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SEPTEMBER 2016 VOLUME 27, ISSUE 2

The Canadian Association for Enterostomal Therapy

Courtesy: E. Vestal

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SEPTEMBRE 2016 VOLUME 27, PUBLICATION 2 PM42202514

Association Canadienne des Stomothérapeutes

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The LINK, the official publication of the Canadian Association for Enterostomal Therapy (CAET) is published three times a year. It is indexed in the Cumulative Index to Nursing and Allied Health Literature (CINAHL) database.

SEPTEMBER 2016 • VOLUME 27, ISSUE 2

The LINK accepts contributions in the form of professional news, research projects and findings, clinical papers, case studies, reports, review articles, questions for clinical corner, and letters to the editor. Advertising and news from industry are also welcome. The deadline for submissions to the next edition of The LINK is September 10th, 2016. La revue Le LIEN est une publication officielle de l’Association canadienne des stomothérapeutes publiée trois fois par année et indexée dans la banque de données «Cumulative Index to Nursing and Allied Health Literature». Le LIEN accepte toute contribution sous les formes suivantes: nouvelles professionnelles, projets de recherches, études cliniques, études de cas, rapports, revues d’articles, questions destinées à la section clinique et lettres à l’éditeur. Les publicités et nouvelles de l’industrie sont aussi les bienvenues. La date limite pour la soumission d’un écrit à paraître dans le prochain numéro de Le LIEN est le 10 septembre 2016. For further information or to submit content/ Pour de plus amples renseignements ou pour soumettre un écrit, veuillez contacter: Tel: 1-888-739-5072 Email: [email protected]

CONTENTS HIghlights MATTEO’S MASTERPIECE: AN EDUCATIONAL STRATEGY TO SUPPORT CLASSROOM ACCEPTANCE OF A CHILD WITH AN UROSTOMY BY: CATHERINE HARLEY RN, EMBA, EXECUTIVE DIRECTOR OF CAET

Regular Features

The LINK is published by Clockwork Communications Inc. on behalf of CAET. Clockwork Communications Inc. PO Box 33145, Halifax, NS, B3L 4T6 Tel: 902.442.3882 Fax: 888.330.2116 www.ClockworkCanada.com Managing Editor: Deborah McNamara Art Director: Sherri Keenan Translator: Jocelyne Demers-Owoka Please forward any changes in membership status or address to: Noëlla Trudel Tel: 1-888-739-5072 Fax: 613-834-6351 E-mail: [email protected] Website: www.caet.ca/membership.htm ISSN 1701-2473 Publications Mail Agreement No. 42202514 Return Undeliverable Canadian Addresses to 66 Leopolds Drive, Ottawa, ON, K1V 7E3 [email protected]

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CAET PRESIDENT’S MESSAGE Submitted by: Rosemary Hill, RN, BSN, CWOCN, CETN(C), CAET President. [email protected]

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s we step into the season of change this September I too am on a changing journey as I join the Board of CAET as its President. I have been a nurse for over 30 years and an Enterostomal Therapist since 2004. I work at Lions Gate Hospital, part of the Vancouver Coastal Health Authority, in beautiful British Columbia. I am fortunate to be able to work with patients in varied areas including acute care, outpatient, and rural settings while offering support and teaching to the health care team in the remote communities of Bella Bella and Bella Coola. I am passionate about collaboration with others and, in particular, about the role of an ET. I look forward to offering my support for the innovative strategies and ongoing educational activities being developed and implemented by the Board and the Core Program Leaders of CAET. One such new initiative is the CAET Leadership Program, offered through the CAET Academy, which I just completed. The program gave me great new information regarding leadership within the Canadian healthcare system. This course offers coaching sessions, provides a comprehensive 360 Evaluation and is available to give support for a project that can transform your practice. The next cohort for this excellent leadership program will start May 25, 2017. I urge you all to consider taking this program.

If you have any queries about this program, or how to apply, please visit www.caet.ca (under programs) or feel free to email me at the address at the top of this page. The CAET Board and Core Program Leaders have experienced some recent changes. We say ‘au revoir'to Paulo DaRosa, our outgoing President, who has completed his term but will continue to support CAET through contributions to the database and website. We also welcome Dr. Christine Murphy, of Ontario, as our President Elect. I look forward to working with her throughout my term and I appreciate the benefit of her knowledge and experience related to conducting research. Outgoing volunteers include Jean Brown who has, over the years, devoted many hours to the CAET including her most recent role as Core Program Leader for Informatics and Research. We wish Jean well as she settles into retirement and we thank her for the enormous amount of time and energy she has devoted to CAET. Karen Napier has been appointed as the new leader for this core program. Laureen Sommerey has also been appointed as the new Core Program Leader for Professional Development & Practice and we thank outgoing leader Mary Mark for all her hard work in this role. Mary is not leaving the Board

We say ‘au revoir'to Paulo DaRosa, our outgoing President, who has completed his term but will continue to support CAET through contributions to the database and website. 4

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however – she will step in to the role of Regional Director for the Prairies/NWT/NU. We bid a fond farewell to Lina Martins who has now completed her four-year term as Executive Secretary. She has been a guiding compass for myself and all of us on the Board. She always had information at her fingertips and a comprehensive understanding of all the activities of the association. We will still be in close connection with Lina as she is taking on the role of Canadian Editor of JWOCN. We welcome Marilyn Langlois, from BC, as our new Executive Secretary. Our Treasurer position has also experienced changed with Elise Rodd stepping down in the Spring of 2016 in order to take on some challenging new positions in beautiful BC. Deb Cutting has been appointed in to this role and, thanks to her previous experience, as Treasurer for CAET, it was a very smooth transition. Finally I wish to extend a special thank you to Mary Hill, the Core Program Leader of the National Conference Planning Committee, for this year’s very successful joint conference, with WOCN, in Montreal! All attendees thoroughly enjoyed the experience and everyone seemed to appreciate the innovative learning opportunities and superb presenters. Looking forward to experiencing everything her team will offer in the “Forest City” of London, ON, from May 25 to 28, 2017. cd

MEMBERSHIP COMMUNIQUÉ

MESSAGE DU PRÉSIDENTE DE CAET Soumis par : Rosemary Hill, inf., B.Sc.Inf., stomothérapeute certifiée, ICS(C), présidente de l’ACS [email protected]

lors que nous entamons la saison des changements en ce mois de septembre, je ne fais pas exception à la règle, car je suis aussi dans une période de changements : je me joins au conseil d’administration de l’ACS à titre de présidente. Je suis infirmière depuis plus de 30 ans et une stomothérapeute depuis 2004. Je travaille à l’hôpital Lions Gate, qui fait partie du Vancouver Coastal Health Authority, dans la merveilleuse province de la Colombie-Britannique. J’ai la chance de pouvoir travailler avec des patients dans différents milieux, notamment en soins actifs, en consultation externe et en milieu rural tout en offrant du soutien et de la formation à l’équipe de soins de santé des communautés éloignées de Bella Bella et de Bella Coola. La collaboration avec les autres me passionne, surtout lorsqu’elle porte sur le rôle des stomothérapeutes. Je suis impatiente d’offrir mon soutien pour les stratégies novatrices et les activités éducatives élaborées et mises en œuvre par le conseil d’administration et les leaders des programmes de base de l’ACS.

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L’une de ces nouvelles initiatives est le programme de leadership de l’ACS, offert par le biais de l’Académie de l’ACS, que je viens de terminer. Le programme m’a donné d’excellents nouveaux renseignements concernant le leadership au sein du système de soins de santé du Canada. Ce cours propose des séances d’encadrement, fournit une évaluation approfondie et est très utile pour appuyer un projet pouvant transformer votre pratique. La prochaine cohorte pour cet excellent programme de leadership commencera le 25 mai 2017. Je vous conseille vivement de vous inscrire à ce programme. Pour toute question concernant ce programme ou la 6

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façon de vous y inscrire, veuillez visiter www.caet.ca (sous l’onglet Programmes) ou n’hésitez pas à m’envoyer un courriel à l’adresse indiquée en haut de cette page. Le conseil d’administration et les leaders des programmes de base de l’ACS ont vécu quelques changements dernièrement. Nous disons au revoir à Paulo DaRosa, notre président sortant, qui a terminé son mandat, mais qui continuera d’appuyer l’ACS grâce à ces contributions à la base de données et au site Web. Nous accueillons également la Dre Christine Murphy, de l’Ontario, en tant que présidente élue. J’ai hâte de travailler avec elle durant mon mandat et je suis consciente des avantages que m’apporteront ses connaissances et son expérience dans le domaine de la recherche. Parmi les membres sortants du conseil d’administration, notons, Jean Brown qui, au cours des années, a généreusement donné de nombreuses heures à l’ACS, y compris plus récemment lorsqu’elle a occupé le rôle de leader du programme de base en informatique et recherche. Jean, nous te souhaitons une bonne retraite et nous te remercions pour tout le temps et toute l’énergie que tu as donnés à l’ACS. Karen Napier a été nommée comme nouvelle leader pour ce programme de base. Laureen Sommerey a aussi été nommée leader du programme de base en perfectionnement professionnel et pratique et nous remercions la leader sortante Mary Mark pour tout son travail dans ce rôle. Mary ne quitte toutefois pas le conseil d’administration, car elle assumera le rôle de directrice régionale pour les Prairies/les T.-N.-O. et le Nunavut.

Nous faisons également nos adieux à Lina Martins qui a terminé son mandat de quatre ans en tant que secrétaire de direction. Elle a été pour moi et pour nous tous au sein du conseil d’administration un compas. Elle possédait toujours de l’information à portée de mains et une compréhension approfondie de toutes les activités de l’association. Nous continuerons de collaborer étroitement avec Lina, car elle assumera le rôle de rédactrice en chef canadienne du JWOCN. Nous souhaitons la bienvenue à Marilyn Langlois, de la C.-B., notre nouvelle secrétaire de direction. Notre poste de trésorière a aussi connu des changements : Elise Rodd a quitté au printemps 2016 afin d’assumer de nouveaux postes plein de défis dans la merveilleuse province de la C.-B. Deb Cutting a gentiment endossé ce rôle et, grâce à son expérience antérieure en tant que trésorière de l’ACS, la transition s’est faite en douceur. Enfin, je tiens à remercier chaudement Mary Hill, la leader du programme de base du comité pour la planification des conférences nationales, pour le succès qu’a connu la conférence commune avec le WOCN de cette année, à Montréal! Tous les participants ont vraiment aimé leur expérience et tout le monde a semblé apprécier les occasions d’apprentissage novatrices et les excellents conférenciers. Je suis impatiente de connaître tout ce que son équipe nous réserve pour London, ON, la « ville des forêts » où la conférence aura lieu du 25 au 28 mai 2017. cd

MEMBERSHIP COMMUNIQUÉ

EXECUTIVE DIRECTOR’S REPORT Submitted by: Catherine Harley, RN, eMBA, CAET Executive Director. [email protected]

Collaboration and Coalitions – Working Together to Make a Difference

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e cannot accomplish all that we need to do without working together. Collaboration is a joint effort of multiple individuals or working groups to accomplish a task or project. In the non-profit sector, collaboration generally includes things like information sharing, program coordination, and joint planning. Two or more organizations get together, have a limited interaction, and achieve a mutually beneficial goal (like jointly planning an event or learning from each other).

