Issue 4 October 2015

Vice-President’s Message
In this issue:
Much to Celebrate!
VP Message in English, French
and Chinese 1-3 Elizabeth A. Ayello, PhD, RN, ACNS-BC, CWON, ETN,
WCET next conference: MAPWCA, FAAN
WCET Vice President, 2014-2016

It is true. WCET has much to celebrate and this issue of the BullETin provides
News for Cape Town 3 some of the evidence for this claim. October 3rd was World Ostomy Day. What
New look of the WCET website and the did you do to mark this occasion? Our next Biennial congress is on track to
WCET Facebook page 5 be an outstanding scientific program. Thank you to all whose efforts are
making this possible. WCET is delighted to inform you that Laurent Chabal
2015 WCET membership Survey 6 has redesigned our webpage. Please take the time to visit it and see how
June 26: Celebrations of Norma N. Gill DAY! 6 informative and visually attractive it is. Thanks to the Efforts of Jen Bank
Congrats: Mariam Hj. Mohd Nasir 16 from our Management Company, WCET is on Facebook. We know you like
Kenyan Stoma Wound and Continence Nursing us, but please take a few minutes and “like us” on Facebook by going to
www.facebook.com/wcetn.org. Also while you are on the internet, please
Education new on-going Program 16
take the time to complete the membership survey. Many of you have already
Disaster following earthquake Nepal 2015 17 done that, but you only have till 15 October to participate in the 2015 survey.
European Council of Enterostomal The survey is available in 5 languages, English, Chinese, French, Spanish and
Therapy and 6th Symposium Indonesian. So go to the WCET website, www.wcetn.org now and be part of
of Stoma Nurses of Serbia in Belgrade 20 this survey.
10th Wound care annual conference of the Much of this issue of the BullETin relates what WCET nurses did on Norma
Swiss Association for Woundcare – N. Gill Day Thank you to all who sent in the details of how you celebrated
Romande (French speaking) section 22 our founder’s birthday, 26 June. I was impressed with the large number of
Enterostomal Therapy Nurses Association responses we got to learn of your efforts to recall Norma on her day. You
of the Philippines, Inc. (ETNAP). 5th will read about how nurses in France, Denmark, Kenya, Togo, China, Taiwan,
Annual Convention and Scientific Nepal, Indonesia, and Malaysia remembered Norma by special events. The
Meeting, Event Report 23 stories are as diverse as our WCET members, I know you will enjoy them,
including the poem written about Norma.
Jumpstarting Wound and Ostomy Care
Specialty Courses in the Philippines 25 WCET is also pleased to share with your how Shanti Bajracharya, an
Enterostomal Therapist from Kathmandu, has updated us with her experience
Other up-coming education events 28
following the earthquake disaster in Nepal.
An important mission of WCET is education. In this issue, you will learn more about the Kenyan Stoma Wound and
Continence Nursing Education program, which has welcomed 15 students for its 2015 class. Please take time to read
about other educational programs that have taken place around the WCET world. This includes a report on the European
Council of Enterostomal Therapy and 6th symposium of Stoma Nurses of Serbia, the 10th Wound Care Annual Conference
of the Swiss Association for Wound Care - Romande (French speaking section), and the Enterostomal Therapy Nurses
Association of the Philippines.
Remember that the future of our specialty depends on nurses who have the knowledge and education to care for
patients. So please learn about upcoming opportunities in the UK by the Association of Stoma Care Nurses UK (October
2015) and the National Pressure Ulcer Advisory Panel (April 2016).

BullETin October 2015 1

As you can see from this issue of the BullETin, WCET is truly an unique global organization whose strength, in part,
relies on our strong worldwide membership, commitment to continuous learning, and passion to providing the best
care for patients. Indeed, we have much to celebrate.
Sincerely,
Elizabeth

Tellement à célébrer!
Elizabeth A. Ayello, PhD, RN, ACNS-BC, CWON, ETN, MAPWCA, FAAN
Vice-Présidente du WCET, 2014-2016
(Thanks to Laurent Chabal for this French translation)

