Spring 2016 | Issue 41
Hellpiing ostomates siince 1967
Special Feature: Holidays & Travel including • Hints & Tips for travellers • Holiday Insurance Also • Parastomal hernias • Two nurses with stomas
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FROM THE EDITORIAL TEAM EDITORIAL TEAM S e F Editor e R E Colostomate/Helpline Volunteer p E Rosemary Brierley a g la e p not actual size Assistant Editor, Trustee, 5 e Colostomate & Volunteer 9 l o Sarah Squire fo f r fe Colostomate d r & Helpline Volunteer e Jackie Dudley ta il Trustee, s. Colostomate & Helpline Volunteer Ian Jackson Stoma Care Nurse Advisor Julie Rust RGN, Dip, N MSc General Manager Susan Hale Products & Services Officer dear READERS Arvind Anand
If you attended the Colostomy Association Holidays and travel are the special topic for Open Day last July you will remember the this spring issue of Tidings. Hopefully this excellent presentation on parastomal will persuade those of you that have not hernias by our president Ian Daniels stayed away from home since your stoma FRCS. surgery that travel with a stoma is not only possible but can be as enjoyable as Following on from this, we are delighted to holidays in the past. Even though it is now be able to include in this issue of Tidings an almost 25 years ago I can still remember article on this common complication of how apprehensive I felt before I went to stoma surgery. As well as highlighting the stay away for the first time after my stoma need for more research into the prevention surgery. The answer for me was to take a of parastomal hernias and the most short break close to home to begin with How to contact Tidings effective way to surgically repair them, Mr then venture further afield as my By letter write to: Daniels emphasises that the decision to confidence increased. surgically repair a hernia isn’t taken lightly. The Editorial Team For those with mild or minor symptoms Planning ahead is also important. Peter Colostomy Association Martin answers questions about travel Enterprise House, 95 London Street conservative management is often insurance that we frequently receive on the Reading RG1 4QA recommended. Therefore, in the next issue we plan to include an article from our helpline from ostomates preparing to travel By telephone: stoma care nurse advisor Julie Rust and her abroad. Sarah Squire passes on hints and 0118 939 1537 colleague Simekuhle Ndlovu explaining tips collected from Colostomy Association Via e-mail: volunteers, Tidings readers and Facebook [email protected] how a different appliance or support garment can often reduce the problems members. This includes tips for irrigators on Advertising Enquiries: associated with a hernia and improve her regular irrigation page as well advice on For a media pack and advertising rates. quality of life. going through airport security and Contact: Arvind Anand reassurance for those concerned about flying Telephone : Many years of training and experience for the first time after their stoma surgery. A 0118 918 0500 equip stoma care nurses with the reader writes about the plans she made E-mail: knowledge to advise and care for people before her first cruise and concludes that [email protected] with stomas. Many will, however, be the cruising is an ideal way for an ostomate to first to admit that they don’t know what it see the world. Maybe, however, you prefer to Tidings Magazine: feels like to live and cope every day with a The views expressed by the contributors are not stay in the UK; David Ford, one of Colostomy necessarily those of the Colostomy Association. Great stoma. In this issue we hear from two Association’s volunteers in Wales, describes care has been taken to ensure accuracy, but the nurses who do. You may remember three some of the interesting places in Britain he Colostomy Association cannot accept responsibility for errors or omissions. years ago we included Molly’s story in has visited in his campervan. Tidings about how she was diagnosed with Disclaimer: So don’t let having a stoma stop you getting The display, description or demonstration of products Crohn’s disease at the age of 13 and and services or the inclusion of advertisements, inserts subsequently had a colostomy; she now away to destinations either in this country and samples within Tidings Magazine does not or abroad. Just pack your bags and off you constitute an endorsement or recommendation of tells us how she recently qualified as these products and services by the Colostomy paediatric nurse. Alison Horner on the other go…and when you get back do write and Association. hand writes about her career in nursing at let other readers know how you got on. ©Copyright 2016 Colostomy Association. All rights St Mark’s and on colorectal wards in other Have a great time reserved. No part of this publication may be reproduced, stored in a retrieval system, or hospitals. She says: “Much of what I have transmitted, in any form or by any means, electronic, been through has allowed me to truly Rosemary Brierley mechanical, photocopying, recording or otherwise, empathise with my patients.” Her story ends on behalf of The Tidings Editorial Team except as permitted by the UK Copyright, Designs and Patents Act 1988, without the prior written permission as she flies off on holiday for the first time Email: of the publisher. All marks acknowledged. with a stoma. [email protected] | WEBSITE: WWW.COLOSTOMYASSOCIATION.ORG.UK TIDINGS | SPRING 2016 | 3 D D DD DD DD D
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'LHNJ3O5LJANBKJFK6DE ,E@OL DK DJN( -CMI 4LAGO5LJCK9NG@H?KFNANFMII@OBKHN3JKBO 7NG .88:AB9CD4<9D4@AD 'C;9>CDLCMIO7AC??:ACD/5CAC ;CC=C=D*D5C>7?D<67A@0CD?3<;DB;= 7A@=:89D/CBAD9<6C -B>>D(#22$&%,2 ;$;;O#"1O;010 @ADC6B<>DNJAL&?KM:=KBNFMI>FL>D: 4@AD HM=?IKH B;=D:@9CD7A@6@9<@;B>D8@=C) %2;2 5ILHKBO?LDF .>>D8@;0C%D7A@=:89? ?5@:>=D CD:?C=D:7@; 95CDB=0<8CDB;=D1:<=B;8C @4DBD"9@6BD-BACD,:A?C !CDBACD?@8 )9FIDHNCKO+(O.NHGEN8DGLEO*LEO -HGL=@O!ELBDFGH 777>?KM:=KBNFMI>FL>D: TIDINGS CONTENTS How to get in touch with the inside this issue Colostomy all your regulars & special features 8 page Association ure Updates Focus on... feat The Association represents the interests of colostomates and other ostomates. We 8 Colostomy Day 2016 provide support, reassurance and practical Holidays & Travel information to anyone who has or is about 19 Fundraising 32 Kevin Young to have a Colostomy. A thank you for your generous Winner of this year’s CA donations and fundraisers How to become a member of the calendar photo competition Colostomy Association 28 New products Keep up to date with the 33 Cruising Simply contact us by post: latest products and services is so easy for ostomates Colostomy Association Enterprise House, 95 London Street 29/50 34 Wherever we park the Reading RG1 4QA 41 CA News van is our home David Ford By telephone: Sue Hale reports from General Enquires: 0118 939 1537 Head Office 35 Tips for travelling Stoma care queries only: when you have a Freephone Helpline: 0800 328 4257 From Healthcare stoma Sarah Squire By E-mail: Professionals [email protected] 36 Don’t forget your 9 Hernias, Hernias, travel certificate Find us on FACEBOOK: Hernias and Hernia Support 37 Living Life to the Full Ian Daniels FRCP, CA President Crisi Taylor 52 Dear Nurse 38 Your travel insurance Join our ‘closed’ group today simply Julie Rust answers your letters questions answered put Colostomy Association into your and e-mails Peter Martin FACEBOOK search bar, click on Group and click on ‘Ask to join’ you will be Support assured of a warm welcome! Living with a Stoma Visit us and register at: 27 Stoma Aid www.colostomyassociation.org.uk 23 Irrigation How the scheme is helping Sarah Squire passes on ostomates in Moldova Don’t delay travel tips 47 JOSH Donate Online today! Jennifer & Laura There are NOW two ways to donate 39 From a Carer’s online Perspective – 2 sisters, 0 colons Mack shares their holiday 1 experiences 49 The Facebook Group Helping each other 43 From One Ostomate to Another 51 The Breakaway Three CA volunteers answer Foundation readers’ questions about sport 54 Readers’ Writes Visit the Colostomy Association website Your letters and e-mails and simply click on the donate panel on the home page. Real Lives 61 A Local Group Coventry Stoma Support 2 7 From Patient to Nurse Molly qualifies as a paediatric Group nurse Visit the Just Giving home page you will see 64 List of local a search panel ‘Find a Charity’ type in 12 From Nurse to Patient support Colostomy Association. Alison Horner groups The Colostomy Association is a charitable company limited by guarantee (Registered Charity No: 1113471). | WEBSITE: WWW.COLOSTOMYASSOCIATION.ORG.UK TIDINGS | WINTER 2016 | 5 A Hollister Technology Start right. See it through. Integral AF300 filter • Reduces pouch ballooning and virtually eliminates Moderma Flex One-Piece Pouching odour System with Viewing Option The viewing option is utilised by breaking the perforated seal ex Skin Ba Fl rr ft ie o r S When the flap is lifted, the stoma and output can be observed clearly and privately • Can also help you position the pouch more easily • Helps maintain your