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ANNE ARUNDEL COUNTY MARYLAND
OSTOMY ASSOCIATION, INC. P.O. BOX 847
GAMBRILLS, MD 21054
OFFICERS President: Stan Baker 410-672-5219
958 Fall Ridge Way Gambrills, MD 21054
Vice President Paul Rossi Secretary Mary Keller Treasurer Lyn Rowell 410-672-6983 Webmaster: Janice Winters
BOARD OF DIRECTORS Allyn Mellits Joan Gardner Sandi Burnett Bob Keller
OSTOMY ADVISERS: Joyce Onken BSN, RN, CWOCNLead Inpatient Wound Ostomy Nurse AAMC
We’re on the Web! www.annearundelostomy.com Volume 45 Number 5 February 2018
Thank you Anne Arundel Medical Center for printing our newsletter.
Note:Meetingsareheldat7:30pm,thefirstThursdayofeachmonthattheBelcherPavilionatAnneArundelMedicalCenterinAnnapolis.Fromthe2ndflooroftheparkinggaragetaketheentranceintotheBelcherPavilionandonceinsidetaketheelevatortothe7thfloorandcheckwiththedeskfortheroomnumber.
If AA County Schools are closed due to inclement weather, there will be NO MEETING.
UPCOMINGMEETINGS
February1st–Dr.Kahan,PainManagementMarch1st–Dr.CarolTweed,Hematologist&
OncologistApril5th–ToBeAnnounced
The Anne Arundel County, Maryland, Ostomy Association, Inc. (AACOA) is a non-profit, volunteer-basedorganizationdedicatedtoprovidingreassuranceandemotionalsupportforpeoplewhohavehadorwillhavesomekindofostomysurgery,suchasacolostomy,ileostomy,urostomy(urinarydiversion)oracontinentprocedure.ThegoaloftheAACOAistoprovidemoralsupport,information,andeducationtopeoplewithostomiesandtheirfamiliesandfriends.MembersreceiveTheRamblingRosebudnewslettermonthly.DUESare$15pleasemakecheckouttoAACOAandmailtoAACOA,POBox847,GambrillsMD21054-1454
MembershipApplicationPleasePrint
FullName_______________________________________________________________________________________________________________________________
Last FirstM.I.Address:_____________________________________________________________________________________________________________________StreetAddress Apartment/Unit#_____________________________________________________________________________________________________________________
City State ZipCodePhone:()DateofBirth:Gender:
EmailAddress_____________________________________________________________________________________________________________
Reasonforsurgery:____Crohn’s____UlcerativeColitis_____Cancer_____Other__________________________
Emergencycontactifweareunabletoreachyou:______________________________________________________________________Whattypeofsurgeryhaveyouhad?
☐Colostomy ☐Urostomy ☐Spouse/FamilyMember☐Ileostomy ☐Parentofchildwith ☐Other(pleasespecify) Howdidyouhearaboutus?
☐InternetSearch ☐ET/WOCNNurse ☐Other ☐Hospital ☐Physician
2017-2018
As the winter months descend upon us, snow and ice are likely to occur in our area. If you have an ostomy,
you might find these tips helpful in feeling prepared when unexpected weather events occur: • Always have a 7-10 day supply of medications and ostomy supplies available in your home.
• Do not keep ostomy care products outside or stored in your car, they can freeze!
• Stay hydrated! Make sure you have enough clean drinking water on hand for at least five days.
• For dietary needs, keep non-perishable, ostomy-friendly foods on hand with your emergency supplies.
• Disposable lanolin-free cleansing wipes are acceptable alternatives if you don’t have access to running
water. Keep them with your emergency supplies.
• Consider warming your ostomy wafers/pouches under your arm or in warm hands if your in a cold
environment when changing the appliance
• Keep a copy of your prescriptions, name and order numbers of your ostomy products, healthcare
provider contact information , and medical insurance information with your emergency/back up
supplies.
• Review your emergency preparedness plan with your family and friends. Having a support system in the
event of winter weather will give you additional peace of mind.
Have more questions about planning for winter weather? Or for any ostomy-related issues, call us at 410-773-
0300.
Colleen, Joan, and Sue
Adapted from ConvaTec publication 2017
Schedule Your Ostomy Consultation Today!
p. 410-773-0300 (x3) f. 410-773-0302
Austin Pharmacy & Medical Supplies Baltimore
6729 York Rd Towson
901 Dulaney Valley Hunt Valley
10757 York Rd
February2018 TheRamblingRosebud
4
PRESIDENT’SMESSAGE Nowthatwinterisover…Oops!That’snotforanothertwomonths.Withwhatwe,andtherestofthecountry,havebeenthroughforthepasttwoweeks,itseemsasifwintershouldbelonggone.However,wehaven’tevengottentoPunxsutawneyPhilyet.AsIwritethis,that’sstillthreeweeksaway.Ihopeyou’veheldupdespitetheharshcoldandbitterwinds.Formypart,IwasreadyforspringatthebeginningofNovember.
