%20nominations%202018-2020.pdf

WCET™ members have received an email instructing them on when and how to vote online. After member voting is finished, then each WCET™ country ID will cast the vote for his/her country for the candidate.

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June 26: Happy WCET™ Norma N. Gill Day™!Celebrating the life of Norma Nottingham Gill Thompson Mother of Enterostomal Therapy, born on 26 June 1920.

Dear WCET™ Members,

On behalf of the entire ET/WOC Nursing Team at the Cleveland Clinic, home of the world’s first Enterostomal Therapist, Norma N. Gill, we would like to wish you all a Happy Norma N. Gill Day™.

Thank you for carrying on the legacy that is Norma N. Gill in caring for your patients in your respective countries.

Best regards.Ron Rock, MSN, APRN, ACNS-BC ; USA

The spirit and contributions of Norma N. Gill are still alive and living with us - even if you have not met her! You already have a sense of her importance....

I am not too young to have known her and I can tell you that she was a ‘force of nature’. I was a student in Cleveland during the spring of 1972 while she and Rup (Professor Rupert Trunbull) were in their golden era. (I wrote a brief chapter on her in the Festschrift book that you have probably read). Compassionate, dedicated, kind yet brutally honest and willing to give her life to her mission of making life better for the ostomy patient. 

We live in a world of hype where even the smallest things are blasted across the internet/ TV/ Instagram/ Snapchat/ Twitter for a moment of notice or fame. We also live in a world of creativity... where avatars have become learning tools, online dating in the US is the most popular way to meet a mate, Spiderman is the number one movie globally and there are 2 billion people on Facebook.  So, we may ask ourselves...what is real and what has importance?  

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Norma was real and Norma was, and remains, important. Many want to change the world in a positive way; but few spend the time, effort and intellect to achieve it.... Norma did. She was someone we must respect and cherish now and in the future. Your efforts on this behalf are important to our profession remembering who we are. So thank you for your dedication to this assignment. Thank you for the work you are doing to honor her!

Sincerely.  Bonnie S Rolstad, MS, RN, CWOCN, Minneapolis ; USA

Bonnie Sue Rolstad has several pictures of Norma N. Gill that were recently posted to the WEB WOC’s Facebook page (https://www.facebook.com/webWOC/), we thought you might enjoy.

Sincerely. Anna Lalla, BA WEB WOC Nursing Education Program, Minneapolis ; USA

Norma N. Gill Day ™: Reflect back the 22 years I have been in this field of specialtyMariam Mohd Nasir, A.M.N. Cert GNLIGeneva), MBA(UK/Mal) BSC(Hons) Mal, WOCNEP(Hong Kong) RM RN, Chief Nursing Officer, E.T., University Malaya Medical Centre, Kuala Lumpur ; Malaysia

I met Norma during my course, Wound Ostomy Continence Nursing Education Program (WOCNEP) in Princess Margaret Hospital, Hong Kong. It was an initiative from ConvaTec for Asian Nurses.

It was a 12 weeks program; consisting of theory and clinical practice. We had our clinical placement in Princess Margaret Hospital, Queen Mary Hospital, Prince of Wales Hospital, and also other organizations such as, United Christian Hospital, Shatin Hospital, Rehab Aid & Community Nurses Centre.

It was in Oct 1995, 12 Nurses graduated after 3 months – 1 from Malaysia, 1 from Indonesia, 1 from Korea, 1 from Thailand, 1 from Taiwan and 7 from Hong Kong.

Norma with some friends and I

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Norma with some friends and I

Since then 1995 became a year that I will always treasure because that was the year my journey as an Enterostomal Therapist begins. Reflect back the 22 years I have been in this field of specialty, I remembered Norma and another prominent person who was Marilyn Spencer, told us that “No matter how long it take you to set up your clinic after this program, does not matter but you have to start, go slow but forward”. To me this is the magical word that I always remembered and shared with my students, and because this magical words that have inspired me to set up the first Clinic Led Nurses in my hospital.

For the last 22 years, I lost count the number of patients that I have seen and assist and also Nurses that I have trained but what I know that I have make a big different in their life and also know that I have trained many Nurses in Malaysia and also South East Asia.

Besides Malaysian, I have students from Indonesia, Singapore, Thailand, Brunei, Taiwan, Hong Kong, Sri Lanka, Pakistan, Nepal, Philippines & China. Besides Nurses I also remembered that I trained 3 Doctors from China. Frequently meeting them in world conferences and that remind me of the time they were a student, and now they presenting paper in International conference. I am so honoured to see the successful stories of my students and I think nothing more that we could ask for as a educator. Norma is commitment and dedication towards improving initially stoma care have expanded to wound and incontinence has grown worldwide. She has built a strong foundation for the rest of us to continue that journey.

The same year, after completing my study and qualified as an E.T. I started to make plans to have my own clinic.

I got a proposal written with the support from a General Surgeon, Professor Dr Chang Ken Wee. We managed to open our clinic. To me the vision of Norma has become a reality. I know Norma is proud of this achievement as much as I am. Thank you Norma for providing me the platform and foundation to excel further.