peace of mind - setting you up for success from the start The curved seal retains its shape, even after the perforation is separated • Helps prevent water from collecting during bathing or showering Easy closure system • Easy to use and secure Lock ‘n Roll Integrated Closure System (non Velcro) Available in three options Flat, convex and oval To request FREE samples, please contact Hollister Customer Services on 0800 521 377 or email [email protected] The Hollister logo, Moderma Flex and “Hollister Ostomy. Details Matter.” are trademarks of Hollister Incorporated. © 20145 Hollister Incorporated UASummer2015 REAL LIVES MOLLY From Patient rse to Nu tense my whole body through lectures in the hope I wouldn’t leak, before scuttling home again. This had to stop. After various hospital visits and exploratory procedures I returned to see the Professor to see what else he would try. Out of nowhere he said that realistically the next step was to form a stoma. He explained what a stoma was with little empathy but I think I zoned out – I was so shocked by this suggestion that I was silent It is tough to choose the right starting the whole way home. Having a stoma had I am now 23. A lot has happened in the four point for this story of ‘my life with a never crossed my mind. years since I had Neville. I had to have a stoma’. I suppose I should rewind the further bowel resection last year due to We got a second opinion. This consultant clock and begin from when I was was amazing and explained the options. He numerous bowel obstructions – for four diagnosed with Crohn’s Disease in 2004. explained that having a stoma was possibly months I was on a liquid –only diet. I was in At age 12, I was as thin –as –a–stick, the best idea for me. my final year at University and I had to put seriously unwell and malnourished. my degree on hold for several months In August 2011, I said ‘yes’ to having a Therefore it comes as no surprise that I was recovery time. I had to continue my degree permanent colostomy. Walking out of the admitted to hospital for 8 weeks (my first whilst all my friends had graduated. It was hospital after making that decision, I felt tough and I really didn’t think I would finish of many admissions). At this stage in my life terrified but determined that it was time to it. But in December 2015 I completed my I was new to understanding Crohn’s live the life I deserved. disease. I was also battling with M.E. – final placement and I am now a nurse! Due although looking back, I believe M.E. had I had a meeting with the wonderful stoma to the nature of Crohn’s I know it can been masking a lot of the symptoms of nurse team before the operation to be reappear at any time but all I can hope is Crohn’s. marked up and to see the bags I would that it allows me some good health for the have to use. Afterwards I burst into tears. I start of my career. I missed 4 years of school and no –one think that I had been living in a bit of a believed I would return to my original naïve bubble about life with a stoma and Neville is with me for life. Luckily I love him year –group once I was well enough to hadn’t realised how major the surgery was (most days). I do have tough days with him attend classes again aged 15. But I proved going to be. though where he ‘plays up’ but overall he them wrong and I sat my GCSEs with my has changed my life for the better and given class; sure I took a reduced number but In October 2011, at the age of 19 my stoma me a chance to have a future. I would never was formed. Humour definitely helped me who needs 12 GCSEs these days? have been able to go to University without through tough times after the operation – him. I would never have dreamt that I However it was during this time that it is a long recovery process. I named my would qualify as a Paediatric Nurse without another problem emerged. I was stoma Neville! No idea where the name him. I would not have participated in a experiencing what can only be described as came from but it helped so much and now ‘leaking’. My Crohn’s was under control but all my family and friends refer to my stoma sky –dive without him. I would not have the damage it had done to my colon, as Neville. climbed Mount Snowdon without him. I rectum and anus left scarring which caused could not have stood or walked any I chose to irrigate which has been brilliant these life –restricting and embarrassing distance before I had him. Just the simple in giving me a little bit more control over symptoms such as leaking and a constant act of taking my dog for a walk is a real when Neville will be ‘active’ – although he urge to go to the loo. privilege. still rebels and does his own thing at times! Looking back I have no idea how I I also decorate my bags to brighten –up a Quite a lot has happened in my 23 years! completed my ‘A’ levels. I would dash from bag change – plus it looks really colourful Who knows what adventures Neville and I the car to the loo before class and then when I’m wearing a bikini. will embark on in the future? n | WEBSITE: WWW.COLOSTOMYASSOCIATION.ORG.UK TIDINGS | SPRING 2016 | 7 CA NEWS FROM THE OFFICE Get ready for The Colostomy Association Colostomy Day is a national awareness day which takes place on the first Saturday of STAY SILENT each October to help tackle some of the is calling on ostomates, issues faced by people in the UK who live with a stoma. carers, family members, The theme for Colostomy Day 2016 is Fight the Poo Taboo and we’d like lots of people businesses and the general to get involved. It is estimated that almost 1 in every 500 people in the UK currently live with a stoma but it still remains a public to help us fight the little –understood condition to the general public. poo taboo this October by To help tackle public perceptions of having a stoma we are asking ostomates across the getting involved with UK to speak out or go silent for Colostomy Day. Colostomy Day 2016. MAKE SOME NOISE Alternatively, perhaps you could go silent for the day to highlight the difficulty many ostomates face talking about their condition. You could do a sponsored silence, hold a silent disco or even go silent on social media for the day with an explanation about why you’re doing this. The Colostomy Association is committed to improving public perceptions about people living with a stoma. Colostomy Day is a fantastic way not only to raise awareness of the issues faced by people living with a stoma but to have some fun as well. Speaking about Colostomy Day, the Colostomy Association’s Marketing Communications Officer – Niall Norbury – said: “In recent years we have started to see Grab people’s attention by making as much a positive change in the attitudes towards noise as possible about life with a stoma on people living with a stoma but we still have If you’d like to get involved with Colostomy Day. Help tackle the poo taboo a long way to go. Colostomy Day 2016 then please by speaking out or being as loud as you “Colostomy Day is a great opportunity for request a free inspirational pack giving can. the stoma community to challenge negative more information about how to make perceptions and attitudes. We’re calling on this a special event via 0118 939 1537 Possible activities include wearing fancy patients, carers, family members, or [email protected] dress or loud clothing, shouting out on social media or making some noise in manufacturers, businesses and other Please help us make this year’s public. charities to get involved and fight the poo Colostomy Day even bigger and better taboo.” n than the last and look out for further details in the July edition of Tidings. Come on everyone, let’s go for it and get 1 October 2016 in your diary! 8 | TIDINGS | SPRING 2016 | 24 HOUR| HELPLINE: 0800 328 4257 FROM HEALTHCARE PROFESSIONALS HERNIA – IAN DANIELS Hernias, Hernias, Hernias and FRCS(Ed) l Smart PhD, Nei n ltant Surgeo Hernia Ian u Cons Daniels FRCS or Lecturer Co & Seni nsultant Surg ter Roya eon, versity of Exe l Devon & Ex Uni eter Hospital & Exete Support r Medical Ltd The issue of parastomal hernias has appliance and the surface of the body to abdomen, but also the continuous gained recent focus in the minds of the which it is applied. We do not need to contracting and relaxing of the abdominal professions treating abdomino –pelvic remind ostomates of the concerns of wall muscles around it. disease. Whilst this article is likely to be pancaking, appliance security, leakage, etc, read mainly by colostomates, much of but the factors that impact on this are Causes what we discuss is as applicable to multifactorial. urostomates and ileostomates. Different factors can affect the risk of We talk about parastomal hernias, and we developing a parastomal hernia. Patient see bulges on the abdominal wall. But what One of the current health hot topics and factors include advanced age, wound do we mean? And how do we assess it? To which numerous organisations are focusing infection and obesity. The older we get, the highlight many of the issues we’ll use on is the Survivorship Agenda. This was thinner and weaker the abdominal wall famous quotes: originally coined by Macmillan