A fantastic example of collaboration was the recent joint CAET/WOCN conference where the two organizations worked together to deliver an outstanding educational event. We have also seen collaboration between the CAET and Ostomy Canada Society when we formed a task force to tackle the issue of the reimbursement of ostomy supplies in provinces across Canada. The work began with Ontario and we have, in 2016, continued this collaboration by working to raise awareness about the need for reimbursement in the Atlantic provinces. This has been supported by the CAET Advocacy Core Program (led by Kimberley LeBlanc). Another recent CAET collaboration was with the International Skin Tear Advisory Panel (ISTAP) that became an Official Interest Group, within CAET, in April 2016. CAET and ISTAP will work together to improve awareness about skin tears, provide assessment tools, and support research initiatives. 8

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It is amazing what we can accomplish when we are in it together!

Another way of combining strengths is through a coalition formed for a specific common goal. Organizations come together, share responsibilities, and may then disband after achieving their goals. Coalitions are generally brought in to existence in order to bring broader attention and action to a large goal that affects many stakeholders and the pooling of strengths allows a group to reach more people, access greater resources, and bring different perspectives to the strategy. CAET’s involvement in coalitions includes Wound Care Alliance Canada. This coalition brought together provincial organizations and other stakeholders, with an interest in improving wound care for Canadians, to share best practices and work toward the vision of a national Wound Innovation Center of Excellence. There are also CAET Core Programs that bring people together within the association to work on projects and learn together. Among recent accomplishments are that of the Professional Development and Practice group that recently launched the 2nd Edition CAET Standards for Enterostomal Therapy Nursing

Practice. This document is available on the CAET website under programs at www.caet.ca. Thank you to Mary Mark and her team for all of the hard work put into this document. This group’s work will be continued by the new Core Program Leader Laureen Sommerey. The Informatics and Research Core Program, under the direction of Jean Brown, launched the revision of the Enterocutaneous Fistula Best Practice Recommendations and this committee (under the new direction of Karen Napier) will complete this over the next year. The National Conference Planning Core Program, led by Mary Hill, is diligently working on the planning of the 2017 CAET National Conference. The event’s theme is Patient Centered Care – Growing Stronger Together and it will take place in London, ON, from May 25 to 28. It is amazing what we can accomplish when we are in it together! We would welcome you as a part of these CAET teams – if you are interested in participating in a project please e-mail me at the address at the top of this page. cd

MEMBERSHIP COMMUNIQUÉ

RAPPORT DE LA DIRECTRICE GÉNÉRALE Soumis par : Catherine Harley, IA, M.B.A. pour cadres, directrice générale de la CAET. [email protected]

Collaborations et coalitions – travailler ensemble pour faire une différence ous ne pouvons pas accomplir tout ce que nous avons à faire sans travailler ensemble. La collaboration se définit par les efforts communs de plusieurs personnes ou groupes de travail pour accomplir une tâche ou un projet. Au sein du secteur à but non lucratif, la collaboration inclut généralement des choses comme le partage de l’information, la coordination des programmes et la planification commune. Deux organismes ou plus se rassemblent, interagissent de façon quelconque et atteignent un objectif bénéfique pour les deux (comme planifier ensemble un événement ou apprendre l’un de l’autre).

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La dernière conférence commune de l’ACS et du WOCN est un excellent exemple de collaboration. Lors de cette conférence, les deux organismes ont uni leurs forces pour offrir un remarquable événement éducatif. Nous avons également vu une collaboration entre l’ACS et la Société canadienne des personnes stomisées, lorsque nous avons formé un groupe de travail afin d’aborder le problème du remboursement des fournitures de stomie dans les provinces à travers le Canada. Le travail a commencé en Ontario et, en 2016, nous avons poursuivi cette collaboration en travaillant ensemble pour sensibiliser les provinces de l’Atlantique au remboursement. Ce travail a été appuyé par le programme de base Défense des droits de l’ACS (dirigé par Kimberley LeBlanc). Une autre collaboration récente de l’ACS a été avec le International Skin Tear Advisory Panel (ISTAP) (Comité consultatif 10

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international sur les déchirures cutanées) qui est devenu un groupe d’intérêt officiel, au sein de l’ACS, en avril 2016. L’ACS et ISTAP travailleront ensemble pour accroître la sensibilisation au sujet des déchirures cutanées, pour fournir des outils d’évaluation et pour appuyer les initiatives de recherche. Une autre façon d’unir nos forces consiste à former une coalition en vue de parvenir à un objectif commun précis. Les organismes s’unissent, partagent les responsabilités et peuvent alors se séparer après avoir atteint leurs objectifs. Les coalitions voient généralement le jour dans le but d’attirer plus d’attention et de générer plus d’actions à l’égard d’un important objectif qui touche plusieurs intervenants. Ce bassin de forces permet à un groupe de rejoindre plus de personnes, d’avoir accès à plus de ressources et de proposer différents points de vue pour la stratégie. L’ACS fait partie de l’Alliance canadienne en soins des plaies (Wound Care Alliance Canada). Cette coalition a rassemblé des organismes provinciaux et d’autres intervenants, qui s’intéressent à l’amélioration du soin des plaies pour les Canadiens, afin qu’elles partagent les pratiques exemplaires et qu’elles travaillent pour développer une vision en vue du développement d’un Centre d’excellence national pour l’innovation dans le domaine des plaies. Les programmes de base de l’ACS rassemblent également des personnes au sein de l’association afin de travailler sur des projets et d’élargir ensemble leurs connaissances. Parmi les récentes réalisations, le groupe Perfectionnement

C’est incroyable ce que nous pouvons accomplir lorsque nous collaborons! professionnel et pratique a lancé tout dernièrement la 2e édition des Normes de l’ACS pour la pratique des soins en stomothérapie. Ce document peut être consulté sur le site Web de l'ACS à www.caet.ca, sous l'onglet Programmes. Nous tenons à remercier Mary Mark et son équipe pour tout le travail consacré à ce document. La nouvelle leader de ce programme de base, Laureen Sommerey, poursuivra le travail de ce groupe. Le programme de base Informatique et recherche, sous la direction de Jean Brown, a lancé la version révisée des Recommandations de pratiques exemplaires en matière de fistules et ce comité (dont la nouvelle leader est Karen Napier) terminera ce travail au cours de la prochaine année. Le programme de base Planification des conférences nationales, dirigé par Mary Hill, travaille activement à planifier la Conférence nationale 2017 de l’ACS. Le thème de l’événement est Des soins axés sur le patient – Devenir plus forts ensemble et aura lieu à London, ON, du 25 au 28 mai. C’est incroyable ce que nous pouvons accomplir lorsque nous collaborons! Vous êtes les bienvenus au sein de ces équipes de l’ACS! Si vous souhaitez participer à l’un de ces projets, n’hésitez pas à m’envoyer un courriel à l’adresse en haut de cette page. cd

CAET ACADEMY

CAET ACADEMY DIRECTOR’S REPORT Submitted by: Virginia McNaughton, BA, MPA, RN, CETN(C), Director of the CAET Academy [email protected]

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t was such a pleasure meeting and talking to so many CAET members and ETNEP students at the CAET/WOCN conference in Montreal in June.

Medical for their support. It is never too early to review the criteria to apply for these awards. We urge you to apply!

This year’s CAET Academy Soirée had record attendance! Even without our usual chocolate fountain there was lots of networking, swapping of stories, and laughter throughout the evening. If you are affiliated with the CAET Academy, in any way, please plan to attend next year’s event. It promises to be even better!

This year I had the chance to work with the CAET Board and the Executive Director to take a detailed look at the CAET Academy programs and operations. Our faculty, both academic and clinical, is our most valuable resource. The quality of our preceptors and the length of the Preceptorship distinguish us from other programs. By the time ETNEP students graduate they have had the opportunity to put their new knowledge into practice in a safe environment guided by many of you who are their preceptors. All CAET preceptors volunteer their time. Going forward we will ensure that our entire faculty is recognized in tangible ways.

We held our first CAET Academy Awards Ceremony at this year’s soirée. Please see page 41 for information about the awards and their recipients. We are so proud of our winners and sincerely thank our sponsors ConvaTec, IDEAS, and Nightingale

We have waitlists for ETNEP. We will, as a result, review and revise our admission process and develop ways to manage these waitlists in a fair manner with recognition given to the fact that those applicants with a job waiting need to be given priority.

I attended many interesting and groundbreaking presentations and the posters were outstanding. There is so much new in the world of ET Nursing and the opportunities to learn and grow never stop!