My journey shall never end as much as Norma’s journey because I still pursuing to train more Nurses after 22 years and I, want the journey to continue.

My 1st clinic that I managed to start, so proud of this achievement. But I continue my effort to have a better clinic…….

Norma

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I managed to get a better place after many years of struggling.

Me in my clinical office getting better with years

My office before and some years after…

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My ET Team and I

And now we are here, with my ET Team.

Our office now…

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Norma N. Gill Day™ in Slovenia: a tribute to Norma N. Gill merits in world ostomy rehabilitationProf. Dr. Pavle Košorok, Dr. med., spec. krg ; Slovenia

Norma N. Gill role in Slovenian Enterostomal Therapy history has been very important, though young people probably do not know this importance anymore.

I met Norma in 1979 at Milano meeting. A year ago I spend in London where I come in touch with Barbara Saunders. She introduced me to Enterostomal Therapy at St. Bartholomeus hospital. So I followed what was happening in Enterostomal Therapy. At Milano meeting the ostomy association was divided from Enterostomal Therapy. Archie Vinitzky become president of International Ostomy Association, Norma N. Gill took over Enterostomal Therapy movement. In that time, I was still represented to Yugoslavia. Norma was very energetic to split the idea of Enterostomal Therapy in new countries. So she kept me informed about all news in this field. I was very active and did my best. I had lectures about ET in several hospitals in Slovenia; I was invited to Yugoslav meeting on digestive surgery with first lecture on ET in Yugoslavia. Supplement from this meeting in Opatija was the first publication on Enterostomal Therapy in former state.

First Slovenian ETs

I end my story by Mr. Steve Jobs quote that said:

From: https://quotespop.com/inspiring-quotes-from-famous-people/

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For the third WCET™ meeting in Cleveland, I submitted a lecture about my innovation – skin bridge support for loop ostomy. Norma decided that this lecture is interested enough to be invited guest for the congress. This helped me a lot as in that time in was not easy to get money for the congress and travel expenses.  I was glad to stay a bit longer to see Cleveland clinic and visit also Lahey clinic in Boston. After the congress, I was engaged in WCET™ Education Committee, and tried to spread the idea of Enterostomal Therapy in our country. Norma N. Gill gives us scholarship for education of our first nurse as Enterostomal Therapist – RN Metka Zima. In old state in was not so easy. Much better situation started after Slovenian independence. In that time, I decided to attend Cleveland clinic Enterostomal Therapy course, to see how to organize education of Enterostomal Therapy in our county. I am the second surgeon in the world after Dr. Taiso Tamura from Japan with ET diploma. This education was the beginning of establishing our own national school. We followed all instructions of WCET™.

WCET™ school at Cleveland Clinic. School-mates 1990

In independent Slovenia we succeeded to start step by step our first ET class. As it was obligatory to have an ET educated in international school, we engaged RN Metka Zima, trained at the Cleveland Clinic, to be the leading nurse of our first class. So we educated the teachers for the future ET school. Our national school was confirmed in 1992 in Lyon, France. I still have a nice photo with Prilly Stevens in front of world map with WCET™ centers. At the same time engaging with Enterostomal Therapy, this was incentive for me to start my work in coloproctology.

With Prilli Steven, in Lyon 1992, recognition of Slovenian national school

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Our WCET™ Recognition Certificate

Since then, we had several ET courses at Ljubljana University hospital. We educated first Enterostomal Therapists from Bosnia and Croatia. So they have official possibility to start their own national schools. We are happy that we had a chance to keep several courses to educate ostomates volunteers. They are great help in rehabilitation of new ostomates.

Slovenia in grateful to Norma N. Gill. She was the initiator of all these events that helped us so our patients and ostomates have the best surgery and rehabilitation, possible.

I hope that this description is a small tribute to Norma N. Gill merits in world ostomy rehabilitation. In my eyes Norma N. Gill is like Florence Nightingale in ostomy care. I always showed her picture when lecturing Enterostomal Therapy to the students.

Kind regards.

For more information: www.iatros.si

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A warm Thank You to Setareh for having brought us 28 news Iranian WCET™ members, all at once time, last June!

I wish you all the best!Setareh Azizi Elize, WCET™ Iran ID

The Wound Ostomy and Continence Nurses (WOCN) professional group of Wenzhou Nurses Association was established and held a National Conference of wound and pressure sore management.Alice (Aihua Chen) Second affiliated Hospital of Wenzhou Medical University, PR ; China

For celebrating Norma N. Gill Day™, ETs from Wenzhou city set the WOCN professional Group under Wenzhou Nurses Association. The Group was in order to further strengthen Wenzhou colostomy wound incontinence scientific and standardized management, strengthen the specialized nursing knowledge and covering popularization, the selection and cultivation of WOC care teachers, promote it’s developing, so could give better services to patients.