Cancer muscles are and therefore hindered in Foundation to address the issues of patients “The better is the enemy of the good” providing adequate support for the stoma. who had survived (beyond) their disease or Professor Bill Heald, OBE, MChir, Conditions that increase the pressure in the were living with their disease. Much of the FRCS, Surgeon Basingstoke abdomen such as persistent coughing (as focus is on a patients’ quality of life, seen in patients with Chronic Obstructive traditionally something not formally As surgeons, the temptation when Pulmonary Disease – COPD), or jobs assessed as compared to quantity of life, ie assessing patents is that we can make them involving heavy lifting can also increase the how long a patient has survived and for better, but to contrast this if someone is risk of developing a parastomal hernia. already good, lives with their prominent which outcome is measured. Other factors such as nutritional status, the stoma, but functions well, perhaps we can use of steroids or other medication that Many clinicians, nurses and patients have do better, but we have enormous potential suppress the immune system can influence questioned this focus on quality of life, and to do worse! But is it really a hernia, or how well tissues heal after the formation of much of the (cancer) follow up is focused perhaps more importantly, what is a hernia? on being disease –free, not symptom free. a stoma. However, much of the risk is For many, the reassurance that their cancer Parastomal hernias are the most frequently probably in our own genetics…some is behind them is tempered by the feeling occurring problem seen following the people are more stretchy than others! formation of a stoma. It can affect patients’ of having to live with the consequences of Technical factors that may increase the risk body image as well as their self –confidence. the disease; a stoma, a hernia, reduced of parastomal hernia formation include They are more commonly seen following quality of life, limitations on work, etc, whether the stomas was formed as an colostomies in comparison to ileostomies especially as the risks of recurrence lessen emergency, whether it was done open or and this can be due to a number of reasons. with time. Indeed many patients, via key –hole surgery or whether ostomy Many ileostomies are temporary and have particularly those with a ‘benign disease’ formation was part of another procedure. a shorter duration of follow up compared such as diverticulitis, are only followed up Keyhole surgery is reported to have a lower to colostomies. We must recognise that in the early months following their surgery risk of causing a parastomal hernia unlike other types of incisional hernia by a surgeon, much of the remainder of compared to open surgery, however, long where there is a weakness in the wall their life it is by their GP, stoma nurses term follow up is awaited. Surgical where two edges have been brought where available, or just getting on with it. technique can influence parastomal hernia together, a stoma creates a hole in the occurrence, as can the diameter of the hole For the ostomate there are a multitude of abdominal wall that is permanent. The hole in the abdominal wall. issues that may impinge on their quality of in the abdominal wall remains and has the life based around the interaction of the pressure of not only the other organs in the CONTINUED ON PAGE 11, COLUMN 1 | WEBSITE: WWW.COLOSTOMYASSOCIATION.ORG.UK TIDINGS | SPRING 2016 | 9 With a superior formulation and now 360º application who cares which way is up?! Introducing new Appeel® Advance, the same great medical adhesive remover as our market leading Appeel Spray made with a specially formulated blend of healthcare grade silicones, but now with 360˚ application. The new integrated bag-on-valve technology means you can experience a spray that works in any direction and also ensures you get 100% usage of the product with no cold feeling on your skin. NEW CliniMed®, Appeel® and Hydrosolve® are registered trademarks of CliniMed (Holdings) Ltd. CliniMed Ltd, a company registered in England number 0164627. Registered office: Cavell House, Knaves Beech Way, Loudwater, High Wycombe, Bucks HP10 9QY. © CliniMed Ltd. 2016. PID 2813. For a free sample please complete the coupon and return it to: Freepost RTJG-ZZCJ-JAYS, CliniMed Ltd, Cavell House, Knaves Beech Industrial Estate, Knaves Beech Way, Loudwater, High Wycombe, HP10 9QY (NO STAMP REQUIRED), call our free confi dential CliniMed Careline 0800 036 0100 or visit www.clinimed.co.uk I would like to try: Appeel Advance Spray Appeel Wipes Appeel Hydrosolve® Flushable Wipes Mr/Mrs/Ms: Initials: Surname: Address: Postcode: Tel. No.: Email: I understand that this request will be handled by CliniMed Limited or SecuriCare (Medical) Limited. CliniMed will keep your details so we can update you about new products and services. Please tick the box if you do not wish your details to be kept on fi le. FROM HEALTHCARE PROFESSIONALS HERNIA – IAN DANIELS Hernias, Hernias, Hernias and Hernia Support CONTINUED FROM PAGE 9, COLUMN 3 usually means no one knows what’s best! “An ounce of prevention is worth a Formation of stomas It is easy to think that fancy materials and pound of cure” The technique of creating a stoma is one keyhole surgery are the panacea for all ails, Benjamin Franklin, USA poorly taught, there is little standardisation of yet an operation poorly performed, for the technique and the use of prophylactic mesh wrong indication and lack of appreciation Current research – mesh etc of the potential complication can lead to is currently the subject of much debate. A mesh can be placed at the time of ostomy later complications more difficult to construction and this has been associated Problems with manage, an unhappy patient and a more with a lower rate of parastomal hernia complex situation. Sometimes though, the parastomal hernias formation. Much of the recent research is stoma causes multiple problems, but where A parastomal hernia can present with a about the use of mesh placement, type of there are additional hernias, skin changes bulge around the stoma site and can also mesh to prevent, or reduce the incidence of and a large aperture…then surgeons cause pain, abdominal discomfort, back complications and hernia formation. reconstruct everything. Known as the Buy pain and intermittent cramping. More Similarly as we have seen with managing One Get One Free (BOGOF) see Figure 2. serious complications include a bowel complex abdominal wall hernias, lifestyle To manage a problem like this, it’s about obstruction and/or strangulation of the modifications can go a long way to managing the whole abdomen…and the hernia, where the bowel gets stuck in the improving outcome following surgery…In whole patient. hernia and can’t go back in. This can be Exeter, “Smokers are Terrorists” and we potentially life –threatening and requires won’t offer hernia surgery, whilst patients immediate medical attention. For people Stoma care still smoke…and there is a mountain of that only have mild or minor symptoms, we data to prove why not!!! “Do no harm” recommend conservative management in Hippocratic Oath the form of hernia belts or appliances. This Quality of Life is mainly to improve patient comfort and When faced with a patient with a hernia or ostomy functioning. More severe symptoms other complication, surgery should be the However, when it comes down to it, it is about quality of life. What do we mean by might indicate the need for a surgical repair, last thing on the mind of the surgeon, a that for an ostomate and how do we although this decision isn’t taken lightly as combined review with a stoma nurse, a measure it? Well the simple answer is that there is a high risk of hernia recurrence. It new appliance, a change of support etc, is we don’t currently measure whether a is generally reserved for people who have the first port of call to assess whether this person is living successfully and chronic symptoms that impact on quality of can improve the interaction. Similarly an independently after surgery. But there is life. However, just like every other form of understanding of the symptoms, for hope on the horizon. The Exeter Surgical hernia, appropriate assessment, lifestyle example, the night working stoma, Health Services Research Unit (HESRU) and modifications and occasionally abdominal obstructive symptoms etc can aid in the recontouring should be considered prior to Bristol Clinical Trials unit have been management…ask the right questions! awarded a grant of over £1m by the surgery. I suspect few patients undergo a CT Patients that do not have an indication for scan, face –down with their stoma in a National Institute of Health Research to surgical repair can be managed with a donut to truly assess the hernia, and little develop these tools and to look at every stoma belt, which is designed to provide consideration is given to the dynamics of aspect from making stomas, to meshes, to stability around the stoma site and to the abdominal wall and stoma placement. measuring problems from them. There is