We will continue to focus on academic excellence to ensure that our students are well prepared to be leaders in wound, ostomy and continence nursing. 12

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We will continue to focus on academic excellence to ensure that our students are well prepared to be leaders in wound, ostomy and continence nursing. We are currently seeking ET Nurses who are interested in joining the academic and clinical faculty. If you would like to know more please contact me at the email at the top of this page. We have updated the ETNEP textbooks to include the WOCN Core Curriculum series. Please check out these excellent books and receive a discount from the publisher at http://lb.ca/cgi-bin/cgiwrap/ bookshelf?/Z3023L8 CAET members are looking for educational opportunities too! Dr. Chris Murphy, CAET President Elect, will kick off the CAET Academy Webinar Series September 6 at 7:30 pm Eastern Time. Check the CAET Academy website for details. If you would like to provide a webinar, on a topic that is of interest to you, please contact me. If you are new to public presenting we will help you! This is a terrific opportunity to practice your presentation skills in a positive and supportive environment. I would love to hear from you, please contact me anytime! Wishing you all a wonderful Fall. Be safe! cd

CAET Executive President: Rosemary Hill President-Elect: Chris Murphy Past President: Paulo DaRosa Secretary: Marilyn Langlois Treasurer: Deb Cutting Executive Director: Catherine Harley

Regional Directors BC/Yukon: Teresa Stone Prairies/NT/Nunavut: Mary Mark Ontario: Donna Fossum Québec: Nevart Hotakorzian Atlantic: Kathy Mutch

CAET Staff

Core Programs Informatics and Research: Karen Napier Marketing: Susan Mills-Zorzes National Conf. Planning: Mary Hill Political Action: Kim LeBlanc Professional Development & Practice: Laureen Sommerey

CAET/JWOCN Editorial Board

Membership Coordinator: Noëlla Trudel Webmaster: ImaginationPlus Bookkeeper: Clare Business Services

CAET Academy Director: Virginia McNaughton Office Coordinator: Suzanne Sarda IT Support: Linda Forster Academic Advisors: Gail Creelman, Deb Cutting, Mary Engel, Melanie Fauteux, Marilyn Langlois, Toba Miller, Nancy Parslow, Dorothy Phillips, Barb Plumstead, Louise Samuel, Louise Turgeon. Preceptor Coordinator: Nicole Denis

Features Editor: Lina Martins BC/Yukon: Kim LeBlanc Prairies/NWT: Mary Hill Ontario: Lina Martins Québec/Atlantic: Louise Forest Lalande

CAET Ad Hoc Committees Bylaws Chair: Vivien Wass Nominations Chair: Lani Williston

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RAPPORT DE L’ACADÉMIE DE L’ACS Soumis par : Virginia McNaughton, IA, B.A., MPA, ICS(C), directrice de l’Académie de l’ACS [email protected]

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’est avec grand plaisir que nous avons rencontré et que nous avons discuté avec un grand nombre de membres de l’ACS et d’étudiants du Programme de formation infirmière stomothérapeute (PFIS) lors de la conférence de l’ACS et de la WOCN, à Montréal, en juin dernier.

J’ai assisté à plusieurs présentations intéressantes et révolutionnaires et les affiches étaient remarquables. Il y a tellement de nouveautés dans le monde de la stomothérapie et les occasions d’apprentissage et de perfectionnement sont constamment présentes! Cette année, la soirée de l’Académie de l’ACS a attiré un nombre record de participants! Même sans notre fontaine de chocolat habituelle, la soirée a permis de faire du réseautage, d’échanger des anecdotes et de s’amuser. Si vous êtes affiliés à l’Académie de l’ACS de quelle que façon que ce soit, veuillez prévoir d’assister à l’événement de l’année prochaine. Il promet d’être encore mieux! Lors de la soirée de cette année, nous avons tenu notre première cérémonie de prix de l’Académie de l’ACS. Veuillez consulter la page 31 pour obtenir de l’information au sujet des prix et des récipiendaires. Nous sommes très fiers de nos gagnants et nous remercions sincèrement nos commanditaires ConvaTec, IDEAS et Nightingale Medical pour leur soutien. Il n’est jamais trop tôt pour passer en revue les critères pour poser votre candidature pour ces prix. Nous vous encourageons fortement à le faire! Cette année, j’ai eu la chance de travailler avec le conseil d’administration de l’ACS et la directrice générale afin d’examiner les programmes et les opérations de l’Académie de l’ACS. Notre faculté, tant 14

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Nous continuerons de mettre l’accent sur l’excellence pédagogique afin de veiller à ce que nos étudiants soient bien préparés à être des leaders en soins des plaies, des stomies et de la continence. du côté pédagogique que clinique, constitue notre ressource la plus précieuse. La qualité de nos précepteurs et la durée de leur préceptorat nous distinguent des autres programmes. Lorsque les étudiants du Programme de formation infirmière stomothérapeute (PFIS) obtiendront leur diplôme, ils auront eu l’occasion de mettre en pratique leurs connaissances dans un endroit sécuritaire et d’être guidés par nombre d’entre vous qui êtes leurs précepteurs. Tous les précepteurs de l’ACS sont bénévoles. À l’avenir, nous nous assurerons que tous les membres de notre faculté sont reconnus de façon concrète. Le Programme de formation infirmière stomothérapeute (PFIS) a une liste d’attente, par conséquent, nous examinerons et réviserons notre processus d’admission, et nous développerons des façons de gérer ces listes d’attente de façon équitable en reconnaissant le fait que les personnes faisant une demande d’admission qui ont un emploi qui les attend une fois diplômées doivent avoir la priorité. Nous continuerons de mettre l’accent sur l’excellence pédagogique afin de veiller à ce que nos étudiants soient bien préparés à être des leaders en soins des plaies, des stomies et de la continence. Nous sommes actuellement à la recherche d’infirmières/ d’infirmiers stomothérapeutes souhaitant se joindre à notre faculté pédagogique et

clinique. Si vous voulez en apprendre davantage à ce sujet, n’hésitez pas à communiquer avec moi en m’écrivant au courriel en haut de la présente page. Nous avons mis à jour les manuels du Programme de formation infirmière stomothérapeute (PFIS) afin d’inclure la série des programmes de base du WOCN. Veuillez jeter un coup d’oeil à ces excellents livres et obtenez un rabais de la maison d’édition à http://lb.ca/cgibin/cgiwrap/bookshelf?/Z3023L8 Les membres de l’ACS sont aussi à la recherche d’opportunités éducatives! Le Dr Chris Murphy, président élu de l’ACS, donnera le coup d’envoi à la série de webinaires de l’Académie de l’ACS le 6 septembre à 19 h 30 HE. Consultez le site Web de l’Académie de l’ACS pour tous les détails. Si vous souhaitez fournir un webinaire sur un sujet qui vous intéresse, veuillez communiquer avec moi. Si vous n’êtes pas familier avec la présentation au public, nous vous aiderons! C’est une excellente occasion d’exercer vos compétences de présentation dans un environnement positif et favorable. N’hésitez pas à communiquer avec moi, ça me fera plaisir d’avoir de vos nouvelles! Je vous souhaite à tous un bel automne! Soyez prudents! cd

CAET ACADEMY

CAET Academy's Newest ETNEP Graduates Cohort 16 French Graduates

Véronique Brassard Trois-Rivières, QC

Isabelle Dionne Val-des-Monts, QC

Edith Gendron Gatineau, QC

Catherine Gervais Shawinigan, QC

Kim Grenier Ange-Gardien, QC

Martine Lefebvre Shawinigan-Sud, QC

Roxanne Plante-Lepage Québec, QC

Cynthia Joël Robert Trois-Rivières, QC

Cohort 16 English Graduates

Charlene Adams Grand Falls Windsor, NL 16

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Sherice Almgren Thunder Bay, ON

Danielle Bloodoff Prince George, BC

KelseyBrunton Winnipeg, MB

CAET ACADEMY

Cohort 16 Graduates cont...

Christina Bumanlag Mississauga, ON

Myla Callo Edmonton, AB

Melanie Jones Windsor, ON

Katherine Leask Prince George, BC

Anne LeMesurier London, ON

Dawn Lypchuk Vernon, BC 2016 Academic Award Winner

Teresa MacKenzie Whitehorse, YT

Meghan MaloneyNanaimo, BC

Denise Nicholson Enfield, NS

Michelle Sierink Fort McMurray, AB

Jodie Quinlan Fort MacLeod, AB

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Cohort 15 Graduates

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Amy Barg Calgary, AB

Philana Choo Edmonton, AB

Gilsana Dos Reis Vancouver, BC

Anabelle Entredicho Mississauga, ON

Judy Ferguson Kingston, ON

Nicole Fritz Etobicoke, ON

Vicki MacMurdo Ottawa, ON

Jackie Malcolm Castlegar, BC

Melanie Martin Hamilton, ON

Valentina Mitina-Chebela Richmond Hill, ON

Rachel Proulx Verdun, QC

Svetlana Soukhinina Brampton, ON

Julia Teng Brighton, ON

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CAET ACADEMY

Cohort 17 Graduates

Chantell Bazan Fort St. John, BC

Crystal Brand Kamloops, BC

Enza Browne Hamilton, ON

Keri-Ann Coulson Bible Hill, NS

Stephanie Furtado Burlington, ON

Ashley Grimes Bishop Falls, NL

Jenny Jean Markham, ON

Natalie Kameka Mississauga, ON

Christie Man New Westiminster, BC

Sara Orienti Golden, BC

Megan Parry Mississauga, ON

Erin Rushton Springhill, NS

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FEATURE ARTICLE

MATTEO’S MASTERPIECE: AN EDUCATIONAL STRATEGY TO SUPPORT CLASSROOM ACCEPTANCE OF A CHILD WITH AN UROSTOMY Submitted: Catherine Harley, RN, eMBA, Executive Director of CAET Contributions by: Lisa Garland and Matteo Garland-Filoso

During a meeting of Independent Registered Nurses in Ottawa, where I was representing the CAET, I was approached by a participant who wanted to introduce me to a nurse colleague named Lisa Garland. Lisa has a seven-year-old son, named Matteo, who had completed treatment for both bladder and prostate cancer and now has a urostomy. Her younger son, five-year-old Nicco, had been diagnosed with leukemia and was undergoing treatment. Lisa and her husband Nino live in Ottawa and also have a 13-year-old daughter (Jayden). When I met Lisa and learned about her family’s challenges I worked with her to find ways to help Matteo with some of his challenges. She has kindly agreed to let me share this story with CAET members. - Catherine Harley, CAET Executive Director

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Bladder cancer has the highest recurrence rate of all cancers – at 70%. 20

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Canadians would be diagnosed with bladder cancer and 2,300 Canadians will die from this disease.2

he first impression one gets when meeting Lisa Garland is that she radiates both strength and optimism. This despite having two young sons who had been diagnosed and treated for cancer. Matteo, now seven years old, was treated for both bladder and prostate cancer. Nicco is, at age 5, currently undergoing treatment for leukemia. And yet this mother, who has had to deal with the unbearable situation of having two children with cancer, has a warming smile, amazing enthusiasm for life, and an optimistic attitude that her boys will get through this troubling and painful time. And she wanted to share one of her family’s stories from this painful time – it is a story of Matteo and his experience after receiving a urostomy.

