Sie sind auf Seite 1von 7

OFFICERS

President: Paul Rossi 410-647-6171


268 Shakespeare Drive
Severna Park, MD 21146

Vice President Stan Novack 410-255-6802
Secretary Jamie Darr 410-987-0094
Treasurer Lyn Rowell 410-672-6983
Webmaster: Janice Winters

BOARD OF DIRECTORS
Dennis Fila Joan Gardner
Ginny Gross Stan Baker
Allyn Mellits

OSTOMY ADVISERS:
Irene Repka, RN, BS, CWOCN
Michelle Perkins, RN, BS.
Were on the Web! www.annearundelostomy.com
Volume 40 Number 12 September 2014

!"#$%&'( *++,&'(-.
/+",+%0+1 23 4562 7 8&-9 :9;'3 <$'=9,+# >+"1+-+',9,&=+

?#,$0+1 43 4562 7 @$ 0+ 9''$A'#+B
Note: Meetings are held at 7:30pm, the first Thursday of each month at the
Belcher Pavilion at Anne Arundel Medical Center in Annapolis. From the
2
nd
floor of the parking garage take the entrance into the Belcher Pavilion and
once inside take the elevator to the 7th floor and check with the 7
th
floor desk
for the room number.
If AA County Schools are closed due to inclement weather, there will be no
meeting.

!"# %&&# %'(&)#* +,(&-./ 01'.*1&)/ 23-,4. %33,561-6,&/ 7&58 (AAC0A) is a non-piofit, volunteei-baseu
oiganization ueuicateu to pioviuing ieassuiance anu emotional suppoit foi people who have hau oi will have some
kinu of ostomy suigeiy, such as a colostomy, ileostomy, uiostomy (uiinaiy uiveision) oi a continent pioceuuie. The
goal of the AAC0A is to pioviue moial suppoit, infoimation, anu euucation to people with ostomies anu theii families
anu fiienus. Nembeis ieceive The Rambling Rosebuu newslettei monthly. 9:;< 1'# =>? please make check out to
AAC0A anu mail to Stan Bakei, 9S8 Fall Riuge Way, uambiills NB 21uS4-14S4
0#4@#'3"6A %AA*651-6,& !"#$%# !'()*
Full Name
_______________________________________________________________________________________________________________________________
"#$% &'($% )*+*
Auuiess: _____________________________________________________________________________________________________________________
,%(--% .//(-$$ .0#(%1-2%342'% 5
_____________________________________________________________________________________________________________________
6'%7 ,%#%- 8'0 69/-
Phone: ( ) Bate of Biith: uenuei:
Email Auuiess _____________________________________________________________________________________________________________
Reason foi suigeiy: ____ Ciohn's ____0lceiative Colitis _____ Cancei _____ 0thei__________________________
Emeigency contact if we aie unable to ieach you: ______________________________________________________________________
+,$* *-.# /0 %1'2#'- ,$3# -/1 ,$45
Colostomy 0iostomy SpouseFamily Nembei
Ileostomy Paient of chilu with 0thei (please specify)
6 7/1"4 "(8# */ ,#". 7(*, *,# 0/""/7()2 9/::(**##;%< /' $9*(3(*(#%=
Finance Bospitality Nembeiship Newslettei
Piogiam Refieshments Sunshine visiting
>/7 4(4 -/1 ,#$' $?/1* 1%5
Inteinet Seaich ETW0CN Nuise 0thei
Bospital Physician

A WORD OF THANKS for their constant support of our
Chapter to: The American Cancer Society, especially the
office in Gambrills, for essential help with our newsletter; and
Anne Arundel Medical Center for providing rooms for our
regular meetings and special events. We appreciate their
support and assistance.
+%-1$ :(91 %;'$ 2-<$=-%%-( 1#7 >- (-0('2%-/ '2
9%;-( 9$%917 2-<$=-%%-($? 0(9@'/-/ 0(90-( A(-/'%
'$ B'@-2 #$ %9 $9C(A- 9: 1#%-('#=
REMEMBER!!! The entrance to the Belcher Pavilion is
FROM THE SECOND FLOOR OF THE PARKING
GARAGE. Once inside the building you will be on its
second floor take the elevators inside up to the 7
th
floor.
When leaving, take the elevator the second floor and go
through the doors onto the 2nd floor of the parking garage.

