minimise the visible ‘bulge’. The main aim much to do…and your help is needed. Surgery of a stoma belt is to help fix the stoma Read more about my involvement with appliance in place and to reduce the “A fool with a tool, is still a fool” HESRU at www.hesru.org shearing and therefore, reduce Brendan Moran, Surgeon complications such as leaking. It does not Ian Daniels FRCS Basingstoke reduce the hernia. An appropriately sized Like all operations where a large number of stoma belt (by an stoma nurse) will result procedures have been described, this in very few complications. Figure 2: The BOGOF Procedure. In this example trying to treat the stomal hernia is only part of the process. Weight loss, increased fitness, lifestyle changes, repairing all the hernias together, and then a “tummy tuck” allow the creation of a new stoma on a flat surface. Figure 1: This diagram shows the difference in scanning a patient on their back (figure A) compared to their tummy (figure B) to Giving someone a renewed outlook on life… demonstrate the hernia. The tummy is relaxed in one and then the hernia becomes apparent when prone. ..but this is not a simple fix! | WEBSITE: WWW.COLOSTOMYASSOCIATION.ORG.UK TIDINGS | SPRING 2016 | 11 REAL LIVES ALISON HORNER From Nu ie to Pat to a whole other level. There were times when I wished I didn’t know so much, times when I wished I could switch my ‘working’ brain off. I don’t know what the doctors and nurses expected, if anything, from me, but I was determined to be a ‘good’ patient and help myself as much as possible. Perhaps, in hindsight, I took this too far and turned down offers of help when I should have just said “yes please”! I became ill in July 2014 developing a familiar tummy pain. The previous year I had been diagnosed and investigated for diverticulitis. Surgery had been discussed but it was felt, at least for the time being, that it could be managed medically. This turned out to be my fifth attack in one year and went to a whole different level. By lunch time the next day I was seriously unwell. I had never felt so ill, I don in 1988 Hospital, Lon had a rigor, was vomiting and feverish and at St Mark’s or staff nurse Alison, a seni the pain in my tummy was horrendous. Quite frankly I was terrified. It was like there was a mini version of me sitting on each My first encounter with a stoma was aged back to work at St Mark’s, first as a staff shoulder. One was Patient Alison, the other 15 when my Mum had emergency nurse on one of the wards, then into Nurse Alison. Patient Alison was saying: “I surgery. theatres again. I then returned to work on feel awful, scared, so much pain, something the wards as a senior staff nurse and I saw Then in 2011 my Dad, aged 75, suffered a must be really wrong”. Nurse Alison was all sorts of different reactions from patients perforated bowel from diverticulitis and evaluating all the signs and symptoms and having a stoma, some of which stay with ended up with a temporary ileostomy. coming up with a diagnosis! I understood me today. Although many years have passed between only too well the results of all the my Mum and Dad’s surgeries, I’ve been up Eight years later I was a young mum living examinations and observations when I was close and personal as a family member. in Portsmouth. I returned to working in admitted into hospital by the GP. Definitely a family with dodgy guts! colo –rectal theatres and was surprised how I was treated medically again, IV antibiotics much I remembered from my St Mark’s When I began my nurse training in 1983 I and fluids and had CT and ultrasound days! Eventually I went to work in the took what I had learnt from my Mum’s scans. I managed to persuade the Intensive Care Unit and would occasionally experience with me to help my patients. consultant to let me go home a few days look after bowel surgery patients there too. During my training at St Bartholomew’s later so that I could attend my son’s Hospital in London I was sent to St Mark’s At some stage in our lives all those who graduation in Leeds. Surgery was now discussed as this episode was a ‘game Hospital for an eight week theatre work in the health environment will find changer’ and it was agreed to admit me in placement. Locally, the taxi driver’s referred themselves on the receiving, rather than four to six weeks’ time. I knew surgery to it as the ‘bum hospital’! As students we giving, end. No one could have prepared would involve a stoma of some sort and were actively encouraged to ‘scrub’ and me for what happened when I became ill tried to start mentally preparing myself. start taking cases under supervision. The and there were times when it felt quite surgeons were brilliant, teaching and surreal. I found, with my relatively in –depth Despite taking antibiotics I was spiking supporting us. As soon as I qualified I went knowledge, that it just increased my fears fevers and I felt so unwell. I was hardly 12 | TIDINGS | SPRING 2016 | 24 HOUR HELPLINE: 0800 328 4257 REAL LIVES ALISON HORNER urse ent eating anything as it just made my abdominal pain worse, and I was not passing anything but mucus from my bottom. The weight started to fall off me. Even though I was admitted as an emergency I had to wait four days for my operation. I tried to rationalise why someone else would need theatre ahead of me – perhaps there had been a major accident. My surgeon came to apologise for not being able to do the surgery that day and said they would do their best to treat me the next day. I started to think I was going to die before they got to me. One lady in my ward beckoned me over and asked me what I was having done. In an instant she had whipped up her nightie and was showing me her urostomy and large, long –ago healed laparotomy scar. “See dear that’s all it is, nothing to be frightened of.” I thanked her for her kindness and went back to my bed. Alison three months after The stoma nurse had come to mark me up her surgery the day before surgery and asked me to After the operation I spent two days in responded by saying: “You are welcome”, explain to her what I was having done to Surgical High Care and was then just as I had done to relatives when I check my understanding. After a few words transferred to the ward. I tried to do all the worked in Intensive Care. What struck me she stopped me and said: “what do you things I knew I should do like taking then, and still now, is the intensity of the do”? I told her and discussed my fears. As I regular deep breaths and moving my legs. gratitude I felt towards Mr Pares. For us, we lay in the bath, careful not to wash off those Getting out of bed some 48 hours after I really are just doing our job and glad to be black spots, one each side of my tummy, I had gone to theatre was one of the hardest able to do it and make a difference, but it knew I would never be the same again. things I’ve ever had to do. My legs were is quite another thing when experienced like jelly and my wound felt so painful and I had gone into great detail with my from the other side. tight, I sobbed tears as I was helped into a surgeon about the procedure before signing chair. Yet, extraordinarily, I gave career Changing my colostomy pouch for the first the consent form, even requesting a certain advice to a student who wanted to aspire time was utterly exhausting; I found it type of wound closure! I was beyond to what I do now! My working brain just difficult to concentrate and my hands were terrified knowing what my body was about never switched off! shaking. I had little stamina due to the to go through but knew it was that or die. prolonged sepsis I’d suffered before My surgeon reassured me that there was a My surgeon (the amazing Mr David Pares) surgery and I was quite anaemic. I tried to good team to take care of me, and I thought told me that they had been unable to join be the ‘good’ patient but I wanted to tell “yes he’s right. I was part of that team me up as everything was so swollen, and the stoma nurse I’d had enough and once”. The whole situation remained a bit that they had to remove some of my couldn’t she see that? surreal and I dearly wished it wasn’t rectum as well. He said I was one of his happening to me. The outcome in terms of ‘most suffering patients’ and remarked that The lack of privacy in a ward is grim. There type of stoma and procedure was uncertain I must have been in so much pain. I was is no real confidentiality as we all hear as it was not crystal clear what the situation very emotional and gripped onto his hand about each other’s situation through the would be until they saw inside me. and thanked him for saving my life. He CONTINUED ON PAGE 15, COLUMN 1 | WEBSITE: WWW.COLOSTOMYASSOCIATION.ORG.UK TIDINGS | SPRING 2016 | 13 NEW Aura Flushable Now doubledouble the confi dence Aura Flushable is the next generation of stoma pouch in our fl ushable range – the only fl ushable range in the world. The inner liner of Aura Flushable can be fl ushed either with or without the fl ange as both are fully biodegradable. As well as reliable, convenient and fl exible disposal, Aura Flushable offers the comfort of medical grade Manuka