C’est vrai, le WCET a tellement à célébrer et cette édition du BullETin nous en apporte quelques preuves. Le 3 Octobre
prochain aura été la Journée Mondiale des personnes stomisées : avez-vous fait de particulier pour marquer cette
occasion? Notre prochain congrès Mondial est en bonne voie pour nous présenter un programme scientifique
exceptionnel. Merci à tous qui œuvrent à rendre cela possible. Le WCET est ravi de vous informer que Laurent
Chabal a remodelé notre site web. Merci de prendre le temps de l’aller le découvrir et de constater comment il
est visuellement attractif et informatif. Merci aussi aux efforts de Jen Bank, de notre Compagnie de gestion, qui a
permis au WCET d’être sur Facebook. Nous savons que vous nous aimez, mais merci de prendre quelques minutes
pour “nous suivre” en allant sur www.facebook.com/wcetn.org. Profitez enfin de notre navigation sur internet pour
prendre le temps de compléter l’enquête des membres 2015 en ligne. Beaucoup d’entre vous l’ont déjà remplie,
mais pour ceux qui ne l’auraient pas encore fait, vous avez seulement jusqu’ à ce 15 Octobre pour y participer. Ce
questionnaire est disponible en 5 langues: l’Anglais, le Chinois, le Français, l’Espagnol et l’Indonésien. Alors rendez-
vous maintenant sur le site du WCET www.wcetn.org et prenez part à cette enquête.
Une grande partie de cette édition du BullETin relate ce qu’ont fait les infirmières du WCET pour la Journée de Norma
N. Gill. Merci à tous celles et ceux qui ont envoyés ces récits sur vos célébrations de l’anniversaire de la fondatrice de
notre spécialité, le 26 juin dernier. J’ai été impressionnée par le nombre important de retours consacrés à vos efforts
pour se rappeler de Norma en ce jour. Vous lirez ainsi comment des infirmières de France, Danemark, Kenya, Togo,
Chine, Taiwan, Népal, Indonésie et Malaisie se sont souvenues de Norma en réalisant des interventions spécifiques.
Ces écrits sont tout aussi variés que le sont nos membres du WCET. Je sais que vous allez les apprécier, y compris le
poème écrit pour Norma.
Le WCET est aussi heureux de partager avec vous l’expérience de Shanti Bajracharya, Stomathérapeute de Katmandou,
suite au terrible tremblement de terre qu’il y a eu au Népal ; nous permettant ainsi de prendre la mesure de ce qui
s’est passé.
Une mission importante du WCET est l’éducation. Dans cette édition, vous en apprendrez plus sur le programme
de formation en Soins de stomies, plaies et continence qui se tient au Kenya. Ce programme accueille 15 étudiants
pour sa volée 2015. Merci de prendre connaissance des autres programmes de formation qui se sont tenus dans
le Monde du WCET. Ils comprennent le rapport de l’Association Européenne de Stomathérapie et le 6e Symposium
des Infirmières Stomathérapeutes en Serbie, la 10e Conférence annuelle de soins de plaies de l’Association Suisse de
soins de Plaies – Romande (section francophone) et les rapports de l’Association des Infirmières Stomathérapeutes
des Philippines.
Rappelons-nous que le futur de notre spécialisation dépend d’infirmières qui ont des connaissances et reçues une
formation aux soins des patients. Vous pourrez ainsi prendre connaissance des prochaines opportunités de se
former grâce aux manifestations organisées par l’Association des Infirmières Stomathérapeutes du Royaume Uni (en
Octobre 2015) et par le Comité National consultatif concernant les Escarres (en Avril 2016).
Vous constaterez à la lecture de ce BullETin que le WCET est une organisation globale unique dont la force repose,
en partie, sur notre forte représentation de membres à travers le monde, de notre engagement à l’apprentissage
continu et de notre passion à fournir les meilleurs soins aux patients. En effet, nous avons beaucoup à célébrer.
Sincèrement
Elizabeth.