The bladder, part of the urinary system, is a hollow, balloon-shaped organ in the pelvis. Urine made in the kidneys passes through the ureters to the bladder, where it is stored. The bladder has a flexible, muscular wall that allows it to expand and contract. When the bladder is full, the muscles tighten and urine is passed out of the body through the urethra. The most common symptom of bladder cancer is blood in the urine (hematuria) which occurs in more than 80% of bladder cancer cases. Other symptoms may include bladder spasms and increased frequency and urgency of urination.3

Cancer in children and adolescents is rare, although the overall incidence of childhood cancer has been slowly increasing since 1975.1 According to the Canadian Cancer Society it was estimated, in 2015, that 8,300

Twenty-five percent of patients diagnosed with bladder cancer, have a non-muscle-invasive form which can, in some cases, progress to muscle-invasive forms. Non-muscle-invasive bladder cancer is commonly treated with

FEATURE ARTICLE

Courtesy: E. Vestal

MATTEO’S MASTERPIECE (cont.) During discussions with Lisa regarding the challenges Matteo had faced and if there was any way for CAET to provide additional support it came to light that Matteo had not been referred to an Enterostomal Therapy Nurse by his Urologist, while in CHEO, or by the nurses on the post-surgical ward. Since Lisa was a community nurse, she herself had attended local ostomy education programs, held by Ottawa Enterostomal Therapy Nurses Kim LeBlanc and Dawn Christensen, which really helped her to manage Matteo’s urostomy. But the problems lay not with the day to day care of his urostomy but, rather, with a situation at school that was leaving Matteo feeling bullied.

Matteo’s Masterpiece

A little girl in Matteo’s grade 2/3 class had ripped off Matteo’s urostomy pouch and left him standing in front of

surgery, to remove tumours from the inside of the bladder, and the insertion of drugs into the bladder.3 Muscle-invasive cases are most often treated by removing the bladder (radical cystectomy). Nearby organs, including the prostate for men and the uterus and ovaries for women, are also removed and the bladder is replaced using bowel. The mortality rate for the muscle-invasive disease is 40% in the first five years.3 Bladder cancer has the highest recurrence rate of all cancers – at 70%. Time to recurrence is an important prognostic factor and tumours that recur within the first 2 years, after diagnosis and successful treatment, are more aggressive and have a higher chance of growing and spreading. Recurrent bladder cancer still, however, has a good prognosis because it rarely grows deeply into the bladder wall – but the prognosis is different for each type of bladder cancer. Papillary urothelial carcinomas of the bladder have the best prognosis while small cell carcinoma tends to have a poorer prognosis. The stage of bladder cancer is an important prognostic factor and the lower the stage, the more favourable the prognosis. Cancer that has spread to the lymph nodes or to other areas of the body has a poorer prognosis.4 Matteo was 16 months old when he was diagnosed with bladder cancer. The treatment was aggressive and time consuming and ultimately ended in a radical cystectomy and prostatectomy when the cancer returned after the first round of treatment. le LIEN

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MATTEO’S MASTERPIECE (cont.) Courtesy: E. Vestal

other children in the class with his abdomen and stoma exposed and urine all over the place. She then called his stoma “cancer” and so the children thought that Matteo’s cancer had returned. When Lisa picked Matteo up from school, she was notified by an Education Assistant that Matteo’s urostomy pouch had been ripped off by another child and that this caused great concern and upset to the other classmates. Following the incident Lisa also received phone calls from concerned parents who were worried about the emotional impact on Matteo and Emily Vestal: Creating a Happier Matteo and on their Environment at School own children. Poor Matteo was left feeling bullied, hurt and exposed. The children were afraid to play with Matteo because they thought that the stoma was cancer.

But the problems lay not with the day to day care of his urostomy but, rather, with a situation at school that was leaving Matteo feeling bullied. 22

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This led to discussions with Lisa about an educational strategy to raise awareness about Matteo’s urostomy among his classmates, the teachers, and the educational assistants at the school. There were many challenges! First, the issue needed addressing urgently, so that Matteo could become comfortable in his daily school environment. Also, while Lisa knew an ET Nurse personally Matteo had not been referred to an ET Nurse so did not have someone he was familiar with or seeing regularly. There also was no budget in place to hire an Enterostomal Therapy Nurse to provide this educational program which was going to involve a significant time commitment – too much to expect from a volunteer. It also

required someone experienced enough to navigate within the school environment and its rules and regulations around in-service education. As Matteo used Hollister urostomy pouches the first step was contacting the President of Hollister Canada Ltd., Carol Robinson, to explain the situation, and its urgency, and to see if she could recommend someone who was skilled at this type of educational program. Within hours Lisa was connected with Carol and a things were put in to place that resulted in a face to face educational program run by two Hollister employees (Emily Vestal with the support of the Hollister Territory Manager Sean Perrin) with support from Hollister Ltd. Emily Vestal, originally from Seattle, had worked with Hollister for ten years and had recently relocated to Canada. She had previous experience working with children’s hospitals and ostomy education programs in Seattle and had partnered with the US-based WOCN on many paediatric initiatives. Emily had previously provided a service where Northwest Regional WOCN would contact her about a school-based situation for a child with an ostomy. Emily would then contact the school and provide an educational program to raise awareness and understanding within the classroom. Emily was, as a result, familiar with how to set up this type of educational program and the rules and regulations that needed to be considered. Most schools have strict policies about the delivery of education that is outside of the curriculum and many require written consent from all parents to give permission for their child to participate in this type of educational session. The parents needed to be provided with an MATTEO’S MASTERPIECE continued on page 27

CORE PROGRAM LEADERS’ CORNER

NATIONAL CONFERENCE PLANNING By: Mary Hill RN, BScN, MN, CETN(C).

The conference had 141 exhibitors (including 17 from within Canada).

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he WOCN Society and CAET were very proud to work together to make the June 4-8 Montreal Joint Conference a success! It was really exciting to plan this conference with a great group of people including my Co-Chair Colleen Drolshagen and the entire WOCN/CAET Conference Planning Committee. This conference would not have been possible without the dedication and hard work of all of our volunteers. I would also like to thank Cathy Harley, Executive Director of CAET; Nicolette Zuecca Executive Vice President of WOCN Society; Brooke Passy, WOCN Society Meeting Manager; and all of the WOCN Society conference planning staff.

Photo by: L Martins

I also want to acknowledge and thank our industry supporters who helped make this conference possible and contributed to its successful outcome. They are: Diamond level – Hollister Incorporated Platinum level – 3M Healthcare, Hill-Rom, Sage Products, Acelity (KCL/LifeCell), and Coloplast Corp Gold level – Smith & Nephew, ConvaTec Inc., BSN Medical, and Hartmann USA, Inc. Silver level – Mölnlycke Health Care and Crawford Healthcare

Christina Bumanlag, Poster Award Winner, with Mary Hill, National Conference Planning Core Program Leader. 24

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The conference had 141 exhibitors (including 17 from within Canada). There were approximately 1,200 nurse attendees and 15% of those

were Canadian. Thank you to everyone who joined us! New this year was the Member Spotlight session. WOCN & CAET members were given the opportunity to submit session proposals through our “Call for Sessions.” We received many submissions and three were selected from each of the specialties (wound, ostomy and continence care). Canadian ET Nurse Debbie Miller was one of the three selected for the ostomy abstract presentation where she presented “Living with a permanent colostomy following treatment for rectal cancer: Understanding couple adjustment.” Many others were able to share their expertise and knowledge throughout the week. Debbie also shared her expertise, alongside Jane Fellows, when they presented on “Site marking the difficult abdomen.” Kimberley LeBlanc shared her expertise in skin tears and talked about the importance of moisturizing the elderly skin. She described ‘supple skin circles’ as the key, at any care facility, to promoting skin health in the geriatric population. Kim also participated on a panel with Colleen Drolshagen, Julie Ho, and Debora Zaricor, on the challenges of caring for a new ostomy patient across the healthcare continuum. Panelists discussed the challenges in caring for individuals with shorter acute care stays who are being discharged to home at a higher acuity including a discussion of the potential budgetary restrictions that can create limited resources and the disruption of access to care, dressing products and specialists. There were numerous other excellent topics that were presented by Canadians including: • Susan Mills Zorzes (Canada) and Cathryn Reimanis (USA) led a

CORE PROGRAM LEADERS’ CORNER

Photo Courtesy: WOCN Society

NATIONAL CONFERENCE PLANNING (cont.) • Catherine Harley presented information on the CAET Leadership Program for Nursing Excellence. This session highlighted information from the first cohort of ET nurses who took the 1 year long course using the “Leads in a Caring Environment” leadership framework. Cathy, having taken the course herself, was able to speak to the unique learning experiences and the process of developing specialized nurse leaders in healthcare. Many of the WOCN participants showed great interest in the topic and had numerous questions after the presentation; and Paulo DaRosa, CAET President, with Carolyn Watts, WOCN Society President, during the Joint Conference Opening Ceremonies. discussion on the differences and similarities of the WOC practice between the two countries; • Laura Robbs RN, MN, CETN(C) presented on Chronic Urinary retention including highlighting the difference between acute and chronic urinary retention, causes, treatment and the risk of indwelling catheters; • Connie Harris presented a session updating participants on her evidence-based protocol for the care of pilonidal sinus wounds; • Pamela Houghton PT, PhD and Linda Norton OT, PhD Candidate shared why people with spinal cord injuries have a high incidence of severe and difficult to heal pressure ulcers; • Louise Forest-Lalande and Gail Creelman presented on the unique skill set involved in caring for the neonate to teenager ostomy patient. State of the art tips were presented as well as the need to be creative and imaginative in adapting products and techniques for this younger population.

• Derik Fage was the closing Keynote speaker who shared his emotional and entertaining journey as an individual living with an imperforate anus. It was a presentation that brought the audience to both laughter and tears. These are just a few of the many excellent presentations and symposiums at the conference. The poster sessions also highlighted many Canadian participants. Christina Bumanlag from Toronto Sick Kids won an award for her poster titled “Optimizing a Paediatric Ostomy Support Group Utilizing a MultiDisciplinary Team Approach.” Congratulations Christina! The joint social event for WOCN and CAET at the Hyatt Hotel was a great success with over 600 attendees enjoying networking, hors d’oeuvres, photo booths, and a fabulous band that brought the crowd to the dance floor for the evening! Planning is underway for the 2017 CAET Conference in London, Ontario. The theme for this conference is Patient Centered Care: Growing Stronger Together. We hope to see you all from May 25th to 28th next year in London -- also known as “The Forest City.” cd le LIEN

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FEATURE ARTICLE

MATTEO’S MASTERPIECE (cont. from page 22) Courtesy: E. Vestal

overview of the discussion and how the session would be run as well as what items would be used in any show and tell. The educational plan needed, in most cases, to be reviewed, in advance, by the school principal. Emily’s experience was a key factor in getting the program in place within a matter of weeks. Matteo was really happy when he found out that someone was coming to teach his classmates about his urostomy and what he describes as his “pee bag”. During the session he was a bit Model of a stoma from the children’s creative nervous when he stood and informative bags in front of the class to show them his urostomy. But it was an important part of the program as it gave his classmates the opportunity to ask questions and to better understand what an urostomy is. In addition to his classmates, the teacher, the education assistants, and even the principal came to learn about his urostomy. Everyone Matteo had day to day contact with at school would finally be on the same page as far as their understanding about his urostomy.