honey, which may help promote healthy skin around the stoma. It’s time to fl ush the worries of pouch disposal away. Find out more at www.clinimed.co.uk Flushable CliniMed Careline: 0800 036 0100 Manufactured by Welland®, a CliniMed® Group company Welland products are distributed in the UK by CliniMed Ltd. Tel: 01628 850100 Fax: 01628 527312 Email: [email protected] or visit www.clinimed.co.uk. CliniMed Ltd, a company registered in England number 01646927. Registered office: Cavell House, Knaves Beech Way, Loudwater, High Wycombe, Bucks HP10 9QY. Welland®, CliniMed® and Aura® are trademarks of CliniMed Holdings Ltd. © 2015 CliniMed Ltd. PID 2235 09/15 From REAL LIVES ALISON HORNER Nurse ient to Pat CONTINUED FROM PAGE 13, COLUMN 3 bit to allow it to be packed. I know the the decision I’d made to keep ‘Sid’, my curtains; the trouble for me was that it all system yet I felt I had to battle for stoma, as the outcome for reversal is too meant something. Determined to get everything. How on earth do others get on? uncertain for me. On Christmas Eve I home, I was discharged four and a half days I took charge of doing the dressing myself worked my last day whilst I decide what to after my surgery. Looking back I don’t know to keep some control of my life which was do next. how I did it. I struggled so badly to change becoming one long round of doctor’s Much of what I have been through has the stoma pouch and admonished myself. appointments, hospital appointments and allowed me to truly empathise with my I’d done it for many patients yet I couldn’t prescriptions. patients, and with a few I have shared my manage it for myself. My daughter sat I regained my strength and slowly but surely story in an effort to help them. I don’t patiently with me and encouraged me as I built up my activity by walking and walking broadcast what has happened to me but I gradually got the hang of it. and walking some more! After three months am happy to talk about it if asked. Regarding Then I got a wound abscess which burst I returned to my job, as a nurse practitioner ‘Sid’ I often get told “well you’d never know” and terrified the life out of me. I thought my in a GP surgery, on a phased return and was like having a stoma would be blatantly whole wound was breaking down, but of completely exhausted. By nature I am a obvious! I have tried not to let having a course it wasn’t. Nature had done what it workaholic and found it hard to pace myself, stoma prevent me from doing anything I does best and drained all the pus from the but there was a part of me that wanted to want to do. Since my op I have returned to abscess. However, because the drainage return to ‘normal’ as soon as possible, and running, got on my bike, and I flew to hole was so tiny it kept healing over and the that meant work. Then one day, quite Australia in November, though I have to abscess reformed each time. It took me recently, I realised that I had not healed admit trying to empty Sid’s bag at 38,000 three weeks of visiting GPs to finally get psychologically. I needed some time out to feet in turbulence was a little stressful! what I needed – the wound opened up a accept what had happened to me, including Alison Horner National Key Scheme (NKS) Radar Key Photo ID Card The Colostomy Association and Photo Identity Card photo ID card is proving very To obtain a key or a photo identity card please complete popular as it can be useful if the form and declaration. Make your cheque payable to challenged when entering or the CA Ltd. Return all required items to: Enterprise House, exiting accessible toilet facilities. 95 London Street, Reading, Berkshire RG1 4QA If you would like to apply for a Photo ID card, please complete (If you have any queries please contact the admin team at the Colostomy Association office via the following methods: the form opposite and return it to Telephone: 0118 939 1537 or Email: [email protected]) the Colostomy Association for processing with the various National Key Scheme - Key and photo ID card purchase u o enclosures listed below: y Title: Please tick as appropriate: k n a h t • A copy of your prescription - Name: m I would like to receive a key for a charge of r or delivery note as proof of o f s £3.50 (including postage and packing). i h t eligibility Address: n o s s I would also like to receive a photo ID card e • Passport photo x 1 r d for a charge of £6.50 (including postage d a e and packing) and enclose a passport h • Payment – cheque t Postcode: o t photograph. n r u t e Tel: r Note: Payment can be taken over d NOTE: Please send a copy of your n a the telephone if preferred. e Email: prescription/recent delivery note as n i l proof of eligibility and make the d e t t cheque payable to: CA Ltd. o Alternatively, the form can be d DECLARATION: I declare that the individual named above is e h t downloaded from our website: chronically sick, has a disabling condition or has had a bowel g n o www.colostomyassociation.org.uk l a or bladder diversion that necessitates the use of disabled t u c toilet facilities. The key is for the personal use of the above e s a named and their designated carer only. e Please allow 10-14 days for l P delivery – thank you Signature of self or carer: Date: / /2016 | WEBSITE: WWW.COLOSTOMYASSOCIATION.ORG.UK TIDINGS | WINTER 2016 | 15 VOTE FOR YOUR 2016 STOMAHERO. ConvaTec is delighted to announce that the Stomahero Award is now open for nominations. We know how important your Stoma Nurse is to you and this is your opportunity to say a big thank you! ConvaTec is there for every person with a stoma Association, together with an Amcare™ Group throughout his or her entire journey and we Stoma Nurse and an independent Stoma Nurse. recognise the crucial role of the Stoma Nurse Patients are invited to submit nominations via throughout that process. The Stomahero Award post and emails, all Stoma Nurses with more has been developed to acknowledge the patient than one nomination are shortlisted to the care and support delivered by Stoma Nurses judging panel. across the country and to give patients the opportunity to nominate and say a huge thank The winner receives a £3,000 educational you to their nurse for the continued support grant which can be redeemed against a stoma before, during and after surgery. education course or an educational conference event, to help support the development of their The Stomahero Award Nominations are judged stoma department and their own personal career by three patient associations, the Ileostomy development. Association, Colostomy Association, Urostomy @ConvaTec_UKI /ConvaTecUKI @ConvaTecUKI N omin Nominating your Stoma Nurse couldn’t be c atio losin n g da easier, simply visit www.stomahero.co.uk 1st A te ugu to submit your online nomination and tell 2 st 016 us why they deserve to be the next winner. #stomahero2016 Full terms and conditions can be found online at www.stomahero.co.uk. For all ConvaTec product or service enquiries please freephone 0800 88 50 50 ®/™ Indicates a trademark of ConvaTec Inc. ©2016 ConvaTec Inc. AP-015757-GB NOW AVAILABLE IN 40-50MM CLOSED TM ESTEEM WITH MOULDABLE SKIN BARRIERS The convenience of a one-piece with the security and clinically proven1 skin protection of our Mouldable skin barriers. This combination helps people feel in control and gives them the freedom to get on with the other important things in life. • Secure - The elastic-like seal securely hugs any stoma. Designed to minimise leaks for healthier skin.1 • Simple - Just roll, mould and hold to accommodate any stoma shape and size. No cutting, no stretching, no guesswork. • Comfortable - Thin and flexible, designed to move with the body. • Clinically proven skin protection1. TM TM ESTEEM + ESTEEM + • Tailored fit regardless of stoma shape. Closed end pouch with Drainable pouch with Mouldable skin barrier Mouldable skin barrier PRODUCT CODE DESCRIPTIONPOUCH SIZE STOMA SIZE COLOUR FILTER QUANTITY 413509 Closed Split Cover with Filter Standard 20-30mm Opaque x 30 413510 Closed Split Cover with Filter Standard 30-40mm Opaque x 30 413511 Closed Split Cover with Filter Standard 40-50mm Opaque x 30 413521 Drainable Split Cover with Filter Standard 20-30mm Opaque x 10 413515 Drainable Clear with Filter Standard 20-30mm Clear x 10 413522 Drainable Split Cover with Filter Standard 30-40mm Opaque x 10 413516 Drainable Clear with Filter Standard 30-40mm Clear x 10 Call 0800 834 822 to get your free sample or for more information. References 1. Clinical Summary: Osmose Study, Multinational Evaluation of the Peristomal Condition in New Ostomates Using Mouldable Skin Barriers. Data on file. ConvaTec Inc. AP-016077-GB ®/™ indicates a trade mark of ConvaTec Inc. U Your chance to win up to £25,000 and support Win up to £25,000 with Unity Prizes £25,000 £1,000 £25 £5 Unity is a lottery with a difference. We receive income 6 digits 5 digits 4 digits 3 digits 1 4 1 directly from the number of lottery players we recruit, 0 0 0 so we need your support. For every £1 entry – 50p T 1. Your details (please print in block capitals) 2. Payment Frequency O comes directly to the Colostomy Association. Title: First Name: How many