OSTOMY ADVISORS FOR STOMA HELP
To consult with one of the ETs below, a physicians
referral is necessary and a fee will be charged. Call for
an appointment.
BALTIMORE WASHINGTON HOSPITAL
Carol Canada RN, BSN, CWOCN
410-787-4578
ANNE ARUNDEL MEDICAL CENTER
Michelle Perkins, RN, BS, CWON
Email: mperkins@aahs.org
Laura Alberico-Klug, RN, BSN, CWON
Email: lalbericok@aahs.org
443-481-5508 / 442-481-5187
Fax: 443-481-5198
Private Consultants
Joan M. Sullivan, MAS, RN, CNA, CWOCN
410-932-7312
Foi those seiving on the boaiu, the next
boaiu meeting is Septembei 1Sth at 7:Supm
BC>DEBC>?

Live Well
!
Live Independent
!
Live Active

"#$%#&
'()* +,-. /,01
203456,-78 9: ););)
<=,>7? @;ABC((BDCAA
E0F? @;ABC((BDCA)
GH&" IJKKL+
;A(D( +,-. /,01
M,N.7OPQ53378 9: );ACA
<=,>7? @;AB((CBACAA
E0F? @;AB((CBACA;
",33 E-77? ;BRDDBJH%"9L:

9BE *?AA 0S6S B '?AA TS6S
%04 *?AA 0S6S B )?AA TS6S
!"##$$% '()*+"%
,'-. /-. !01-
Greetings!

With the influx of new products recently on the
market, the ostomy world has increasingly
become a new excitement of opportunity.

When sampling a new product, make a check
list. Then when ready to order, you will have
answers at hand. Consider questioning if the
product is an adjunct or replacement to your
current system, whether it is a potential solution
to a problem, if it is covered by insurance and if
so, how many are allowed each month.

Ask questions of your WOCN, the manufacturer
and the ostomy and wound specialists at Austin
Pharmacy & Medical Supplies.

Looking forward to hearing from you!


September 2014 The Rambling Rosebud

4
MESSAGE FROM OUR MEMBERSHIP CHAIR
Our fiscal year runs from October 1
st
to September 30
th
so this means were starting to collect dues!
Dues are $15 so if you would like to save on postage, your check (made payable to AACOA) or cash
can be given to Lyn Rowell or me at one of our monthly meetings. If you mail your payment, please
use a check. When you pay your dues, please complete and return the Membership Application form
(page 2 of our newsletter) with the years 2014-2015 on it. Even if you havent moved or nothing has
changed, having a new completed form helps me in my record keeping.
Using this notification and either giving in your dues or mailing them will save us money on posting
out dues notices.
Thank you, Stan Baker

MONEY, MONEY, MONEY
Lyn Rowell
With the reminder that our membership renewal
is coming up, as the Treasurer I wanted to give
you a report on where the money comes from
and where it goes.
Firstly we are very grateful to our two advertisers
who support the group by purchasing a one page
advert. So please, when possible support our
advertisers in return!
We also receive occasional donations often in
memoriam of a member.
The remainder of our income comes from
membership dues - $15 individually doesnt
seem like much (you dont get much at the store
for $15) but it makes a difference. So thank you
for paying your dues.
Our annual expenses include mailbox rental,
occasional banking fees, web hosting, and the
sandwich tray for our holiday social.
As a member of the United Ostomy Associations
of America (UOAA), we pay chapter
membership dues which are based on the number
of members in the group.
But the main expense for the group is the postage
for sending out the newsletter and renewal
notices, and postage rates have increased again
this year.
After expenses are met, we then use the
remaining money to further programs that help
support individuals with ostomies. Each year the
board has voted to donate money to the youth
camp program run through the UOAA. This
weeklong program is for children/youth with
ostomies it allows them to try activities that
they might not otherwise try. It helps them to
meet and connect with other kids who understand
what they have been through or are going
through. Like every thing, the cost to attend
camp is increasing and many of these youth
campers could not attend without sponsorship.
So far, we have been able to sponsor at least one
camper each year. We really want to be able to
continue to do that.
Another organization that we try to support is the
Friends of Ostomates Worldwide. They accept
donations of supplies which are shipped to
ostomates in countries where ostomy equipment
may be in short supply or extremely expensive.
They need help with money for shipping the
donated supplies, so we try to make an annual
donation to them.
We have a limited amount of revenue, but we try
to ensure it is put to the best use possible. We
really appreciate your help in making our
organization make a difference to others
************