For the next part of the education program the children were given a set of fabric markers in order to draw on the fabric covered ostomy pouch.

Emily brought each child a bag containing a “Can you still wiggle and giggle” colouring book that explained, in age appropriate ways, what an ostomy is as well as a replica of a stoma with a barrier ring around it to show what a sealant is, and a fabric urostomy pouch. Lisa commented afterwards that at the beginning of the session “All of the children took the replica of a stoma and were sticking it to their arms and head, but Nicco, Matteo’s little brother who

also attended the session, stuck the stoma on his abdomen in the exact place that Matteo has his stoma. Nicco knew where this stoma belonged.” Emily and Sean started by teaching the students about the bladder and using a balloon, filled with water, to demonstrate the anatomy and physiology of how a bladder fills and empties. Emily then used a diagram of a bear from the Hollister “Big Book of Ostomy” which outlined the anatomy of the bladder, in order to show what had happened to Matteo’s bladder and resulted in the creation of a stoma by explaining why his bladder is now outside of his body rather than inside it. She then introduced each child to the fabric urostomy pouch and demonstrated how the pouch could be emptied. The children were individually able to practice emptying the pouch. Matteo was also given the opportunity to explain the personal rules about his urostomy pouch, in order to reduce the risk of a child ripping it off in future, which was very eye opening for the children. For the next part of the education program the children were given a set of fabric markers in order to draw on the fabric covered ostomy pouch. Emily asked each child to draw their favourite picture on it for Matteo. As each child finished their artwork on the urostomy pouch the pouches were hung on a clothesline across the front of the classroom chalkboard – thus creating Matteo’s Masterpiece. “Having each classmate involved with making something special for Matteo meant the world to him,” said Lisa. “Each child would come to Matteo and explain their drawing and what it meant. Matteo felt so proud.” Matteo’s teacher left the pouches hanging for the rest of the day, and then packed them up for Matteo to bring home with him. Matteo was excited because he could then choose from the specially decorated urostomy pouches. le LIEN

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MATTEO’S MASTERPIECE (cont.) Courtesy: E. Vestal

Matteo will someday receive an artificial bladder and, eventually, testosterone therapy when he reaches puberty. He will, in the meantime, be living life to the fullest with a new connection to his classmates and memories of his own very special masterpiece. cd

References:

1. Smith MA, Altekruse SF, Adamson PC, et al.: Declining childhood and adolescent cancer mortality. Cancer 120 (16): 2497-506, 2014. 2. Canadian Cancer Society, Accessed May 31, 2016 http://www.cancer.ca/en/cancer-information/cancertype/bladder/statistics/#ixzz48YFpDb2R 3. Bladder Cancer Canada, Bladder Cancer Facts, Accessed May 31, 2016 https://bladdercancercanada.org/en/facingbladder-cancer/bladder-cancer-facts/ 4. Canadian Cancer Society prognosis, Accessed May 31, 2016 http://www.cancer.ca/en/cancer-information/cancertype/bladder/prognosis-and-survival/#ixzz48YHCmaqc

Pouch Art from Matteo’s Best Friend

His classmates were excited to see which urostomy pouch Matteo was wearing each day at school. The first bag that Matteo wore was designed by his best friend Cooper and it had “I love you Matteo” written across the front. The outcomes of this educational session were many! It addressed the fear of the unknown, among his classmates, regarding Matteo’s cancer and his urostomy. Matteo regained became less self-conscious about his urostomy and having to wear a “pee bag” to school. It did wonders for his confidence to know that his classmates had an understanding of what it is and how it works. The myth of the stoma being ‘cancer’ was dispelled and this reduced the fears of his classmates. The principal, teacher and education assistants gained knowledge that will help them to better deal with a child with an urostomy and address Matteo’s issues with a greater understanding in the future. Each child was taught what an ostomy is, why a bag to collect urine has to be worn, and how brave Matteo has been in the face of all his challenges. Each child became a part of Matteo’s daily urostomy pouch as he proudly wore his classmate’s designs. This educational approach also demonstrated the value of partnerships between a not for profit association (CAET) and Industry (Hollister Ltd). 28

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CORE PROGRAM LEADERS’ CORNER

MARKETING By: Susan Mills Zorzes RN, BScN, MDE, CETN(C)

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am happy to report that all of the hard work over the past two years, by the Board and CAET volunteers, to prepare for the 2016 WOCN-CAET Joint Conference has paid off! I believe that those who attended will agree that the conference was excellent and included great topics, diverse speakers, good food, the opportunity to make and renew friendships, and exceptional opportunities to learn, inform and market Canadian ET nursing practice to our colleagues across Canada and the United States. Our American colleagues stated, repeatedly, how impressed they were by the conference and by our host city of Montreal. The CAET booth in the Exhibit Hall was

Our American colleagues stated, repeatedly, how impressed they were by the conference and by our host city of Montreal. 30

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extremely busy with conference attendees stopping by with questions and to pick up CAET tools and products (including an opportunity to purchase CAET branded polo shirts and hoodies and to participate in a brief survey). On the day before conference it was wonderful to meet with the many CAET members and associates who attended the Annual Membership Meeting and participated in the discussion that followed about the 2015 Membership Survey results and CAET’s progress in addressing the issues identified. Topics for discussion included certification (see the Certification Report on page 31 for exciting news), highlights of Core Program work over the past year, and progress on the Name Change Decision project. Things to celebrate included: • Signing a new five-year contract with the Journal of Wound, Ostomy and Continence Nursing with no price increase; • Launching the Second Edition of the Enterostomal Therapy Nursing Standards of Practice; • Increased reimbursement in Ontario for ostomy supplies as a result of a joint campaign by CAET and the Ostomy Canada Society. The campaign is now focusing on reimbursement in Atlantic Canada; • Launching the CAET Resource Kit

for all new and returning members and associates. The kit describes the benefits of membership and key information about CAET that is needed to make the most of membership. Anyone who has not yet received a Resource Kit should contact the CAET National Office; • Re-launch of “Find an ET Nurse” on the CAET website. If you have not already signed up to participate please do so by contacting Cathy Harley, CAET Executive Director. This program ensures that patients across Canada have easier access to an ET Nurse; and • Introduction of the 2017 Conference in London, ON, with the theme Patient Centred Care – Growing Stronger Together. The National Conference Planning Committee was excited to announce that the conference will include a patient stream! Stay tuned for more interesting developments. The CAET website, while improved, remains a work in progress. The Board has budgeted additional money to continue to develop the website and a new, more reliable, database. The Marketing Core Program has committed to keeping postings current and to continuing to improve the look, content and ease of use of the site. We will also begin work on a Marketing Kit for Members that will be launched by next year’s conference. cd

CORE PROGRAM LEADERS’ CORNER

INFORMATICS & RESEARCH By: Jean Brown, RN (Retired), B.N.Sc., ET. [email protected]

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his is proving to be a very exciting year for CAET. For the first time we had to run an election for the office of President because we had three strong contenders willing to step in to the role!! Though some of us, including myself, have stepped down from the Board, as our terms of office have concluded, other qualified members have filled the positions.

Thank you to everyone for giving me the opportunity to work with so many of you on various projects.

It was a wonderful experience to serve as the Core Program Leader for Informatics and Research. I learned a lot and met some wonderful ET Nurses from across Canada. We are very fortunate to have had Karen Napier RN, BScN, CETN(C), MClSc-WH volunteer to take over the Informatics and Research portfolio. Karen, as many

of you are aware, has been an invaluable member of the CAET Board for the past four years as Regional Director for Prairies/NWT/NU. Her past experience on the Board will serve CAET members well as she takes on this new position. Thank you to everyone for giving me the opportunity to work with so many of you on various projects. The 2016 WOCN/CAET joint conference was an opportunity to meet some very dynamic new ET Nurses and to reacquaint myself with others whom I have learned from, and shared with, over the years. I know that all of you will support Karen Napier, as you have supported me, to keep Informatics and Research a strong and valuable part of CAET. cd

CERTIFICATION UPDATE By: Susan Mills Zorzes, BScN, MDE, RN, CETN(C)

Changes are happening with the Canadian Nurses Association (CNA) Certification program! CNA has launched a Certification Advisory Board with representation from the recognized specialties including CAET. I am the representative for our specialty with Cathy Harley, CAET Executive Director, acting as my alternate. CPAC is reviewing all aspects of the certification program. Please contact me with any questions or concerns that you feel need to be addressed with CNA. CAET members were notified, by e-blast, about the dates for the first on-line application process for the computerized certification examination that will take place at testing centres across the country over a two-week period. The first on-line examination is being offered between September 19 and October 7, 2016.

In 2017, there will be two examination dates, with two weeks of access for each, tentatively beginning in late May and midNovember. As soon as dates are finalized CAET members will be notified by e-blast. CNA is also developing a campaign targeting employers that is designed to inform them about, and seek their support for, the certification process. Stay tuned to the CAET website and CNA’s Nurse One for changes and dates as they are announced.

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CORE PROGRAM LEADERS’ CORNER

POLITICAL ACTION By: Kimberly LeBlanc MN, RN, CETN(C), PhD (student) [email protected]

016 has started with a bang for the Political Action Core Program group. Currently we have several projects underway. I encourage anyone with an interest in any of the projects listed below to contact either Catherine Harley or myself to see how you can get involved!