At 23-25th June 2017, the Groups held the national continuing education program of chronic wounds and pressure injury advanced management. The course last for two days, nearly 170 nursing staff from all over the country attended it, more than 10 nursing experts together giving lectures and sharing the progress of chronic wounds and pressure injury management, new technology as new method. In addition to the multiple theoretical lectures, a half-day workshop of Pressure Injury (PI) prevention and treatment was also held as well as cases discussion, the students were divided into five groups to participate, which has encouraged the students’ enthusiasm for learning.

The conference provides participants with a high standard and high level of learning and communication platform. It has played a significant role in promoting pressure injury and complicated wound of comprehensive therapy treatment, help participants to master the wound care and management related new theory and new technology of PI, to apply the knowledge in clinical, make better use of it and give better services to patients.

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The vice Director of the Hopital Mr. Chen was giving important speech to all

The Director of Nursing Dep. of the Hospital, as the Vice President of Wenzhou Nurses association

Ms. Zhang was giving talk to all

Ms. Huilin Zhao from Taipei giving lectures of “how to do training for nurses”

Ms. Baofang Yuan from Jiangshu Province giving lecture of “internet used in WOC nursing care”

Keling Chen from Sichuang Province giving lectures of “complicated wound management”

Jianweng Xu from Shanghai giving lecture of “lymphoedema treatment”

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Alice is giving lecture of “multiple dressing choose in Chronic Wounds”

Yumeili is giving lecture of “Pediatric wound care”

Yiqun Yu is giving lecture of “tumour wound care” Linmin Zhege is giving lecture of “incontinence care”

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The students were participating in workshops

WOCN professional Group and participants in Wenzhou city

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“温州伤口造口护理专业学组成立”暨慢性伤口及压疮管理进展培训班顺利召开 中国 温州医科大学附属第二医院

陈爱华

在Norma N. Gill 日来临之际,温州市护理学会造口伤口护理专业委员会成立了!

学组的成立,是为了进一步加强温州市造口伤口专科护理的科学规范化管理,强化专科护理知识的学习及普及,选拔和培养造口伤口护理师资队伍,推动我市造口伤口护理专科的建成,更好的为广大患者服务。

该学组于2017年6.23—6.25举办了“温州市护理学会伤口造口护理专业学组成立大会”暨2017年国家级继续教育项目《慢性伤口及压疮管理进展培训班》。来自全国各地的近170位护理同仁参加了会议,海峡两地近10多位护理专家汇集一堂,交流分享了慢性伤口及压疮管理的新进展、新技术、新方法。除了丰富多彩的理论授课外,还有为期半天的病例讨论,更激发了学员们高涨的学习热情。学员们分成五组参与压疮预防及伤口渗液管理工作坊实践,各个案例的分析和处理由资深专家进行点评,受益匪浅收获多多。

本次会议为与会人员提供了一个高规格、高水平的学习交流平台,为促进压疮及疑难伤口综合治疗处理方面起到了显著的作用,掌握了伤口护理和压疮管理的相关新理论和新技术,并及时推广和应用于临床,更好的为广大患者服务。

Alice Chen with Huiling Zhao, Yuqin Wu and Huijing Wang as well as other people were celebrating WCET™ Norma N. Gill Day™

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A Reflection on ET Nursing Practice in Critical Care SettingPeter Chi Keung Lai and ETs of Adult Intensive Care Unit Queen Mary Hospital, Hong Kong

We are a group of Nurses who work in the adult intensive care unit (ICU) of Queen Mary Hospital in Hong Kong. We are the very few critical care nurses who are also qualified as Enterostomal Therapists and we account for about 10% of the ICU workforce in our hospital.

Queen Mary Hospital AICU ET team

In celebration of the WCET™ Norma N. Gill Day™, we selected to purposefully reflect on our practice to seek for improvement in service quality and to facilitate team members’ professional development. We believe that reflective thinking can serve to clear puzzling phenomena and conclude with embracing insights that may potentially change one’s situational awareness. This is especially important for frontline nurses who consistently work in stressful environment and are required to fulfill multiple competing roles in their work position.

We adopted the three-stage reflective model as proposed by Natius Oelofsen. In the process, we explored how nurses with dual clinical roles functioned, their feelings about their work environment, and what impact had the environment posed on them as ET. All members in our team recalled enthusiasm when they first took up the role as ET. They expressed perception of greater ability to promote patient recovery and wellbeing. Self-satisfaction was high when clinical problem resolved with one’s intervention. The group yearned to share the specialist skills acquired from ET school through clinical education. On the other hand, it was found that nurses, regardless of their work position and years of service in critical care specialty, experienced frustration and psychological stress when initially taking up ET role, as it required them to independently provide expert advice for complicated wound and stoma cases. Perception of inadequate mentorship in the early stage of ET career was not uncommon. In ICU, decision making process could be complex as it involved not only focused wound or stoma care, but also in-depth care planning tied with the overall management of patients who commonly suffered from multiple organ failure. Limited option in wound and stoma care products in ICU, requirement for innovation in managing high-stakes situations and new relationship with other nurses and doctors could be challenging. Expectation from peers had changed which could add pressure on duty assignment and work priority. Nevertheless, it was agreed that the work of ET in ICU was rewarding.