entries would you like each week? L : r e Surname: b m How it works Monthly/£4.34 u Address: How often do you n Direct Debit only n For just £1 per week you will be allocated a six digit want to pay? x o i Every 13 wks/£13 t (please tick a r Unity t lottery number. You can purchase more than one Postcode: s payment i Every 26 wks/£26 g e entry if you wish. Every Saturday, the lucky winners Tel: Mobile: frequency & write R | are selected at random and the prize cheques posted amount in box) Every 52 wks/£52 D.O.B.: If you would like to receive A directly to you, so there is no need for you to claim. correspondence via email, please tick here = Q 4 Email: You must be 16 or over to enter. Total Payable 1 G If you do not wish your name to be publicised if you win, Winners have to match 3, 4, 5 or all 6 digits of the please tick here R , g winning number in the correct place in the sequence. n i Banks and Building Societies may not DD15 d 3. Select your Payment method a accept Direct Debit instructions for some e types of accounts. R How to join – three easy steps , Direct Debit t Instruction to your Bank or Building e e Society to pay by Direct Debit r t Step one –Complete your personal details - so that Please fill in the form and return to Unity S Name and full postal address of your Bank or Building Society. n o we can contact you if you win. To: The Manager: Bank/Building Society Name(s) of Account Holder(s) d n o Step two Unity Address: L –Select the number of lottery Branch Sort Code: 5 9 Bank/Building Society , entries you wish to purchase per week and how often account number e s Postcode: u you wish to play. o H Step three –Complete the direct debit e s i r Instruction to your Bank or Building Society Service User Number p instruction or enclose a cheque. Detach the r Unity Reference: 4 2 1 1 0 2 e Please pay from the account detailed in this instruction t Unity n form, put it into an envelope and return to subject to the safeguards assured by the Direct Debit E Guarantee. I understand that this instruction may remain with , Unity ectronically to my n and, if so, details will be passed el to the address shown on the right panel. Bank/Building Society. o i t a i Unity Unity will notify you of your lottery number. Signature: c o s s Date: A If you have any queries please call our hotline on y m 0370 050 9240 o t s Payment by Cheque I enclose a Cheque made payable to Unity (minimum payment £13) o l o Results & Rules can be checked by visiting C (I confirm I am 16 or over and resident of GB) s i www.unitylottery.co.uk 4. Your consent to Play y r Surname: Date: e t t o Or by phoning the Unity winners hotline l For office use only: y Occasionally, Colostomy Association may send you samples t i 0370 055 2291 and information that may be of interest to you. We do not pass on n U your details but may use them to keep you informed of what else s is available. If you would prefer not to receive these, please tick i h t the box. f o Post this form to: Freepost RLZR-GSYJ-KSZA r Detach the form, put it into an envelope and return e The Unity Lottery t o to Unity to the address shown on the right. Furness Gate m Calls cost no more than calls to Peter Green Way o Furness Business Park r 50p geographic numbers 01 or 02. from every £1 goes to p BARROW-IN-FURNESS They will notify you of your lottery number. e You must be 16 or over to enter. Unity LA14 2PE h Colostomy Association T The Unity Lottery, Freepost RLZR - GSYJ - KSZA, Barrow-in-Furness | T: 0370 050 9240 | E: [email protected] Unity is operated by Sterling Management Centre Ltd, registered as an External Lottery Manager by the Gambling Commission under the Gambling Act 2005 – www.gamblingcommission.gov.uk FUNDRAISING WE NEED YOUR HELP nations We need YOU! Fundraising is an immensely important Do your n sending Whe e source of income for the Colostomy Association as ions pleas donat lude we rely heavily on donations. Help us continue to rget to inc don’t fo . act details provide support to ostomates and their families your cont k you! 24 hours a day, 365 days a year. Than Fundraising Focus Each time we start to put this article together we’re always pleasantly surprised and proud to see the numbers of people who are giving up their time to raise funds for the Colostomy Association. Young and old, volunteers, medical professionals, people living with a stoma and people without. From sponsored runs to cake sales, every contribution is priceless and very much appreciated. from Cotgrave near Nottingham raised their Eccles, sausage rolls, homemade soup, plus Shelley’s Party voices for the Colostomy Association in mince pies, brownies, crumbles and December 2015. numerous other goodies! The organisation involved in running an event including contributions from 33 different bakers who offer up numerous treats is difficult enough, but when you’re also faced with some of the worst autumn weather on record descending on Suffolk during the day, the challenges involved were greatly magnified! So, despite being banished to the church In December, Philip Young, representing The congregation of St Peter’s raised £100 porch to avoid being blown away by the the Colostomy Association, visited the by carol singing around the village, while elements, everyone involved contributed Stoma Care Department at Cheltenham the Keyworth Choir raised £400 from their towards a massive £815 being raised. Our Hospital to receive a donation of £700 carols around the streets and performance thanks go to the generosity of the residents from Shelley Smith, a Clinical Nurse in the village square. of Laxfield and to Caroline’s team of Specialist in Stoma Care. dedicated helpers. Five years ago at the age of 42, Shelley was Have your cake and Swim when you’re diagnosed with breast cancer. She had eat it three surgical operations followed by winning chemo/radiotherapy so understands the For the last four years Colostomy effects of neutropenia, fatigue and life after Association volunteer Caroline Emeny Back in October last year eight year old Lucy diagnosis. Shelley is now well and hoping (pictured below with a Facebook Tomas Bennion planned to swim an amazing for continued good health. bear) has held an annual cake stall in her 1,000 metres in support of her grandfather who has a colostomy. He set Lucy a To celebrate her five year mark, Shelley held home village of Laxfield every autumn to help raise funds. challenging target of not only completing a celebratory party at the Cheltenham Lido the swim but raising £400 for the with all donations kindly going to the Colostomy Association. We’re happy to Colostomy Association. Many of Shelley’s report that Lucy passed with flying colours stoma patients have generously donated to on both counts as not only were the 1,000 her fundraising and were surprised by her metres conquered but she more than cancer story. doubled her fundraising target and raised Thank you for the donation received and to an incredible £851.50. Well done Lucy! the nurses in the Stoma team at Cheltenham Hospital for the continued care Margaret’s art attack and support of their patients. Margaret Simister (pictured overleaf) is a well known admin volunteer both in the Carol singing for the office and at the end of a telephone and Colostomy Association has been helping out since 2009. Christmas is always a great time for a sing Yet again, the array of delicious home made In the autumn Margaret generously along and both St Peter’s Church from cakes was absolutely amazing. These volunteered to give even more of her time Dulverton in Somerset and the Keyworth included Christmas cakes and fruit cakes to to raise money for the Colostomy Choir (pictured in the next column, top) lemon drizzles, chocolate, coffee & walnut, CONTINUED ON PAGE 20, COLUMN 1 | WEBSITE: WWW.COLOSTOMYASSOCIATION.ORG.UK TIDINGS | SPRING 2016 | 19 FUNDRAISING WE NEED YOUR HELP Fundraising Focus CONTINUED FROM PAGE 19, COLUMN 3 David (Pictured with Colostomy Association. So on Wednesday 28 October Association President, Ian Daniels) spent Giveacar.co.uk 2015, she used her talent as an the whole of 2015 cultivating his locks for a The Colostomy Association has teamed up accomplished artist and organised a pastel sponsored hair grow. On 8 January this year with giveacar.co.uk in a scheme which can portrait workshop. David finally took the scissors to it and in turn your old car into cash for any UK the process he raised £410 for the charity. They arrange free collection, then Colostomy Association. Many thanks go to either sell your car at auction or scrap it with David and to the Beer Engine Pub whose the proceeds raised going to your charity. regulars helped contribute towards his The UK’s first car donation scheme, target. Giveacar has won several awards and has now supported over 1,000 charities with Special Thanks the money raised from old cars. Using a Every year hundreds of people donate or nationwide network of breakers yards and raise funds for the Colostomy salvage partners, we have handled the Association and while we can’t publicly auction and disposal of over 8,000 vehicles acknowledge everyone we would like