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Financial Impact of Living with an Ostomy - Cross-Sectional Study: We are, in conjunction with Ostomy Canada Society (OCS), conducting a cross-sectional pan-Canadian survey studying the financial impact of living with an ostomy in Canada. The purpose of this study is to explore how Canadians are impacted financially by having an ostomy and if there are differences in this impact from province to province. To date we have had 450 respondents from across Canada. We still require more participants from the Atlantic provinces. Preliminary results show that more than 35% of respondents spend more than $1500/year on ostomy supplies and 30% pay for at least a portion of supplies out of pocket. Forty-five percent of respondents reported that living with an ostomy has affected their ability to

work or has caused then to take time off from work. Only 50% reported having access to an ETN. While these results are only preliminary they provide a glimpse into the reality of those living with an ostomy across Canada. By better understanding the financial impact on individuals living with an ostomy the CAET and OCS will become better positioned to lobby Federal and Provincial governments to improve the financial support available. Catherine Harley and I met with the Province of New Brunswick’s Department of Health in June and have requested meetings with the Ministers of Health for the provinces of Prince Edward Island, Nova Scotia, and Newfoundland and Labrador. LHINs Changes in Ontario: On December 17, 2015 Dr. Eric Hoskins, the Ontario Minister of Health and Long-term Care, announced that the Local Health Integration Networks (LHINs) will now assume responsibility for all aspects of the healthcare system’s planning, funding, allocation and performance accountability. Major sectors of the Ontario healthcare

By better understanding the financial impact on individuals living with an ostomy the CAET and OCS will become better positioned to lobby Federal and Provincial governments to improve the financial support available. 32

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system – including public health, primary care, hospitals, home care and long-term care – will now be aligned under one umbrella. This raises an opportunity for ETNs in the Province of Ontario to showcase their valuable role in care coordination across our tri-specialty. CAET has prepared a position statement and brief on the ETN role that highlights how CAET can be of assistance to the Minister in reaching his goals and additional lobbying efforts, by CAET, began early this year. Catherine Harley and I are both sitting on the Health Quality Ontario’s Wound Care Quality Standard Advisory Committee. The purpose of this committee is to standardize care across Ontario and to ensure that all individuals living in Ontario receive evidence based and timely wound care. I ask all of you living in Ontario to stand up and be heard and get involved in hospital, community and long-term care committees. Total Contact Reimbursement:

Casting

The CAWC, CAET and RNAO recently collaborated and attended a meeting with Health Quality Ontario on the assessment of total contact casting. CAET, CAWC and RNAO put forth a joint bid to have a broad spectrum of offloading devices covered, as a means of prevention and treatment of neuropathic ulcers, for all Ontario residents at risk of neuropathic ulcers. cd

REGIONAL DIRECTORS’ CORNER

REPORT FROM ATLANTIC REGION By: Kathy Mutch RN, BN, CETN(C), Atlantic Regional Director. [email protected]

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eturning from the joint WOCN/CAET Conference in Montreal I felt refreshed, inspired, and so fortunate to be a part of the amazing world of Enterostomal Therapy Nursing and Wound, Ostomy and Continence Care. No matter whether we use the acronym ETN or WOCN ours is a unique nursing world where we all face similar challenges. Our conferences and annual membership meetings provide a wonderful opportunity to learn about the research, insight, and activities of our colleagues. I always return home grateful that I have been given the opportunity to attend. Speakers, and those who submitted posters, spent many hours preparing and condensing information so that we can garner “pearls of wisdom”. Sharing those pearls, later, with our colleagues at home helps result in changes in nursing practice and an improvement in care for our patients and their families. And speaking of pearls (or treasures and gems) I would like to take a moment to recognize two amazing individuals from Atlantic Canada. Jean Brown, who has been the CAET Core Program Leader for Research and Informatics, and Gail Creelman, who has recently retired as our Atlantic Canada Paediatric Enterostomal Therapy Nurse. 34

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Looking ahead, I hope to see everyone at our Fall Regional meeting where we are planning an educational day for nurses, led by Atlantic Canada ETNs, on the day prior to our regional meeting.

Jean Brown, following a very successful career as an Enterostomal Therapy Nurse at the QEII in Halifax, continued to share her knowledge and writing skills by accepting the role of Core Program Leader for Research and Informatics. Jean became familiar with this group when she worked as part of the team that wrote the original Enterocutaneous Fistula Recommendations and when she coled the development of the Conservative Sharp Debridement Recommendations. As Research and Informatics leader she led the group that developed the Decision Aid for Intermittent Self-Catheterization. Her ability to plan, organize, and bring out the best in others has resulted in practical, working documents for ETNs across Canada. Gail Creelman, as Enterostomal Therapy Nurse at the IWK/Grace Hospital, has provided care with skill and compassion to patients that range

from infants, small enough to fit in one’s hand, to adult women. Gail has always shared knowledge and many helpful suggestions with each of us whenever she sends a little one back home to our regions. At workshops and conferences in her hospital, regionally, nationally, and internationally she is an amazing source of insights and information. She has been a preceptor and a mentor for many. In 2015 Gail was recognized by the IWK/Grace Hospital as the recipient of the Margaret Ross Award for outstanding service to Maritime children, youth, women and families. Looking ahead, I hope to see everyone at our Fall Regional meeting where we are planning an educational day for nurses, led by Atlantic Canada ETNs, on the day prior to our regional meeting. What a great way to demonstrate the ETN role and the leadership it can provide! Watch for further details and correspondence on our plans. cd

LE COIN DES DIRECTEURS RÉGIONAUX

RAPPORT RÉGIONAL DU QUÉBEC Soumis par : Nevart Hotakorzian, Ba. Sc. Inf., stomothérapeute, directrice régionale du Québec [email protected]

e fut une excellente année pour l’ACS ainsi que pour moi en tant que directrice régionale. J’ai complété, avec la première cohorte, le programme de Leadership de l’ACS. Le cours a été une excellente opportunité pour réfléchir et approfondir notre rôle en tant que leader. Malgré le travail, je suis heureuse d’avoir vécu cette expérience. De plus, nous avons eu le congrès WOCN et ACS à Montréal en juin dernier. Le contenu des sessions ainsi que la possibilité de connecter avec des collègues de différents milieux et même de différents pays, se sont avérés à être des

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expériences enrichissantes. L’AIISQ a été présente au kiosque avec l’ACS pour illustrer ce qu’on fait au Québec. Les infirmières du Québec ont participé en grand nombre et ça a été très agréable de célébrer ensemble lors de la soirée sociale. Un merci en particulier à l’ACS pour avoir rendu possible la traduction simultanée des sessions principales. Les stomos du Québec ont été très satisfaits de la traduction. De plus, deux vidéos ont gagné le premier prix pour la semaine de l’infirmière stomothérapeute : Valérie Chaplain et Anne-Marie Lanciaux avec Anne-Marie Fredette, Josée Morin et Stéphanie Laferrière.

Bravo!!! Pour les autres nouvelles, l’AIISQ a aussi fait une donation en avril dernier au musée du Centre Zane Cohen pour la maladie digestive à l’hôpital Mount Sinai; un projet de Kathryn Kozell et Dianne Garde afin de sauvegarder l’historique de la stomie au Canada. Mais en même temps, nous croyons qu’il s’agit d’une belle opportunité pour rendre hommage aux personnes stomisées. Finalement, avec le dossier de la prescription infirmière au Québec, maintenant plusieurs stomothérapeutes peuvent prescrire des pansements pour le bénéfice du client et du système de santé. cd

REGIONAL REPORT FROM QUEBEC By: Nevart Hotakorzian, BScN, Enterostomal Therapy Nurse, Quebec Regional Director. [email protected]

t was an excellent year for CAET and for myself as regional director. I completed the CAET Leadership Program as a student in the program’s first cohort. This course was an excellent forum to reflect on our leadership capacities and learning needs. It was helpful to deepen our understanding of our leadership role. Although there was a lot of material to cover it was a very positive experience for me. We also had the WOCN and CAET joint conference right here in Montreal in June. The educational sessions and the opportunity to connect with colleagues from within Canada

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and across the border was an enriching experience. The Quebec ETNs had a booth that was shared with CAET. It was our opportunity to share what we do in our region. There was also great attendance from among Quebec ETNs and it was quite a delight to celebrate together at the conference social event. Special thanks to CAET for providing French translation services during the main sessions. The ETs from Quebec were very grateful for this translation. We also want to remember the winners of the ET Nurses’ Week contest. Valerie Chaplain and Anne-Marie Lanciaux with Anne-Marie Fredette, Josée Morin

and Stéphanie Laferrière who won prizes for their unique video presentations. Great job ladies!!! As for other news, the Quebec ETNs made a donation, in April, to the Zane Cohen Ostomy Museum to support the initiative of Kathryn Kozell and Dianne Garde. We believe it’s a great opportunity to give tribute to people living with ostomies and to preserve the history of ostomy care. Finally, in Quebec, ETNs can now prescribe dressings and some labs for their patients and we trust it will benefit both patients and the healthcare system. cd le LIEN

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REGIONAL REPORT FROM ONTARIO By: Donna Fossum RN, BScN, CETN(C), Ontario Regional Director. [email protected]

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rossing Borders, Breaking Boundaries – what a great conference beautiful Montreal! WOCN Society and CAET joined forces to produce this outstanding conference and I found it amazing that Canadian and American issues and concerns can be so similar. I always love the opening and closing keynote speakers. Who has not purchased a book from our opening speaker - the Attitude Guy? The closing session, by Derrick Fage, a person living with fecal incontinence, was very inspirational and makes one think a lot about how we can mentally conquer life's challenges. We heard from renowned speakers who reviewed current research on very pertinent topics. The educational sessions were phenomenal and the patient speakers were incredibly informative. I have to give credit to those people who got up in front of a room of strangers to discuss their personal journeys. Industry was well represented at the exhibit hall and many had interactive games that were fun and lightened up the day. While some industry reps travel to my area (Thunder Bay) there are many who do not have a rep in my part of Ontario so Conference offers a great opportunity for me to touch base with industry. All around I say hats off to the organizers and many thanks to those members that went out of their way to attend!! Just a quick reminder that the next conference will be held May 25 -

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28, 2017, in London, ON, and our 2018 conference will be in Victoria, BC. The Ontario Regional Meeting was also very productive. Highlights included an update on Enhanced Recover After Surgery (ERAS) by Debbie Miller. Diane Garde updated us on the ostomy museum. The CAET Academy was discussed (and had also been discussed at the AMM). I would like to once again remind members to update their information and availability to be a preceptor on the Academy website. The preceptorship is a key component of the ETNEP program and finding preceptors across the country is always a challenge. I have completed my first term as CAET Ontario Regional Director and did not hesitate to submit my name for a second 2-year term. I am constantly amazed by the people who are involved in our association. There are many Ontario CAET members that have been, or are currently, actively involved in the CAET. If you have not yet been involved as a volunteer but have been thinking about it don’t hesitate to contact me for any information!! The CAET works diligently to keep up with changing times and improve the quality of life for people living with wound, ostomy, and/or continence issues on a provincial, national, and international level. Input from members

is always welcome and helps to guide the planning and decision making. Being involved with CAET makes me feel less isolated as an ET nurse in Thunder Bay. I work in a small clinic that provides wound, ostomy and continence care to LHIN 14. We provide both in-patient and outpatient services as well as reaching some patients via the Ontario Telemedicine Network (OTN) (via video-conferencing and Telewound which is similar to Telederm). I am pleased to hear that other facilities are exploring OTN as this will inevitably provide improved care across our province and enable ET Nurses to reach a greater volume of patients. As always feel free to send comments/questions to me at the email at the top of this page. cd

The CAET works diligently to keep up with changing times and improve the quality of life for people living with wound, ostomy, and/or continence issues on a provincial, national, and international level.