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Through this activity, we are able to translate a few new learnings into practice. We believe that management needs to show commitment to support nurses who newly take up the role as an ET. Creation of an environment that facilitates role transition including assignment of senior ET as coach, promotion of autonomy in patient management and delegation of tasks that facilitate further skill development in specialized areas and research conduction is important for both service development and personal growth.

Reference: Oelofsen, N. (2012). Using reflective practice in frontline nursing. Nursing Times; 108: 24, 22-24.

Our annual event to celebrate Norma N. Gill and StomatherapyBlandine Sauzaret, ET Nurse, France

This year again we were able to honor Norma N. Gill and Stomatherapy on June 26.

Since 2015, we propose this annual event in organizing an Open Doors Day in our local public consultation. This year, in order to little renew ourselves, we have emphasized two topics:

- A less known aspect of our work: the management of continence disorders, whether fecal or urinary,

- A presentation of different ranges and products referenced in the Lyon’s Civil Hospice new dressing market which just had been chosen and published.

In addition, our slideshow about Stomatherapy was broadcasted in the Lyon’s Civil Hospices Cafeteria and an article about our different skills was published in the Northern Hospital Group Journal, the Web of the North.

How we have celebrated the Norma N. Gil Day™Arum Ratna Pratiwi, WCET™ Norma N. Gill Fondation™ Chairperson, Indonesia

We celebrated Norma N. Gill Day™ in simplicity by telling others (General nurses, Nurse managers, Head division of nursing, Surgeons and other Doctors) about what Norma did to improve patient’s quality of life.

We made (actually ordered) Indonesian traditional cakes and put a piece of paper with a story to read (about what Norma did) on it. So everybody who eat those traditional cake will read the story first. And most of them said, that was their first time hearing and reading about Norma’ story. At the end of story, we wrote a campaign sentence “Say YES to Stoma Siting”.

With Prof. dr. Abdus Sjukur, SpB KBD, a head of operating teacher, who is (also) a digestif Surgeon

With Clinical educators and hospital’s business development team

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Here is the Indonesian traditional cakes. We call these ‘Jajan Pasar’.

Kartiningsih, ETN and I, celebrated Norma N. Gill Day™.

An evening for the Norma N. Gill 97th birthday in MalaysiaMohd Rahime Ab Wahab, WOC(ET)N, ICN, IVN, RN. WCET™ Malaysian ID

To remember and celebrate our ET’s Idol, in conjunction with her 97th birthday, an evening party was organized by our Malaysian WCET™ members at University Malaya Medical Centre on July 20, 2017.

This celebration kept us in mind Norma N. Gill contribution to this Wound, Ostomy & Continence Nursing Specialty. As the Mother of Enterostomal Therapist in the world and the first President of WCET™, she inspired all of us to be the best ET Nurses by giving the best quality care to patients in order to improve their quality of life.

Her vision and dream drives our ETs to continously trained more nurses to become an ET and shared our knowledge and skills for the benefit of our patient’s and professional development.

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The organizing committee of this celebration day had succeeded to gather our ETs and other health care providers together as symbols of expression of gratitude and appreciation to Norma and her spirit which always provide us a great motivation.

We pray that this spirit will give us strength to work harder and help our friends who shared the same interest towards ET Nursing as to have the best WCET™ Conference in 2018: Malaysia has been chosen for the first time to host this very spectacular event.

May all the love, the time, the cost and the dreams we shared get blessed by God to make this big event in 2018 a big success. With this sharing, we hope that all people with same interests will get inspired and continue to achieve our Norma’s vision.

Welcome to Malaysia, Enjoy our Malaysian’s Norma N. Gill’s spirit!. See you on April 2018 in Kuala Lumpur.

Mohd (WCET™ Malaysian ID) start the ceremony of the NNG Day™ celebration with cake to remember

Norma with happy expression.

Picture of Norma with her husband during their happy days.

Simple preparation by our ET team for the Norma birthday, some cake and pastries cake that we serve to all in our clinic as a day to remember NNG Day™

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Part of our Malaysian ET & Committee for WCET™ 2018 conference celebrating the NNG Day™ with a big smile  & to warmth welcome all WOC Nurses around the world to KL.

France: a step for a better National recognition of ET NursingThe High Authority of Health had just published a position statement on devices for drainage and collection of urine and stools. It is say that:

– In hospital, a ET Nurse should systematically give advice and initial training to ostomate patient before he/she will go back home.

– And at home, the expert work group recognized the importance of education for patient with ostomy or for patient using intermittent catheterization, as for care giver. They also recognized the importance of their follow up.

This document enlight the fact that everyone should be able to quickly look for a Stomaterapist in case of problem of appliance or in case of skin lesion.

https://www.has-sante.fr/portail/upload/docs/application/pdf/2017-06/dir136/rapport_devaluation_des_dispositifs_de_drainage_et_de_recueil_des_urines_et_des_selles.pdf

In memoriam of Michelle Conge“I am standing in the sea shore,

a ship sails to the morning breeze and starts for the ocean. 

She is an object of beauty and I stand watching her

till at last she fades on the horizon and someone at my side says:

‘She is gone.’ Gone! Where?