to so we know how to raise the best donation say a special thank you to a few other possible whether your car is in perfect people in this edition: condition or not. If you need to get rid of an old car and would like to help the The Fareham Lodge of Instruction v Colostomy Association at the same time kindly donated £250. visit www.giveacar.co.uk or call 020 7736 v Erwash Bowls Club raised £180 from 4242, quot ing Colostomy Association as their annual match, when 48 players your preferred charity. The weekly Art Group at Phyllis Court Club took part in a day that was played in Thanks to Mrs Chandler from Reading who in Henley –on –Thames assembled at great spirits. The members also 10:00am for the first of two sessions on received a talk from C olostomy used the service earlier in the year, the black and white portraits. The aims were Association volunteer To re Norman. Colostomy Association h ave already had a d on ation from giveacar.co.uk explained and Margaret asked for a v The partners and Customers of donation In lieu of a tutor’s fee. She Waitrose branches in Reading and provided two of her own head and shoulder Witney have both been raising fun ds Textgiving portraits of ladies in 1920’s hats and all the for the Colostom y Association and You can now make a donation to the essential art materials to enable the between them r aised £600. Co los tomy Associa tion with a text message! attendees to produce their own artwork. W hatever mobile network you’re o n, simply Many of the students who had never used text our unique code CASS01 and an pastels before were quite daunted. Do it for charity ! amount of £4, £5 or £10 to 70070. However, under Margaret's excellent and Donating via text JustTextGiving by very patient teaching, some amazing results Voda fone is free. There is no cost to you for were produced. At the end of the two s ending the text message and sessions Margaret had raised the princely your free allowance or bundle sum of £180.00 and the pictures were will not be affected – the only simply stunning! charge will be the donation itself. CAS S01 Hair today gone What’s more, 100% of your £ tomorrow The Colost omy Association have teamed text donation (including Gift 10 up with S kyline Ev ent managem ent to offer David Taylor from Newton St Cyres in Aid) will be sent to the potential fundrais e rs the op portunity to Colostomy Association. 7 Devon will be feeling much lighter after 007 take part in a wide range o f ac tivities and 0 having his hair cut off in aid of the The amount you donate events for free, while raising valuable Colostomy Association. will be added to your sponsor ship money to help us continue to mobile phone bill or support people with a stoma t hroughout deducted from your pay as you go the United Kingdom. credit. Ju stTextGiving will send you a link in For the adventurous amongst you who a text message confirming your donation. might have resolved to take up a challenge or do something different in 2016, the GIFT AID EXPLAINED website www.doitforcharity.com has If reading this edition of Tidings has made everything from fun runs to half marathons you consider making a regular or one off and charity cycle rides. donation to the Colostomy Association, To see the fundraising events currently on you may be interested to know how just a offer from skyline and the Colostomy simple tick in a box on the donation form Association just log on to can make your gift reach even more www.doitforcharity.com/colostomyassoci ostomates and at no extra cost to you! ation.aspx CONTINUED ON PAGE 22, COLUMN 1 20 | TIDINGS | SPRING 2016 | 24 HOUR HELPLINE: 0800 328 4257 moisturising and nourishing Two reasons Astoa naturally helps PRXOG$VWRDVHDOVWRƬWHYHQ Stretch, break, reshape and the most awkward of areas. $YTheDL OnaturalDEOHLQ DSheaFKRL butterFHRIWK willLQ help protect and moisturise your skin. or standard options. The range from respond Astoa Barrier Cream Astoa Hydrocolloid Flange is a unique formulation Extenders protect your with Raspberry Seed Oil skin and reduce leaks and Sunfl ower Oil s$GYDQFHGWHFKQRORJ\ s+LJKDEVRUEHQF\ s6RRWKHVGDPDJHGVNLQ s/HDNDJHSUHYHQWLRQ s6NLQIULHQGO\VWURQJDGKHVLYH s3UHYHQWVVNLQLUULWDWLRQ • Moisturises dry skin s3URYLGHVFRQƬGHQFH VHFXULW\ • Flexible s6LOLFRQHDQGIUDJUDQFHIUHH• Protects skin from s&KRLFHRIVPDOOODUJH harmful body waste s&RVWHƪHFWLYH and wide options To see how the Astoa range of products can help keep your skin protected and your pouch secure please call Respond0800 220Healthcare 300 Ltd [email protected] respondltd respond.co.uk @respondltd 16:09 FUNDRAISING WE NEED YOUR HELP Fundraising Focus CONTINUED FROM PAGE 20, COLUMN 3 completing one of the donation forms you payments made over the past four years and we will continue to claim until you tell What is Gift Aid? can find in this magazine. You can also sign up if you are donating online through our us otherwise, so long as you are eligible. Gift Aid is a simple way to increase the website; just tick the Gift Aid box on the value of your donation to the Colostomy donation form. If donating by telephone Association. If you pay tax in the UK, the What do I do if my tax status you just need to confirm that you want to Colostomy Association can reclaim the changes or I want to cancel my basic rate tax (25%) on your gift. So, if you make a Gift Aid donation and we will do the declaration? donate £15, it is worth £18.75 to us. rest! To let us know if you stop paying tax or wish to cancel your declaration, please use the Here’s our guide to a simple and What does the Gift Aid enquiry form on our website, write us a straightforward way of making your declaration commit me to? letter, send an email or call us on 0118 939 donation go even further. Nothing! It just ensures that if you choose 1537. to donate to the Colostomy Association, Do I qualify for Gift Aid? we can claim an extra 25% back from the Will making a Gift Aid In order for the Colostomy Association to UK Government. declaration really make that reclaim the tax you have paid on your donations, you must have paid income or much difference? capital gains tax in the UK for each tax year What is a Gift Aid declaration? If you donate £15 a year you may think that (6 April to 5 April) at least equal to the tax A Gift Aid declaration is a statement by an an extra £3.75 to us through Gift Aid isn’t that all the charities which you donate to will individual taxpayer that they would like a really that much of a deal. But what if an reclaim on your gifts for that tax year. You charity to receive the tax paid on their extra one thousand people who were don’t have to be in work to qualify. If you donation back from the UK Government. eligible also didn’t sign the Gift Aid receive a state pension you are also eligible declaration? That means we would be as that is taxed at source. Other taxes such How long does the declaration missing out on an extra £3,750 a year. That’s as VAT and Council Tax do not qualify. last for? enough to provide refresher training for all our helpline volunteers and ensure our To simplify matters for both you and the Freephone helpline can keep operating How do I sign up to Gift Aid? Colostomy Association, the declaration 24 –hours a day for another year. The process is simple – all you have to do wording normally covers present, future is make a Gift Aid declaration when and past donations. We can back –claim That alone should get a tick! n Legacy donation A gift in your Will If you are about to make a Will, or are considering making a change to your current Will, please consider leaving a legacy to the Colostomy Association. Your legacy could secure the Association’s future and provide continued support to all those ‘living with a colostomy’ present and in the future. Colostomy Association, Enterprise House, 95 London Street, Reading, RG1 4QA Registered Charity No: 1113471 22 | TIDINGS | SPRING 2016 | 24 HOUR HELPLINE: 0800 328 4257 LIVING WITH A STOMA IRRIGATION Irrigation and you Sarah Squire, Trustee writes: With summer hopefully around the corner some of us may be thinking about a holiday, either abroad or perhaps closer to home to visit friends, or one of the beautiful parts of the UK. But how does travelling affect irrigation? I thought I would tell you about my experience of irrigation and travelling, and tips I have picked up on the way: Irrigation can make travelling less of a Alongside our normal stoma supplies, preference so choose the method which worry, certainly on the journey itself. I am irrigators who use a cap might want to pop suits you. a born worrier. I don’t mind travelling and in normal bags and even a few drainables If you are going to stay with friends it may love to go on holiday, but anything out of in case of upset while away. I take a spare be worth mentioning you’ll need use of a routine and my bowel is the thing that irrigation kit, plus more sleeves than I bathroom for a while to irrigate. You may pipes up. would need for the number of days away, feel a little uncomfortable asking it but in case of delays or mishap. I also carry an But irrigation means I am in control so I better to briefly explain