REGIONAL DIRECTORS’ CORNER

REGIONAL REPORT FROM PRAIRIES / NWT / NU By: Karen Napier RN, BScN, CETN(C), Regional Director for Prairies/NWT/NU. [email protected]

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ur CAET Joint Conference with WOCN, “Crossing Borders, Breaking Boundaries”, in Montreal in June, was inspiring and motivating. I really enjoyed learning more about the WOCN role in the United States. Even though our governments function very differently our roles and challenges are similar. Thank you to the National Conference Planning Committee for planning and executing this event. I am already looking forward to next year’s conference in May 2017.

CAET membership is crucial to the strength of our organization. Our membership numbers are growing and I ask you to encourage existing members to renew their membership and to recruit new members in order to continue this growth. With larger numbers we have a stronger voice in health care in Canada and as a larger organization we can offer more to our members. I have been the Regional Director for our region for the last four years. I have enjoyed the experience immensely and learned a great deal about the CAET. I have, most of all, enjoyed getting to know our members across the region. My term has now come to

an end and I’d like to thank you all for your support during my time in this role. I have been appointed as the Leader for the Informatics and Research Core Program and look forward to engaging our members in future projects. I am very pleased that Mary Mark, MCISc(WH), MHS, RN, GNC(C), CETN(C) has taken over as our Regional Director. Mary has previous Board experience and is very active within the association. Mary and I have collaborated on projects in the past and I know we will continue to do so going forward. Looking in to the future our region will be hosting three regional meetings a year and each will have a focus on education in one of the areas of speciality. The Fall meeting will focus on education related to continence management. As we move into the Fall it is time, for those who have not yet written the exam, to consider applying for the CNA certification exam. Please visit www.cna-aiic.ca/en for more details. Take Care and I hope you have all enjoyed your summer. cd

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REGIONAL REPORT FROM BC & YUKON By: Teresa Stone RN, BScN, ETN, BC & Yukon Regional Director. [email protected]

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t has been a busy year at CAET including the very successful Montreal CAET/WOCN joint conference in June. Participation from our region was incredible with 34 members from our region in attendance.

It was my honour to moderate the Continence Protocol presentation by Lisa Hegler and Misty Stephens from Fraser Health. This project will have such a long term impact on both care providers and our patients! Feedback from the audience was so positive regarding the content and its relevance to practice. Posters were also submitted by several members of our region so congratulations for your hard work and dedication in sharing your insights and research. Three of our new graduates from the ETNEP program were recipients of awards: Dawn Lypchuk, Bethany Thomas and Jessica de Strake. Congratulations for your amazing achievements and contributions! One of the key topics at the CAET AMM was the launch of the 2nd Edition of the CAET Standards for Enterostomal Therapy Practice. This document is available for download off the CAET website and is a great tool for marketing our profession, communicating with managers and executives, and helping to evaluate each of our own learning needs and provide guidance to ET Nurses on the maintenance of competency in our tri-specialty. This document is an

example of the work the CAET Core Programs, Board, and membership develop on our behalf! I encourage all of you to volunteer to participate in a task group when invitations are extended to membership – it is a great learning experience. I would like to welcome all new ETNs and the new ETNEP students in our region. Remember you have many experienced colleagues from various practice areas who are here to support and mentor you in our specialty. Our Spring Regional Meeting, during the Montreal conference, was well attended and I appreciate the contributions of those who were able to join us. Discussions included the following: • A task group of BC members, including myself and Lisa Hegler, will be continuing our engagement with the BC Nurses Union (BCNU) as we lobby for recognition of ETNs as a specialty group with appropriate position descriptions, appropriate pay scales, and specialty preparation qualification differential. This is an ongoing initiative that stemmed from grievances where specialty differential pay had been denied. We will link with Alberta’s ET group as they are facing the same challenge. This will occur over the next 1-2 years in alignment with the union contract;

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• Arden Townsend provided an overview of her work to-date collaborating with the BC First Nations Health Authority (FNHA). Our province is the first to have a Provincial FNHA and BC ETs are assisting them with developin an understanding of the challenges of those with wound, ostomy and continence issues and are providing insights into the role an ETN plays in advocating for these clients; and • The future of the BC ET contact list is uncertain and current thoughts are that is should be placed on the Connecting Learners with Knowledge (CLWK) website. But as this is an open access website, that can be viewed by anyone, further exploration is required. In the interim the “Find an ET” website link, on the CAET website, is working well and you can find your colleagues via this site. New to the BC and Yukon Region is the Provincial Ostomy Group with a robust membership of ETNs from all private and public practice sectors. Lastly we will be holding a BC ET meeting this Fall in Vancouver around the 3rd week in September. Stay tuned for more information and remember we need your local support! cd

INDUSTRY NEWS

Afex® external urine collection systems is new to Canada. It helps to prevent nocturia-related falls, skin irritations and infections that can result in nurse and doctor visits and, in too many instances, hospitalization. For skilled nurses and caregivers changing diapers at assisted living residences and hospitals every hour or two is a physical and time management burden - not to mention a quality of life issue for their patients. When Afex® is used, there is none of the lifting and pulling of patients that is associated with diaper changes. Time is saved, nurses avoid potential back injuries and skilled labor hours can be redirected to more critical aspects of patient care. Moderate to severe or mixed incontinence often results in the use of 5 to 10 adult diapers per day. Not only do Afex® systems cost up to 50% less than adult diapers, every component is 100% recyclable meaning less burden on the pocketbook and on the environment. The system’s ergonomic latex free penile receptacle has a patented breathable elevated liner that protects skin from urine contact thereby reducing skin irritation while helping to prevent of IAD. With proper use, UTI’s can be significantly reduced thanks to the zero backflow of urine between the system’s vinyl collection bag or extension tube assembly (for sedentary, bedridden or night-time use) and the receptacle. Attaching the receptacle to the bag or extension tube assembly is done through a simple turn and click motion. One of most problematic incontinence issues in men is penis retraction. As a result, Afex’s® manufacturer, Arcus Medical in North Carolina, developed the new Afex® Core Supporter Brief, which provides additional pubic pressure to help with retraction even in men who enjoy very active lifestyles.

Afex® Mobility Assisted Kit

Afex® Core Support System

In many European countries, particularly in the UK, healthcare models are simpler and have provisions for better incontinence products and devices. In fact, the UK has implemented Afex® with tremendous success as a replacement to condom and internal dwelling catheters following radical prostatectomy procedures and bladder cancer and in situations of stress and urge incontinence. Afex® provides men with an affordable, comfortable and discreet way to manage light to heavy incontinence and is easy to use for their caregivers. 100% made in the USA from American and Canadian materials.

Afex® Active Style Brief

For more information visit Afexcare.ca, [email protected] or call 1(800) 683-1634

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ET COMMUNITY NEWS

CAET Award Recipients

For full award details and criteria visit www.caet.ca/academic-awards-program/

Canadian ETN Achievements Kimberly LeBlanc, RN, BScN, MN, CETN(C), PhD (Student) at Queen’s University, Kingston, ON, and Clinical Nurse Specialist, Enterostomal Therapy, with KDS Professional Consulting, Ottawa, ON.

Canadian Nurses Association: Order of Merit for Nursing Education CAET member Kimberly received this year’s CNA Order of Merit for Nursing Education. In Canada, and around the world, Kimberly LeBlanc has changed the way nurses prevent, assess, classify and manage skin tears. Her research and leadership have had a direct impact on the scientific knowledge, classification, prevention and treatment of skin tears. Kimberly is, as co-founder of KDS Professional Consulting, a well-recognized Enterostomal Therapy Nurse who has lectured extensively, both in Canada and abroad, on wound and ostomy care in aging populations. She also led the development of a tool kit to improve skin tear assessment and treatment, that is now being used by Canadian nurses, and played a key role in establishing and validating the international skin tear classification system. Kim is also the Co-Chair of the International Skin Tear Advisory Panel (ISTAP) which she helped to found and to transition in to the CAET as an Official Interest Group. RNAO: Leadership Award in Nursing Education: Kimberly was also the recipient of the Leadership Award in Nursing Education – a very prestigious award from the Registered Nurses' Association of Ontario (RNAO). This award is bestowed on those who have made outstanding contributions to the profession of nursing in Ontario by practicing excellence as a nursing educator in a college or university setting and enhancing the image of nursing by encouraging critical thinking, innovation and debate about important nursing issues, and acting as a role model and mentor. Kim received this award during the RNAO Annual General Meeting, in Toronto, on May 6, 2016.

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Bill Carcary Award The Bill Carcary Award for Academic Excellence, sponsored by ConvaTec Canada, is awarded each year to the CAET ETNEP student with the highest academic marks overall. It is named in honour of William (Bill) Carcary, a ConvaTec representative, who has dedicated his 40-year career to the support of individuals living with an Ostomy and to fulfilling the needs of their healthcare providers. This year’s recipient is Dawn Lypchuk of Vernon, BC, received an award of $3,200 at the joint CAET/WOCN Conference in June, 2016, in Montreal. Our congratulations to Dawn for her academic commitment and outstanding results!

Gail Hawke ET “Trailblazer” Award This award, sponsored by Nightingale Medical, was inspired by the career contributions made by Gail Hawke as a “Trail Blazer” in innovative and patient centered care for people with ostomies. This award provides $2,500 in financial support to a ETNEP Graduate, from British Columbia, who has demonstrated leadership and innovation in wound, ostomy and, continence care. It is designed to motivate a BC graduate to “think outside the box” and create new opportunities to build the profile of ET Nurses and ET Nursing practice in ways that further support patients with wound, ostomy and continence challenges.