ThespeakerforthismonthisBrianS.Kahan,OD,oftheKahanCenterforPainManagementatAAMC.Inkeepingwiththetenorofthetimes,hewillbediscussingtheuseofmedicalcannabis,ormorecommonlymedicalmarijuana.Ifyouaresomeonewhoexperienceschronicpain,hispresentationshouldbeveryworthwhile.(WhenIspoketohimaboutbeingourspeaker,hesaidhewouldmostlikelyhavesomehandoutsforourmembersandguests,buthewasnotgoingtohavesamples.)
ManyofyourespondedtothecardwhichSandisentsolicitingyourinputonwaystoimproveourAssociation.Ifallgoeswell,we’llbeabletodiscusssomeofthepreliminaryreturnsattheFebruarymeeting.FromtheresultsofthefirstreportshesenttomembersoftheBoard,doctorsandnursesarethevastpreferenceforspeakersatourmeetings.
SeeyouareourmeetingonFebruary1st.Takecare.Staywarm.Besafe.
Stan
Items from this newsletter may be reprinted in other ostomy newsletters, provided proper credit is given as to source of material.
OSTOMY ADVISORS FOR STOMA HELP To consult with one of the ETs below, a physician’s referral is necessary and a fee will be charged. Call for an appointment.
BALTIMORE WASHINGTON HOSPITAL 410-787-4578
ANNE ARUNDEL MEDICAL CENTER Michelle Perkins, RN, BS, CWON
Jenn Davis, RN, BS, CWON Anne Fischer, RN, BS, CWON Joyce Onken, RN, BS, CWON
Sarah McClain, RN, BS, CWON Email [email protected]
443-481-5508 / 443-481-5177 Private Consultants
Joan M. Sullivan, MAS, RN, CNA, CWOCN 410-932-7312
The Ostomy Nurses at Austin Pharmacy 410-773-0300
No referral necessary ($40 consultative fee)
UPCOMING MEETINGS February: Dr. Kahan, Pain Management March – Dr. Carol Tweed, Hematology & Oncology April - WOCN Presentation – Skin Management Rescheduled from January
THE MID-ATLANTIC’S LARGEST OSTOMY DEALER
We have a dedicated group of Ostomy Supply Service Professionals that are committed to keeping you in your active lifestyle. Northern Pharmacy and Medical Equipment has an attentive staff that cares about your quality of life. Make us your first step in getting back to life as it was meant to be. After all
“We’ve been here for over 75 years, there must be a reason!”
Our Ostomy Department provides a full range of comprehensive services and quality products from trusted brands you can rely on.
WE OFFER: x� Delivery anywhere in the United States x� Free delivery available x� Next day delivery is available x� Large inventory of ostomy & wound care
supplies in stock (we stock an inventory of over 5,000 boxes of supplies)
x� Customized hospital and clinic service plans available
x� In-house Medicare and insurance billing specialists
x� Personalized pharmacy/medical supply specialist available
x� Easy ordering by fax, phone, online, or in-person.
x� Toll Free 24 hour hotline x� Acceptance of all major credit cards
Northern Pharmacy and Medical Equipment 6701 Harford Rd, Baltimore, MD 21234 Harford Rd & Northern Parkway www.NorthernPharmacy.com
SPEAK DIRECTLY TO OUR OSTOMY SUPPLY MANAGER: AARON SACCO Phone: (410) 254 2055 x260 Fax: (443) 740 9297 [email protected]
February2018 TheRamblingRosebud
6
UROLITHIASISbyA.Trudeh,RNET,Lexington;viaWorcester(MA)NewDiversions
Urostomates, ileostomates and transversecolostomates have one thing in common:continuous output with a loss of fluids. If theliquid intakedoesnotexceedtheoutput, theseostomates may be dehydrating their bodies,making themselves prone to a condition called"urolithiasis," which refers to the presence ofstonesintheurinarysystem.
Thesestonesmaybe foundanywhere fromthekidney to the bladder. They vary in size frommeregranulardeposits,calledsandorgravel,tobladder stones the size of an orange. In themajority of stones, 90% are composed ofcalcium, with 5-8% uric acid and 1-3% cystineaccountingfortherest.
Conditions which predispose to stoneformation are: (1) infection, (2) periods ofimmobility, (3) concentrated urine, (4)abnormallyhighconcentrationofcalciumintheblood,(5)heredityand(6)dehydration.
If you were to develop urolithiasis, thesymptoms you may experience are: (1) lowbackpainand/orsevere,sharppaininthelowerback radiating to the groin; (2) chills, fever; (3)difficultyorburningwithurination; (4)blood intheurine;(5)nausea,vomitinganddiarrhea.Seeyourphysicianas soonaspossible if anyof theabovesymptomsappear.