THE MI D-ATLANTI CS LARGEST OSTOMY DEALER
We have a dedicated group of Ostomy Supply Consultants that are
committed to keeping you in your active lifestyle. Northern Pharmacy
and Medical Equipment has an attentive staff that cares about your
quality of life. Make us your first step in getting back to life as it was
meant to be. After all

Weve been here for over 75 years, there must be a reason!
Our Ostomy Department provides a full range of comprehensive
services and quality products from trusted brands you can rely on.
WE OFFER:
Delivery anywhere in the United States
Free delivery available
Next day delivery is available
Large inventory of ostomy & wound care
supplies in stock (we stock an inventory of
over 5,000 boxes of supplies)
Customized hospital and clinic service
plans available
In-house Medicare and insurance billing
specialists
Personalized pharmacy/medical supply
specialist available
Easy ordering by fax, phone, online, or
in-person.
Toll Free 24 hour hotline
Acceptance of all major credit cards
Northern Pharmacy and Medical Equipment
6701 Harford Rd, Baltimore, MD 21234
Harford Rd & Northern Parkway
www.NorthernPharmacy.com
SPEAK DIRECTLY TO OUR OSTOMY SUPPLY
CONSULTANT: KEITH CAPPS
Phone: (410) 254 2055 x249 Fax: (443) 740 9297
kcapps@northernpharmacy.com
September 2014 The Rambling Rosebud

6

FOLLICULITIS A HAIRY PROBLEM
By Kathy Dahn, RN, Riverside HealthCare via Kankakee
Ostomy Association

At the risk of sounding sexist, this article primarily
applies to hairy guys (sorry fellas but women seldom
have much hair on their bellies!). So whats the big
deal? The fact of the matter is that abdominal wall
hair can be so strong that it can grow out through a
wafer and the waterproof tape, sticking straight up like
blades of grass. If I hadnt seen this myself, I would
never have believed it!. Needless to say, removing
the wafer when the hair is caught like this is going to
be very painful (similar to wax jobs you see on TV).
OUCH!!!

As if the pain isnt enough, this type of hair removal
can cause folliculitis, which is an inflammation within
the hair follicle. Removing the waver in a rough
manner and dry-shaving can also cause folliculitis.
This condition presents as reddened bumps on the
peristomal skin. This redness may be confused with a
yeast infection, but if you look carefully, the redness is
only present around each hair follicle. If infection is
present in the hair follicle, the bump may look like a
pustule.

So what is the solution to this hairy problem? Many
men find they must shave the peristomal skin with
each appliance change. In the past, the ostomy
literature has always recommended using an electric
razor. I personally have never had great success with
this method although I have heard that some folks do
very well with the newer small razors that were
designed for trimming mustaches and sideburns. If
you use a safety razor, as we do in the hospital, be
sure to apply sufficient shave cream so that this is
NOT a dry shave and be gentle. Most shave creams
have emollients so you will need to wash the skin with
a plain soap afterwards (like Ivory), rinse and dry well.
If the skin is very irritated and itchy, we have found
Kenalog spray to be helpful. This is steroid (cortisone)
spray which decreased the itching and irritation. It
does not require a prescription from the doctor. If you
use Kenalog spray on your peristomal skin, apply
lightly then allow it to dry a bit prior to placing your
appliance. The spray has a slightly oily base so your
wafer probably wont stay on as long as you are used
to, but hopefully, your skin will be healing! If there are
actual pustules around each hair follicle, you may
need to use an antibiotic powder such as Polysporin
powder to clear the problem. Again, a prescription is
needed to obtain this product.

Folliculitis is not as common a problem as skin
breakdown or yeast infections but it is very annoying
when it does happen. Hopefully, these hints will help.