L to R Michael Arab, Nightingale Medical, Bethany Thomas and Gail Hawke

The 2016 winner of the Gail Hawke “Trailblazer” Award Award is Bethany Thomas, BScN, RN, ET of Vancouver, BC. Bethany working for Providence Health Care at St. Paul's Hospital. Congratulations!

Summit Awards In 2016 the Summit Awards were launched for the CAET Academy ETNEP students. The awards are sponsored by Rob Hill, of the not-for-profit IDEAS, in keeping with his goal of inspiring people with ostomies to reach their own ‘personal summit’. The Summit Awards consist of annual $1,500 scholarships to ETNEP Graduates in the Ostomy stream. Candidate are considered from the English and French intakes in September and the English intake in January. Candidates must complete a Gap Analysis of Ostomy Services in their region. We are pleased to announce that this year’s winners, from the September intakes, are Jessica deStrake RN, BScN, of Royal Inland Hospital in Kamloops, BC, for the English award and Chantale Chrétien, Inf. BSc., of le CISSS-Chaudière-Appalaches, Hôpital de Thetford Mines, QC, for the French award.

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Hollister Award The 2016 winner of the $2,500 Hollister Award is Kim LeBlanc, RN, BScN, MN, CETN(C) PhD (student). Kim is currently enrolled in the Queen's University PhD Nursing program. She is an advanced practice nurse and a partner of KDS Professional Consulting based in Ottawa, ON. Congratulations to Kim! Courtesy WOCN Society

The Hollister Award is awarded to an ET Nurse who is an active CAET Member pursuing a Baccalaureate, Masters, or PhD. This academic award winner is selected using specific criteria such as: • Academic marks; • Number of years the ET has been a CAET member; • Involvement with CAET, Board and Executive positions, committees; and • Involvement in the planning of a CAET conference. These criteria are weighted and the ET applicant with the highest score receives the award.

L to R Paulo DaRosa, CAET President, Kim LeBlanc, Hollister Award Recipient, and Karen Spencer, Hollister Canada.

2016 CAET President's Award Recipient It gives us great pleasure to acknowledge this year's CAET President's Award winner: Lina Martins, RN, BScN, MScN, CETN(C), Clinical Nurse Specialist at London Health Sciences Centre. The CAET President’s Award is presented annually to a CAET member in order to recognize excellence in ET Nursing. This award also recognizes achievements toward nursing leadership in the specialties of wound, ostomy, and continence, as well as advocacy for the highest quality of nursing for individuals with challenges in wound, ostomy and continence. Lina Martins is not only a nurse leader but has also demonstrated a tremendous amount of caring toward patients and the profession of ET Nursing. Lina has demonstrated excellence through: • being a preceptor and mentor for numerous students; • publishing in several peer-reviewed journals; • receiving an excellence award for clinical practice in 2006 and a nursing excellence - peer recognition award in 2011; • participating on multiple committees locally, regionally, nationally, and internationally; • presenting nationally and internationally; and • being involved in the development of Best Practice Guidelines and pathways locally and provincially. Lina has, has inspired many nurses to become ETs, and many ETs to become better ETs. Thank you to Lina for all she does!

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WORLD COUNCIL OF ENTEROSTOMAL THERAPISTS (WCET) Submitted By: Karen Bruton, RN, BScN, CETN(C), MCISc(WH), WCET International Delegate. [email protected]

The 2016 WCET Congress in Cape Town, South Africa was amazing! The presentations from all around the world, on so many diverse topics, were so insightful. We heard about many of the same issues we experience in Canada as well as extraordinary difficulties that are experienced in other countries. Stories that made you laugh, cry, and embrace their amazing outcomes. WCET Congress is such a worldly experience and a real ‘must attend’ event!

WCET Opening Ceremonies - March 2016

New WCET Canadian International Delegate I am so pleased to announce that Kimberly LeBlanc will be the next WCET Canadian International Delegate from 2016 to 2020. She is a good friend and colleague who is passionate about promoting evidence-based practice to enhance the quality of life for those with wound, ostomy, and continence issues. I wish Kimberly all the best! Kimberly is an Advanced Practice and CNA Certified Enterostomal Therapy Nurse who is a partner in KDS Professional Consulting. She has a Bachelor of Science in Nursing from McGill University, a Master of Nursing Degree from Athabasca University, and is currently pursuing a PhD in Nursing at Queen’s University. Kimberly is an Adjunct Professor with the University of Western Ontario Master of Clinical Science – Wound Healing program, a visiting lecturer for the

MARK THE DATE: 22nd WCET Biennial Congress in Kuala Lumpur, Malaysia - April 14 to 18, 2018. Congress theme is Ethnocentric Challenges in Nursing Care.

McGill University School of Nursing, a faculty member of the Canadian Association of Wound Care’s Wound Care Institute and an external marker for the International Interdisciplinary Wound Care Course at the University of Toronto. She is an international expert reviewer for the Joanna Briggs Institute in Adelaide, Australia, and an international member of the Pressure Ulcer Clinical Guidelines Development Panel of the Association for the Advancement of Wound Care (USA). Kimberly is a member of the editorial board for the Journal of Advances in Skin and Wound Care and the Diabetic Foot Journal Canada. She is also the Political Action Core Program Leader for the Canadian Association of Enterostomal Therapists (CAET) and sits on the CAET-WOCN editorial board.

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THE CAET – JWOCN CONNECTION The CAET Feature Section of JWOCN is Seeking Authors to Share their Expertise in… wound, ostomy and continence clinical practice, program development/education and quality improvement. Submissions are 250-500 words including pictures, tables and figures. OR Are you writing an original manuscript for publication? Consider JWOCN first!

Share your professional ETN expertise NOW

Contact your CAET Regional Editorial Board Representative for more information. (First time authors are encouraged. Coaching from the Editorial Board is FREE) Canadian Feature Editor: Lina Martins ([email protected]) BC/Yukon: Kim LeBlanc ([email protected]) Prairies/NWT: Mary Hill ([email protected]) Ontario: Lina Martins ([email protected]) Québec & Atlantic: Louise Forest Lalande ([email protected])

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Upcoming Events International Continence Society September 13 - 16, 2016 Tokyo, Japan www.ics.org

SAWC Fall Meeting October 20 - 22, 2017 Las Vegas, Nevada www.sawc.net

World Union of Wound Healing Societies (WUWHS) “One Vision - One Mission” September 25 - 29, 2016 Florence , Italy http://www.wuwhs2016.com

CAWC 22nd Annual Conference “Wounds across the Continuum of Care: Access, Innovations and Integration” November 3 - 6, 2016 Niagara Falls, Ontario www.cawc.net

Stoma Stroll Ostomy Canada Society October 1, 2016 www.ostomycanada.ca

CAET National Conference “Patient Centered Care Growing Stronger Together” May 25 - 28, 2017 London, ON www.caet.ca

The views or opinions expressed in the editorial or articles are those of the authors and do not necessarily represent the policies or views of the Canadian Association for

This publication is copyright in its entirety. Material may

Enterestomal Therapy (CAET). Although

not be reprinted without the

reasonable efforts are made to ensure

written permission of

accuracy CAET, and its agents, take no

CAET. Contact through

responsibility whatsoever for errors,

www.CAET.ca.

omissions or any consequences of reliance on material or the accuracy of information.

Publication does not constitute CAET endorsement of, or assumption of liability for, any claims made in advertisements.

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OSTOMY CANADA SOCIETY INC. REPORT Submitted By: Ann Ivol, President, Ostomy Canada Society / Société canadienne des personnes stomisées www.ostomycanada.ca

egional Directors Since my last report there has been an increase in the number of directors on the Board of Ostomy Canada Society. Regional directors have been appointed to represent the five regions across Canada. They are as follows: Ann Durkee, Atlantic Region; Jude Ruest, Quebec Region; Jim Fitzgerald, Ontario Region; Deb Carpentier, Prairie Region and Debra Rooney, Pacific Region. This change is already proving to be beneficial as each director has made contact with the chapters and ostomy peer support groups in their region. It is hoped that the chapters and ostomy peer support groups will feel they now have better representation at the national level.

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Provinces. The committee requested a re-evaluation of ostomy reimbursement and improved access to ET Nurses for their respective provinces. As of writing this report the Premiers of Newfoundland & Labrador and New Brunswick have shown an interest in arranging a meeting with representatives of CAET and Ostomy Canada Society’s Advocacy Committee. Strategic Plan In the spring, the Board of Directors worked on revising the Ostomy Canada Society’s Strategic Plan. The original plan was written five years ago and, despite subsequent updates, the Strategic Plan was no longer relevant. Many of the goals and objectives outlined in the previous plan have since been achieved and new goal-setting will be critical to our success. The final version of the Strategic Plan, 2016-2021, was presented to the chapter delegates, at the National Council in Winnipeg, for approval.

Advocacy The Advocacy Committee of Ostomy Canada Society continues to work in collaboration with CAET. A successful teleconference was held with Susan Picarello, Director, Assistive Devices Program of Ontario and her team, representatives of CAET (Catherine Harley and Kim LeBlanc) and representatives of Ostomy Canada Society (Jim Fitzgerald and Ian MacNeil). One of the concerns addressed was improving access to ET Nurses in Ontario. We have been advised to approach the Local Integrated Health Networks (LIHN) to discuss and create solutions.

Conference In August, the first biennial conference under Ostomy Canada Society was held in Winnipeg, Manitoba. The Winnipeg Conference Planning Committee, under the leadership of Director Lorrie Pismenny, organized an interesting and educational program for all participants. We were able to “Celebrate Past, Present, Future”, exchange ideas, renew friendships, and meet new friends.

Contact was recently made, by letter, with the Premiers of the four Atlantic

The Board of Directors, at a board meeting in January 2016, accepted the

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By the time you read this report the Chapter delegates, attending the National Council, will have come together and voted on these two major resolutions that will affect Ostomy Canada Society’s future. two recommendations of the Governance Advisory Working Group (GAWG) – to disband National Council and to make the Board of Directors members of Ostomy Canada Society. By the time you read this report the Chapter delegates, attending the National Council, will have come together and voted on these two major resolutions that will affect Ostomy Canada Society’s future. Pending ratification of the two resolutions the chapters, as entities, would no longer be members of Ostomy Canada Society or have responsibility for the Society’s governance. This will become the duty of the Board of Directors. Chapters, therefore, will be able to focus their efforts on supporting people living with an ostomy, in their local communities, without being concerned with governance at the national level.