Gone from my sight--that is all. 

She is just as large in the masts, hull and spars as she was when I saw her,

and just as able to bear her load of living freight to its destination.

The diminished size and total loss of sight is in me, not in her;

and just at the moment when someone at my side says:  ‘She is gone’,

there are others who are watching her coming, and others take up a glad shout:

‘There she comes!’- and that is dying.

William Blake 

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Michelle CONGE (1936 – 2017)

Nurse, Health Executive, then General Supervisor at Paris’ Public Assistance (PA) (Rothschild’s Hospital).

In 1984, she followed in Lyon an introduction course about stoma care, leading by Suzanne Montandon (first French E.T.), then in 1985 she obtained her E.T. diploma at Paris’ school.

Professor Malafosse was the «Boss» and she was the «Lady Boss», which allowed the spread of Stomatherapy into the Paris’s PA. She was dedicated to care and in teaching, so she was in the French Association of Enterostomal-Therapists (AFET) of which she was the Secretary for several years.

She was a «carer» above all, and «taking care» was her basis commitment to so many caregivers, families, trainees and colleagues.

She was highly appreciated, both professionally and as human being.

She has been involved in numerous congresses, clinical studies and in multiple publications.

Infirmière, Cadre, puis Surveillante Générale à l’Assistance Publique de Paris (Hôpital Rothschild).

En 1984 elle vient à Lyon suivre une session d’initiation aux soins aux personnes stomisés auprès de Suzanne Montandon (première E.T. française), puis en 1985 obtient le diplôme de E.T. à l’Ecole de Paris.

Le Professeur Malafosse était le « Patron » et elle la « Patronne », ce qui a permis la diffusion de la Stomathérapie à l’AP de Paris. Elle s’est investie énormément dans les soins, mais également dans l’enseignement et l’Association Française d’Entérostoma-Thérapeutes (AFET) dont elle fut Secrétaire durant de longues années.

Elle était une « soignante » avant tout, et le « prendre soin » était la base de son engagement, tant auprès de personnes soignées que des familles, des stagiaires, des collègues. Elle était très appréciée, tant sur le plan professionnel qu’humain.

Elle a participé à de nombreux congrès, à des études cliniques et a contribué à de multiples publications.

Michelle in the WCET™ Conference 1992, in Lyon, France.

Michelle lors du Congrès WCET™ à Lyon en 1992.

Je voulais t’annoncer le décès de notre collègue et amie Michelle Conge de Paris. Beaucoup d’E.T. du WCET™ l’ont bien connue. Peux-tu faire passer un message? 

A bientôt.

I would like to inform you that our colleague and friend Michelle Conge from Paris has passed away. Many WCET™ E.T. have known her well. Can you send a message about it? See you soon. Michelle Pomathios, AFET (French ET Association) Past President, France

Here are the following comments I have received back to my email sent July 3d from WCET™ Members:

L’AFET vient de perdre un être cher qui a beaucoup compté pour l’association. Michelle Conge est décédée cette semaine. Elle a été longtemps secrétaire de l’AFET et responsable pour ESFORD de la formation de Paris.

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Nous garderons d’elle le souvenir d’une personne attachante, dynamique, toujours joyeuse. Elle aimait plus que tout le soleil et tout simplement la vie.

Pendant les sessions de formation, elle était très bienveillante avec les stagiaires. Nous nous associons au chagrin de sa famille et tout particulièrement de sa fille unique mais nous pensons aussi à Suzon et Michelle (Guyot-Pomathios) qui ont longtemps travaillé avec elle et pour qui elle était beaucoup plus qu’une relation professionnelle, c’était une amie.

French ET association (AFET) has just lost a loved one who was very important for our association. Michelle Conge passed ways this week. She had been the AFET Secretary for a long time and was the Director of ESFORD (ET training) school in Paris.

We will remember her as an engaging, dynamic, and always joyful person. She loved more than all the Sun and just Life. During the training sessions, she was very kind to the students.

We associated ourselves to the grief of her family and especially to her only daughter, but we also think about Suzon (Susanne Montandon) and Michelle (Guyot-Pomathios) who have worked with her for a long time and for whom she was more than a professional relationship, she was a friend.Geneviève Langlois, AFET Secretary ; France

Thank you for letting us know ... It is sad when one hears of colleagues» demise and I am sure many ET’s will remember Michelle Conge from congresses, etc.  To her family my love and heart are with them.  Judy Chamberlain, WCET™ Life Member ; South Africa.

What very sad news. I recall Michelle Conge so well – larger than life – and a marvelous conference co organisor when we had our meeting in Lyon. Please could you give me Michelle Guyot-Pomathios address so I can write to her personally. Another wonderful lady ! Prilli Stevens, WCET™ Life Member ; South Africa

Merci d’avoir fait suivre cette triste nouvelle. Thanks for having sent this sad news.Louise Forest-Lalande, Past WCET™ President ; Canada 

Even though I do not know her personally, I believe that she has contributed so much to ETN. Our condolence to her family, friends and ET Community of Paris.We shared the sadness and sympathy.