BullETin October 2015 2

有很多事情值得庆祝！

伊丽莎白A. Ayello博士，注册护士，ACNS-BC，CWON，ETN，MAPWCA，FAAN

WCET副总裁，2014- 2016

(Thank you Michele Lee for this Chinese translation)

这是真的。 WCET有许多值得庆贺的事情，而这篇简报为这声言提供了一些凭据。 10月3日是世界造口日，

你在这时刻作了些什么？我们的下一个双年大会将会成为一个出色的科学会议。谢谢所有人的努力使这一
切成为可能。 WCET很高兴地告知你们，Laurent Chabal重新设计我们的网页。请花些时间去参观一下，看看
它的内容是如何丰富和吸引。谢谢管理公司Jen Bank 的努力，WCET已有Facebook。请大家用几分钟时间在
www.facebook.com/wcetn.org 的Facebook挑选“like us”。另外当你在互联网上，请花些时间来完成会员调查。
你们中许多人已经这样做了，但是调查只到2015年的10月15日。这项调查是用5种语言，英文，中文，法
文，西班牙文和印尼文。请现在到WCET网站，www.wcetn.org 参与本次调查。
今次的简报大部分是关于WCET护士在诺玛吉尔日的活动。谢谢所有关于你如何在6月26日庆祝我们的创始人
生日的详情。对大量 的回应我留下了深刻印象，你们的努力去怀念诺玛吉尔是很值得我们去学习。您将了
解在法国，丹麦，多哥，肯尼亚， 中国，台湾，尼泊尔，印度尼西亚和马来西亚的护士为纪念诺玛的特别活
动。这些故事就像WCET的成员那么多，我知道你会喜欢这些故事，包括为诺玛而写的诗句。

WCET也很高兴与您分享加德满都的造口治疗师，Shanti Bajracharya继尼泊尔地震灾害后的经验。

WCET的一项重要任务是教育。在这个问题上，您将了解更多关于肯尼亚造口伤口和失禁护理教育计划，这项
目在2015年有15名学生参与。请花一点时间了解WCET在世界各地的其他教育项目。这包括欧洲造口治疗议
会，第六届塞尔维亚造口护士会议，瑞士伤口护理协会的第十届伤口年会- Romande（法语部分），和菲律宾
造口治疗护士协会的报告。

请紧记我们专业的未来取决于照顾病人的护士拥有的知识和教育。所以，请多了解在英国由英国造口护理护
士协会（2015年10月）和国家压疮顾问小组（2016年4月）即将举行的会议。

你可以从这份简报内看到，WCET确实是一个独特的全球性组织，其强度，部分是依赖我们强大的全球成员，
致力于不断学习，并热诚地为病人提供最好的照顾。事实上，我们有很多东西是值得庆祝。

此致

伊丽莎白

WCET next conference: News for Cape Town, South Africa

Programme Update:
The WCET 2016 website (www.wcet2016.com) has been updated with the latest programme. Please visit this page
on a regular basis to get updates on the latest programme developments and speaker confirmations.

Super Early Bird Registration Deadline:

Please remember to register before the Super Early Bird Registration Deadline on 15 October 2015. You have to be
registered and your registration fees have to be paid by the deadline date.

Travel and Accommodation Arrangements:

It is now time to start thinking about finalising your travel and accommodation arrangements.

BullETin October 2015 3

ACCOMMODATION:

It is peak tourist season in South Africa and therefore advisable that you book your accommodation as soon as
possible. Rooms at participating hotels will be reduced from end November onwards (on a monthly basis) according
to the Terms and Conditions of the hotels.

To find more information about accommodation please visit the website:

http://www.wcet2016.com/accommodation.html

FLIGHTS:

Please remember to make use of the Star Alliance deal

for special rates on different airlines. Read more about
these deals on the website:

http://www.wcet2016.com/venue/transport-and-travel/star-alliance.html

There are quite few airlines flying direct into Cape Town, otherwise you will fly via Johannesburg (OR Tambo
International Airport). OR Tambo is a two hours domestic flight from Cape Town. The Cape Town International
Airport is between 25 minutes and an hour’s drive from the city centre (depending on the traffic). Peak traffic hours
in Cape Town are in the mornings (into the city) from 06h30 – 08h30 and in the afternoon (leaving the city) from
16h00 – 18h00.

Preparing for shopping in Cape Town:

The Victoria and Alfred Waterfront (www.waterfront.co.za) is within walking distance of the CTICC as well as quite
a few of the participating hotels.