Measurestopreventstoneformationare:drink2to3liters(quarts)offluiddaily--preferablywaterandjuices.Includeacidicjuicessuchascranberrytomaintainacidurinewhichhelpspreventinfection.Urinateduringthenightifnecessary.Exercisedaily.Usecautionwithfoodscontainingcalcium.Sinceacertainlevelofcalciumisrequiredforgoodhealth,restrictyourdietonlywiththeadviceofaphysician.
WhyDoesn’tMyTapeStayStuck?FromNorthCentralOklahomaOstomyOutlook&JacksonvilleFLMailbag:
Thisquestionisoftenaskedbecausenonstickingtapecanleadtosomeratherembarrassingsituations.Usuallyitisnotthefaultofthetapeitself.Manufacturersgenerallyproduceaprettyreliableproductthatdoesitsjob...providingthe“workingconditions”areproper.Andthereisthe“rub”–theworkingconditions!Herearesomenonos.
Moistureontheskin:Tapewillnotstickproperlyifthereismoistureontheskin.Afterwashing,drytheskinwithahairdryer—towelsmayleaveyourskindamp.
Insufficientapplicationpressure:Inordertostick,pressuremustbeapplied,particularlyattheedges.Water-solubleforeignmatterontheskin:Suchasresidualsoap,skinprep,driedperspirationormucus.Perspirationandmucusshouldbewashedoffwithwater.Ifwipedoff,athincoatingofdriedmatterisleftontheskin.Stomaloutputorperspirationwilldissolvethisfilmandunderminetheadhesive.
Touchingtheadhesivebeforeapplication:Moisture,skincellsandothermaterialtransferfromyourfingersandreduceadhesion.
Loosesolidparticlesontheskin:Suchaspowder,flakyskinoranoverabundanceofdeadskincells.Thebestremedyistostickdownandpeelofftapebeforeapplyingadressing,thusremovingtheloosematerial.
Subjectingtheadhesivebondtostressimmediatelyafteradressingisapplied:Ittakestimefortheadhesivetoflowintothemicroscopicirregularitiesoftheskinand
Happy Valentines Day
February2018 TheRamblingRosebud
7
develop100percentcontactandmaximumadhesion.
Stretchingoftheskinundertheadhesivearea:Adhesiveswillreleasewhenthesurfacetowhichtheyareattachedisstretched.Ifyourdressingalwayscomeslooseinthesameplace,chancesarethatyournormalbodymovementsarestretchingtheskinatthatpoint.Youmighttrytostabilizetheskinbyapplyingaone-inch(ormore)widetapebeyondtheedgeofthedressing.
Lowsurfaceenergyleveloftheskin:Adhesiveswillonlysticktosurfacesthathaveahighersurfaceenergylevelthantheadhesive.Averyhighlevelresultsinapermanentbond;nearlyequallevelsproduceaveryweakornobond.Oilsandwaxymaterials,includinglotions,mineraloilandmoisturizingsoaps,suchasDove,areabsorbedbytheskin,makingitniceandsoft,butalsoreducingthesurfaceenergyoftheskintoapointwherelittleornoadhesionresults.
Sometimesamoreaggressiveadhesiveisrequired:Thebandageorfoamtapesshouldbeusedinsuchcases.
Amajorityofallegedtapeadhesionproblemsarereallyduetophysicalskininjury:Theskinconsistsoftwolayers,theepidermis(outerlayer)andthedermis(innerlayer).Ifthetapeisplacedontheouterlayerwithtension,theconstantpullontheouterlayercancauseastraininthebondwiththelowerlayer,inducingirritationorcausinganactualseparation,formingblisters.Thesameeffectwillalsotakeplaceifswellingoccursafteranadhesivebackedpouchisinplace.Topreventthistypeofinjury,gentlyplacethetapewithouttensionandthenpressdownwithfirmrubbingmotion.
Skindamagemayalsobecausedbyrapidremovalofadhesivetapes.Ifyoupickupacornerofthetapeandpushtheskinawayfromtheadhesive,skintraumaisreduced
substantially.
Rednessoftheskinmayalsobecausedbychemicalirritantsthataretrappedbetweentheadhesiveandtheskin.Usuallytheirritantisresidualsoap(Ivoryisaknownoffender),skinprepsthatarenotcompletelydry,deodorants,antisepticsandotherouterskincoatingssuchaslotionsandsunscreens.
Chemicalsubstancesfromwithinthebodymayalsocauseirritation.Whenthesebyproductsaretrappedundernonporoustape,theincreasedconcentrationattheskinsurfacemaycauseaproblem.Anothercauseofskinirritationmaybesmallquantitiesofpouchcontentsontheskinthatarenotremoved.Theenzymespresentwithanileostomydonotknowthedifferencebetweenyouandapieceofsteak.Withaurostomy,alkaline(highpH)urinedoesthemostdamage.Certainfoods,suchascranberryjuice,maylowerthepHandminimizetheproblem.Ifskinprepisusedforprotection,besureitisnon-watersoluble.
Remember the person in the mirror has come through so much so be kind to yourself.
A.A.C.O.A. P.O. BOX 847 GAMBRILLS, MD 21054