When we lost Tay Ai Choo, ET from Singapore after APETNA 2015, I was always in tears when I talked about her, her commitment, dedication and sacrifice towards ETN was an inspiration for all, especially me, since I know how committed she was and her caring attitudes towards her patient.My time with her was so short and how I wish I could spend more time working with her and I guess that is what she was.May she rest in peace.Thank you. Terima kasih.Mariam Mohd Nasir & ET Team, UMMC ; Malaysia

Thank you for sending the condolences of the WCET™ members. I remember her from the first WCET™ congress I went to in Lyon and through various correspondence.Regards.Carmen George ; Australia

Rest in Peace.Marija Hegeduš Matetić ; Croatia

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May her soul rest in piece.Ranjana Pandit ; India

I express my condolences for this serious loss.With emotion.Danila Maculotti ; Italy

My God comfort  the family and friends. Too sad indeed. Caren Atieno Kasera ; Keyna

It is so sad news. May her soul rest in peace.Sincerely.Saraswati Bhandari ; Nepal

I am saddened to hear the passing away of Michelle Conge. On behalf of ETs of Nepal, and myself express sincere condolences. May her soul rest in peace. With griefShanti Bajracharya ; Nepal

Thank you for sharing this sad news.Dubravka Karlovčec ; Serbia

Receive my personal thoughts and condolences and same feelings from all Slovenian Enterostomal Therapists.Prof Pavle Kosorok ; Slovenia

Please convey our deepest sympathy.On the behalf of All Sri Lankan ET nurses.Geethani Samaraweera ; Sri Lanka

Our condolences from Edinburgh.Kind regards.Anne Haston ; UK

Condolences... A sad day for patients as well. Blessings.Linda L Benskin ; USA

I am offering my sincere condolences !!Setlidz Saint-Louis ; USA

The ETNEP in Taiwan Kai- Li Lee RN, MS, ET. Chi-Mei Medical Center, TWOCNA Executive Committee. Po-Jui Yu RN, MS, PhC, TWOCNA President, Member of the WCET™ Publications & Communications Committee

The ETNEP in Taiwan can be successfully opened in Taiwan in 2010, to be particularly grateful to Michelle Lee and Carmen George’s preparations for the guidance and support. The Taiwan Wound Ostomy and Continence Nursing Association (TWOCNA) was held the opening ceremony of the first and second Taiwan ETNEP Training courses in October 2010 at the Veteran General Hospital in Taipei.

A total of 24 students from many hospitals across the island were accepted into the first two classes of the training sessions. Besides the domestic tutors, Michelle Lee from Hong Kong and Keryln Carville from Australia were invited

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for the theory teaching. Carmen George, the chairperson of WCET™ Education Committee, was invited to evaluate the students’ clinical practice in several hospitals and to deliver special lecture for the closing ceremony.

The third and fourth ETNEP training courses were held at National Taiwan University Hospital in September 2012. There were recruited 28 students. Total 49 ET students completed the theory and practicum. They are not only be able to provide the high quality of practice, and also affect to the colleagues. The competent authority of the hospitals gave a lot of positive response to us. TWOCNA was applied the evaluation of the training program to WCET™ and special thanks to Mr. Pang Chak Hau from Hong Kong completed Site Visits of Taiwan approved by WCET™ Recognition of ETNEP in 2014.

In October 2015, the fifth and sixth ETNEP training course opening ceremonies were held at the Chi Mei Medical Center Auditorium in southern Taiwan, A total of 31 ET students participated in the training course, most of them were wound, stoma, incontinence clinical experience of nursing staff, students from medical centers, regional hospitals, nursing home, long-term care institution, the school teachers, in whole Taiwan. Students were throughout the various medical fields. Taiwan ETNEP was every two years running program (each term at least 6 months), the theoretical course was approximately 16 hours per week for 12 weeks (total 190hrs) and clinical practice of 40 hours per week (Monday to Friday) for 4 weeks (total 160hrs). The courses are rigorous and diverse, includes stoma care, wound care, incontinence care and ethical issues and nursing research courses, class activities including product workshops, evidence-based nursing report, and hospital visits. Clinical practice was performed in six hospitals five days per week for consecutive fourth weeks. Every student had the opportunity to rotate at least three hospitals for the clinical training. Special thanks to Ms. Michelle Lee from Hong Kong, Prof. Keryln Carville from Western Australia, and Ms. Eng Li Kheng from Singapore, Ms. Dawn Ko and Mr. Paris from Hong Kong and Australia to give students valuable and solid teaching content, making learning more diversified.

The medical quality and clinical teaching resources are very important factors in training hospitals. The training hospitals are seven medical centers, they are Linkou Chang Gung Memorial Hospital, Taipei Veterans General Hospital, National Taiwan University Hospital, China Medical University Hospital, Changhua Christian Hospital, Chi Mei Medical Center, Hualien Tzu Chi Hospital. According to the WCET standard, clinical teachers and ET students ratio was one to two. The ET students need to complete 160 hours practice and complete the case study and the proposal of project, in order to achieve clinical training objectives.