TIPS TO PREVENT MEDICAL ERRORS
Via the ReRoute Evansville IN

1. Be an active member of your own health care
team. Patients who are more involved with their
own care tend to get better results.
2. Make sure your doctors know all medications you
are taking. This includes prescription and over-
the-counter medicines, and dietary supplements
such as vitamins and herbs.
3. Make sure your doctor know bout any allergies
and adverse reactions you have to medicines.
4. When your doctor writes you a prescription, make
sure you read it.
5. Ask for information about your medicines in terms
you can understand.
6. Ask What is this medicine for? How am I
supposed to take it and for how long? What are
the side effects? What do I do if they occur?
7. When you pick up your medicine from the
pharmacy, ask: Is this the medicine my doctor
prescribed? Make sure!
8. If you have any questions about the directions on
your medicine label ask for an explanation.
9. Ask your pharmacist for the best devices for
measuring your liquid medicine.

September 2014 The Rambling Rosebud

7

Drug Therapy For The Ostomate
by John J. Wroblewsky, RPh;
via Ostomy Management, North Central Oklahoma
Ostomy Outlook & Evansville (IN) Ostomy News

The most well-adjusted ostomate can run
into trouble when he or she starts taking
medication. The potential of side effects or
adverse reaction increases as the number of
medications the patient is taking goes up.
Compounding the risk is that consumers today
are turning to over-the-counter medication and
are prescribing for themselves to offset rocketing
health-care costs. A few basic principles of drug
use are, therefore, important to keep in mind.
A drug cant do any good unless it gets to its
target organ. This simple idea is all thats behind
the concept of bio-availability. In almost every
case, a drug must be absorbed into the systemic
circulation before it can exert a therapeutic
effect. Since drugs are absorbed primarily
through the intestines, ostomates can be at a
particular disadvantage. Many factors influence
the absorption of drugs. These factors include the
chemical nature of the drug, the dosage form in
which it is introduced into the system, and the
condition of the patient who is taking the drug.
Iron, for instance, is absorbed in the duodenum,
and vitamin B12 in the terminal ileum. While the
chemical nature of most drugs allows absorption
along a significant length of the intestinal tract,
the shorter the functional intestine, the less will
be absorbed. Only a very few drugs, such as
alcohol, can be absorbed to any great extent
through the stomach.
Another chemical factor involved in bio-
availability is the intrinsic solubility of the drug.
Some drugs are rather insoluble in the digestive
juices and absorption into the bloodstream will
vary greatly, even in patients with an intact
bowel. Clearly, a patient with a shortened ileum
is at risk for mal-absorption of any poorly
absorbed drug.
The dosage form, too, is a major factor in
bio-availability. As a general rule, the smaller the
particle size provided to the GI tract, the easier it
is absorbed. True solutions have the best bio-
availability by the oral route and suspensions are
almost as good. Chewable tablets have a pretty
good record if they are chewed well; in most
cases they are better than capsules or compressed
tablets.
Ostomates who have had a significant portion
of their intestine removed may achieve better
absorption by emptying the contents of a capsule
into applesauce, or crushing a compressed tablet
and adding the powder to food.
A word of caution thoughnot all tablets can
be safely crushed, and not all capsules should be
emptied. Generally speaking, time release tablets
should not be crushed, nor should time release
capsules be emptied. The result could be 12 to 24
hours worth of medication being released all at
once.
Certain drugs can react chemically with
foods. Tetracycline is notorious for combining
with heavy metals and with ions such as calcium
which is present in milk, yogurt, ice cream and
other dairy products.
Enteric-coated tablets should never be
crushed. The reason those tablets are coated is to
prevent acid degradation in the stomach or to
protect the mucosa from irritation. Enteric-coated
tablets are a poor choice for ostomates. Entire
tablets have been recovered intact in an ostomy
pouch.
A patients diet can affect the drug absorption
too, either by absorption of the medication into
the food, chemical interaction, or by delaying
gastric emptying. Since many drugs are affected
by acid, prolonged exposure to stomach acid may
decompose the medication.
Physicians, pharmacists and especially
enterostomal therapists have an important role in
educating ostomy patients so theyll know what
to expect and avoid in drug therapy. Ostomates
owe it to themselves to be informed and alert, to
minimize risks and to ask when there remains the
slightest doubt.

Das könnte Ihnen auch gefallen