so you don’t feel S–hook which is very useful for hanging the have peace of mind that as long as I stick rushed – we all know relaxation is the key water reservoir, and a sticky hook for the to what I know doesn’t upset me (ie don’t to a good irrigation so you don’t want to be occasion of nowhere to hang my S–hook. I drink a bottle of red wine the night before I worrying about the time you spend in the have only needed to use my sticky hook fly), I’m able to travel with confidence. I bathroom. I’ve always found friends have once, in a bathroom in Cape Verde, normally irrigate in the evening as it suits bent over backwards to help and have otherwise the S–hook has served me well. my working day but if I am out and about I appreciated me being upfront as they want will change this to fit with my plans. It is The bathroom was huge with nowhere to my stay to be a happy time. advised to stick to a similar routine when hang my trusty S–hook, but normally there If you are camping then irrigation may be first irrigating but once we get the hang of is a shower curtain rail, door or towel rail more of a challenge. I have friends who it, many of us can shift the schedule to suit which does the job fine. Speak to most irrigate very successfully in their camper van what we are doing. So if I know I am having irrigators and the first thing we do on though, and if you are in a tent you may be a long day of travelling I will either skip the entering a hotel room is check where we able to use the disabled facilities on the evening and irrigate the morning we go, or will hang the hook. But in the eight years I site. Or alternatively you may choose not to if it is going to be an early start and a long have been irrigating I have stayed in many irrigate while away and let the bowel do its day I might irrigate as normal the night many hotels and have always managed. If own thing. You can pick up with irrigation before and stretch my irrigation to miss that you remember, in an earlier edition of once you get home. day and do it the morning after we arrive at Tidings Brian Kirkby also described an easy our destination. to make lightweight telescopic pole which We often get asked about irrigating with the he takes away with him to hang the water water abroad. The simple rule is, if the tap Of course we are all different and some reservoir from. Instructions of how to make water is safe to drink then it is safe to use people only irrigate every other day anyway, it were shown in a follow up article in for irrigation. If in doubt use bottled water. and some can’t stretch it to 36 hours. But I Tidings Spring 2015 if you would like to If you are in a country where it’s the norm tend to look at the journey itinerary and have your own. Some irrigators may use the to drink bottled water it is usually very have a think about what will work best for pump of course, which eliminates the need cheap to buy. If you are in a hotel you could that day for me and make a plan from to hang anything so may be seen as an ask for bottled water to be provided. When there. advantage for travelling, although you need we went to Mexico a few years ago I Before we even leave home though, we to weigh up the extra bulk of the pump emailed the hotel to request extra water be need to think about what we need to take. versus a small gravity kit. It’s all personal CONTINUED ON PAGE 25, COLUMN 1 | WEBSITE: WWW.COLOSTOMYASSOCIATION.ORG.UK TIDINGS | SPRING 2016 | 23 Unnevene surfafacec s arouo nd a stot mam cana make lifef with a sts omma pooucu h diffif cult.. HydroFrame® witth Manuka honey flange extensionsn and Hyperseal® witth Maanuukaka hono ey wassherss are desiigned to proviide extra security and prrevent leakks,s, even for probleematic stommas. ToTo thah t security we’vee added theh comfoort of meddical graaded Mannukka hoh neey,y whichh mayy hellp to promoote heaalthyy skiin aroundd the stot mam . LiL vev liffe too the full wiw tht ouru kini dedest stoomama accesssos riess yetet. Careline: 0800 036 0100 www.clinimed.co.uk with Manuka honey [email protected] with Manuka honey For a free sample of HydroFrame, Hyperseal or HydroFrame Mini with Manuka honey, please complete the coupon and return it to: CliniMed Ltd., FREEPOST HY241, High Wycombe, Bucks, HP10 8BR (NO STAMP REQUIRED), call the CliniMed Careline on 0800 036 0100 or visit www.clinimed.co.uk HydroFrame with Manuka honey HydroFrame Mini with Manuka honey Hyperseal with Manuka honey - small low profi le Hyperseal with Manuka honey - small high profi le Hyperseal with Manuka honey - large low profi le Mr/Mrs/Miss/Ms: Initials: Surname: Address: Postcode: Tel. No: Email: I understand that this request will be handled by CliniMed Limited or SecuriCare (Medical) Limited. I would like my details to be kept on file, so that I can be kept up to date with information about relevant new products and services. Manufactured by Welland®, a CliniMed® Group company. Welland products are distributed in the UK by CliniMed Ltd. Tel: 01628 850100 Fax: 01628 523579 Email:[email protected] or visit www.clinimed.co.uk. For Ireland, contact Fannins N. Ireland: 028907 35581 or Fannins Eire: 0035312 907047. CliniMed Ltd., a company registered in England number 01646927. Registered offi ce: Cavell House, Knaves Beech Way, Loudwater, High Wycombe, Bucks HP10 9QY. CliniMed®, Welland®, Hyperseal® and HydroFrame® are registered trademarks of CliniMed (Holdings) Ltd. ©2014 CliniMed Ltd. PID 548 LIVING WITH A STOMA IRRIGATION CONTINUED FROM PAGE 23, COLUMN 3 and I could relax and irrigate as delivered to the room daily. I admit I was normal. sticky hook supporting an S –hook with water uncomfortable about telling them why so This may all sound very complicated reservoir underneath mentioned a medical reason, but after but it really doesn’t need to be. numerous emails back and forth saying no When I am going away I run I didn’t want sparkling water (!!!), just clean through a quick checklist in my drinking water I finally said I had a head. What time are we going, how colostomy and needed to do a daily bowel long will it take and what are washout. I should’ve just said that at the facilities going to be like when we beginning as they totally understood that get there. It may take a little thought and when I arrived in my room there was a and planning but once that is all line of water bottles on the dressing table sorted hopefully you can forget and a fresh delivery daily. Likewise when about your stoma and enjoy your we went to Cape Verde the year after, I sent travels. Happy irrigating! a simple email, this time making it clear. I did laugh at check in though, as they’d Sarah Squire allocated us a disabled room with a huge bathroom. But every morning a lovely man arrived with my extra water so I was a happy irrigator. When I know I will be using bottled water I take a travel kettle and an extension lead (plus plug adaptor) *. This *Electrical appliances and extension way I can heat a little water and top up cords are not recommended in wet from the bottle to get the right temperature. areas and should be avoided. Others have also suggested putting the Irrigation is a method of colostomy management which involves using specialist bottled water out in the sun to warm up which could work well if you are in a hot equipment to introduce warm water into the bowel via the stoma. The water causes climate. You can see my irrigation set up in muscular contractions (peristalsis) within the bowel which in turn cause expulsion of its Cape Verde in the photo (pictured right) contents. Many Ostomates prefer this method of colostomy management as it gives them Using my S–hook, bottled water, kettle and a sense of control. If you feel you would like to try irrigation you should first contact your extension lead I was all set for a stoma nurse to see if you are a suitable candidate. If you get the go ahead they will then comfortable irrigation. Add a good book arrange a time to teach you. Also have a look at the Colostomy Association website for and some wifi to catch up with Facebook more information on irrigation and how to purchase the Irrigation and you DVD . D Colostomy Irrigation and You DVD Order Form Colostomy Irrigation and You (Patients) Colostomy Irrigation and You is an educational DVD aimed at patients, it has been produced by the Colostomy Association to raise awareness about colostomy Irrigation as a method of bowel management. Note: Not all colostomates have the potential to irrigate. It is therefore essential in the first instance to consult your Surgeon/Stoma Care Nurse as they will advise as to your suitability. u To obtain your single copy of Colostomy Irrigation and You at the special introductory price of o y k £4.99 (incl postage and packing) simply fill in your details below and return it with your cheque n a h t made payable to the CA Ltd, to: - m r Colostomy Association, Enterprise House, 95 London Street, Reading, Berkshire RG1 4QA o f s i h t n o s s e r d d a Title: e h t o t n Name: r u t e r d n a Address: e n i l d e t t o d e h t Postcode: g n o l a t Tel: u c e s a e l Email: P Please allow 30 days for delivery.