The goal of clinical practice is to cultivate students’ attitudes, towards and respecting patients to use communication skills to provide patients and their family’s psychological counseling, to establish good interpersonal relationships and to cultivate a professional, rigorous and realistic, serious and responsible modesty good quality. We enhanced to apply the theory of ostomy, wound and continence to clinical practice. Gradually, the ET students have followed the mentor to improve the ability and independently.

The ETNEP in Taiwan was multidisciplinary learning, we involved social worker and dietitians and psychologist into teaching group. The teachers use role play, group discussion and a series of wound care workshop, products and equipment display and application.

Till nowadays, there are about 100 qualified ET Nurses in Taiwan. while the TWOCNA has trained about 80 ET students. Gradually, are able to contribute their skills, not only to actively promote wound, ostomy and incontinence nursing professional, outstanding performance but also access to all sectors of the attention and response. In the future, we will continue to organize WCET™ approved ETNEP training program in Taiwan to make the greatest effort to promote the quality of wound, ostomy and continence care.

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The first and second training course of Taiwan ETNEP Opening Ceremony at Veteran General Hospital

Ms. Michelle Lee gave lectures to the students.

Ms. Carmen George attending the Closing Ceremony

The third and fourth training course of Taiwan ETNEP Opening Ceremony and Closing Ceremony at National Taiwan University Hospital

Ms. Keryln Carville gave the lectures to the students.

TWOCNA President and Committees welcome the WCET Education Committee

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Mr. Pang Chak Hau Site Visits of Taiwan ETNEP Mr. Pang CH had round table discussion with Students

Mr. Pang CH Site Visit the Clinical practice training hospital with TWOCNA president and committees

The fifth and six training course of Taiwan ETNEP Opening Ceremony at Chi Mei Medical Center

Ms. Keryln Carville (ET) from Australia gave the lectures

Ms. Michelle Lee (ET) from Hong Kong gave lectures Ms. Eng Li Kheng (ET) from Singapore gave lectures

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Mr. Paris (ET) from Australia gave lectures Ms. Dawn Ko (ET) from Hong Kong gave lectures

Above and bottom left: Ms. Keryln Carville provided various teaching in classes

Prof. Jui-Ho Wang (colorectal surgeon) gave lectures

Prof. Yur-Ren Kuo (Plastic surgeon) gave lectures Ms. Kai-Li Lee (ET) gave lectures

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Students practiced after lectures and workshops ETs taught with brilliant lectures.

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Students join the product workshops Students in clinical practice training

Group discussion and teaching in clinical practice training

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Students join the product workshops

Preceptors and students in Chi Mei Hospital ET Room

International speakers with students in the class

The fifth training course of Taiwan ETNEP closing ceremony, and students got WCET certification.

Chi-Mei Hospital consulting group (CPS, PS and NS Drs, ET consultant) met Ms. Keryln Carville and Ms. Yu Po-Jui TWOCNA

president.

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My contribution towards Nursing in the Surgical Ward at the Homabay Country Refferal Hospital, KenyaCaren Kasera, Registered community health Nurse, Stoma Wound and continence Nurse

I am working in female surgical ward for the past five years. The ward has a bed capacity of 33 with average daily admission of 3 patients. The most common condition in the ward are chronic leg ulcers and diabetic foot ulcers which are responsible for considerable distress, inconvenience and expense to those affected.

In September 2016, I admitted a 45 year old patient with a chronic leg ulcer. On taking history, I found out that patient who was widowed with five children and bread winner of the family had been to health facilities several times for the past 2 years with the same condition but had no improvement and her general health deteriorating. In those heath facilities they were using Lysol® for cleaning the wound and dressing with Iodine with no improvement. I took interest in her case because her children would come to the ward after school crying of hunger and begging for food. The surgeon show the patient after admission and recommended amputation, the patient lost hope, I took the case and assured the patient that all will be well.

1st day : wound measured 16 cm long by 12 cm wide by 3 cm deep, peri wound was dark and dry which shows decreased oxygen supply. I cleaned the whole of the affected limb before concentrating on the wound, cleaned the wound using normal saline, removed slough using sharp conservative wound debridement technique, dried and applied Hydrofiber and left the dressing for 4 days.

After 4 days the dressing was removed, the wound was assessed by surgeon who could not believe what he saw as there was minimal slough, oedema was subsiding and the patient could offer a smile. This made the surgical team members to be interested on what was being used and we agreed to use patient as a case study. Baseline investigation were done to rule out other underlying disease this included blood sugar level which was within normal range. HIV was negative, blood slide for malaria parasite was also negative. 2nd dressing: the measurement of the wound were 15 cm by 11cm by 2.5 cm deep. There was slight improvement on the peri wound skin, the affected limb was cleaned. Cleaning the wound with normal saline was done, slough was easily removed and the wound remained clean and red. Hydrofiber was used as a primary dressing then foam dressing as a secondary dressing then crepe bandage was used to support dressing and this will also assist in reducing oedema on the affected limb the dressing was to stay for 7 days unless exudates strike on.

After 7days the patient could walk with assistance the oedema has subsided the whole surgical team were happy and appreciated the use of modern dressing material.

3rd dressing: the wound reduces to 10 cm long by 8 cm wide by 1cm deep. There was no exudates granulating tissues were well marked with epithelization the wound was cleaned with normal saline, applied silver Sulphadiazine cream on the wound apply, a Chlorhexidine Acetate Tulle Gras Dressing as primary dressing, gauze as secondary dressing, then crepe bandage was used to support dressing. Patient improved drastically and he was discharged by surgeon after one month continuing with weekly dressing.

This made the facility to recognize the stoma, wound and continence nurse leading to opening of NURSE LEAD CLINIC manage by the nurse and weekly continue with education on stoma wound and continence to nearby heath facilities appealing to use modern dressing to improve quality of wound care in our health facilities and beyond. as this will lead to unnecessary amputations.

Thanks for the Australian team for the skills and knowledge. I am proud to be Kenyan stoma wound and continence nurse, working at rural health facility in Homabay county, Kenya. My motto is passion persev!

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Improve the Lives of 100 Children with StomaLameck Odero, Managing Director, Nyanyza Kenya Ostomy Association Resurge Children East Africa.

For the past 3 years, we have worked with volunteer pediatric colorectal doctors, stoma nurses to provide free surgeries for children with a stoma. However, many parents go back home with no information on how to give care to their children. Each year we support 100 children who have Posterior Sagittal Anorectoplasty PSARP, stoma closure and various examinations, however parents go home without any knowledge on how to use stoma bags, what to do when their children will have complications like prolaps. These children are near and dear to my heart, for I was an ostomate when was in school.

Last June I raised money through Global Giving to train 100 parents who have stoma children. This training was on stoma management. I then invited the trained parents to help me train other parents, all will come from Kenya.

Kindly, I am asking for any little donation, even $10 will help us reach my goal of $6,000. Also can share with friends of stoma children to support.

The link for project and donation is: https://goto.gg/28270.

Thanks and I am grateful by advance for any help.

Other coming Education EventsWorld Ostomy Awareness Day, October 7Here some events that will run in UK, Canada and USA

Run for resilience Ostomy 5K: https://ostomy5k.org

Canada Ostomy Day: https://www.ostomycanada.ca/event/canada-ostomy-day-2017/

Colostomy day – #Super stoma: http://www.colostomyassociation.org.uk/index.php?p=228&pp=189&page=CA%20Awareness%20Day%20-%204th%20October%202014

And some which deserve attention and show how Society awareness is changing:

http://www.invisiblebodydisabilities.org/

http://www.unsaccodaraccontare.it

https://www.bvmed.de/de/bvmed/mediathek/motive-massstab-mensch

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Some examples of this Advertising Campaign in the underground of Berlin, Germany, seen last June.

Resilience, Self-Esteem, Body Image, Love & Pride

World Wide Pressure Ulcer Prevention Day16 November 2017

In recent years, we have seen ‘Stop Pressure Ulcer Days’ occurring in Spanish-speaking countries and in 2012 these organisations created a Declaration in Rio speaking out against people developing pressure ulcers. In 2017 there will be a Stop Pressure Ulcers to be held on November 16th 2017. The European Pressure Ulcer Advisory Panel applauds the efforts of such events to bring pressure ulcers to the public, the professionals and our politicians. EPUAP has once again decided to join the Stop Pressure Ulcers to help publicise pressure ulcers. To this end we will continue to provide freely available publicity material on our website.

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As a first start we have provided here both the Declaration of Rio and the proposed logo for the Stop Pressure Ulcers

and would be delighted if you also wanted to participate on November 16th 2017 to help bring pressure ulcers to a

wider audience.

HOW CAN YOU GET INVOLVED?• Host educational activities on prevention and treatment of pressure ulcers• Organise awareness raising events to share information about pressure ulcers• Reach out to your local community to inform them about pressure ulcers• Make policy makers aware about pressure ulcers

More information on: http://www.epuap.org/news/stop-pu-2017/, http://www.npuap.org/resources/educational-and-clinical-resources/2017-world-wide-pressure-injury-prevention-day/

Next NPUAP Conference2-3 March 2018 Las Vegas; USA

More Information on : http://www.npuap.org/events/npuap-2018-annual-conference/

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Next WOCN Conference3-6 June 2018 Pennsylvania Convention Center, Philadelphia, PA; USA

WCET™ BullETin is a copyright publication of the World Council of Enterostomal Therapists (WCET™)

WCET™ BullETin Editor: Laurent Chabal, Publications and Communications Chairperson, Switzerland

WCET™ BullETin Assistant Editors: Elizabeth A. Ayello, Vice President, WCET™, USA; Susan Stelton, President, WCET™, USA

Greg Paull, WCET™ Publications and Committee Member, Perth, Australia

Disclaimer: Opinions expressed in the WCET™ BullETin are those of the author(s) and not necessarily those of the World

Council of Enterostomal Therapists, the BullETin Editor or BullETin Assistant Editors.

More information on: http://www.wocn.org/page/annual_conference