Cape Town is known for its markets. When going to a market such as a craft market or flea market, there are always
bargains to be found. There are also quite a number of wonderful organic and food markets. There are markets
open on a daily basis all over the city, surrounding areas and winelands. However, most of the popular markets are
usually open on Saturdays and Sundays. Markets are usually not open in the evening; and on weekends they usually
close at 14h00.

https://www.freshlocalmarkets.com/province/1/western-cape-markets

http://capemarkets.co.za/markets/location/central-cape-town/

http://www.mothercityliving.co.za/cape-town-city-guide/markets/

BullETin October 2015 4

Connect with us on Facebook:
Please remember to connect on Facebook :
https://www.facebook.com/wcet2016

More information on: www.wcet2016.com

New look of the WCET website and the WCET Facebook page
Since the end of July the new design of the WCET website was launched. Visit us on: www.wcetn.org
Some of the pictures sent for the BullETin could be used for changing the Home page slide show. These should be
good quality and be resized to 980 x 245 pixels.

The WCET has joined Facebook since last April and would like
you to become a fan!

We would like to keep WCET members as well as the ostomy,

wound and continence community up to date with news and
special announcements from our organization.

To follow WCET on Facebook please log into your account

and visit:
https://www.facebook.com/wcetn.org

and ‹Like› us!

BullETin October 2015 5

2015 WCET Membership Survey
The WCET invites you to participate in the 2015 WCET Membership Survey. The WCET surveys its members every
2 years. A survey is a good way to gather the opinions of our WCET members and to plan for the future. Questions
about such things as Congresses, the Journal, the BullETin, the website and more are included in the survey.

This survey has to be completed totally online: available on 1 May until Oct 15. Thanks to the efforts of WCET
members, that you can take the survey in languages other than English including Chinese, French or Indonesian.

Thanks for taking time to fill it out.

Please let your voice be heard!

June 26: Celebrations of the WCET Norma N. Gill DAY !

Rose-Marie Pedrero, WCET ID France

For this Celebration, we have done some pictures and demo to put forward the origin of Stomatherapy and its
beginning in France as to bring to light part of our activities what services do not see.

Appliances most used in the city, irrigation sets and documents provided to patients as of course gadgets and
posters from the industries were shown.

Consultation room with appliances, brochures and gadgets

BullETin October 2015 6

We have done a MacGyver’s corner with rings, sprays and a workshop on how to use paste. Very artificial flavour
candies were given to participants to keep the party on.
40 people come to visit us between 13 and 16 o’clock.
Much of pharmacy preparers have asked us to see and touch the products we order from them.
Finally, we will write a small article about this event that will be publish in our hospital newspaper.
Pour célébrer cette journée, nous avons fait quelques photos qui mettaient en avant l’origine de la stomathérapie et
son arrivée en France, ainsi que ce que la partie de notre activité que les services ne voient pas.
Les poches plus utilisées en ville, le matériel pour l’irrigation, les documents remis aux patients et bien évidements
les gadgets des laboratoires ainsi que leurs posters, ont été montrés.
Nous avons fait le coin de Mac Gyver avec anneaux, sprays et surtout un atelier de pose de pâte.
Pour garder un côté festif... des bonbons bien chimiques étaient à distribués aux visiteurs.
40 personnes sont passées entre 13h et 16h. Une grande partie des préparatrices en pharmacie se sont déplacées
pour voir l’utilisation des produits que nous leur demandons. Enfin, il est prévu que nous fassions un petit article
concernant cet évènement dans le journal interne de l’hôpital.

Stella Mwari Rithara, Kenya

What a wonderful day for our founder Norma N. Gill.

I am celebrating her day in Denmark at MASCC (Multinational Association of Supportive Care), in cancer conference,
presenting my abstract on integration of oncology onto palliative care as our majority of patients undertaking
cancer treatment are referred for palliative care in late stage especially with fungating breast cancer wound.
Actually, I am in Bamako (Mali). One thing I put to the credit of the occasion was to discuss with some colleagues
about the speciality which is not known here. So to some nursing tutors of my school, I presented the speciality of
stoma, wound and continence care and its development. What is the WCET and went through the WCET website
with them to make an open way of getting more information about the speciality and its connections.

Kokou Kouami, WCET ID Togo

Actually, I am in Bamako (Mali). One thing I put to the credit of the occasion was to discuss with some colleagues
about the speciality which is not known here. So to some nursing tutors of my school, I presented the speciality of
stoma, wound and continence care and its development. What is the WCET and went through the WCET website
with them to make an open way of getting more information about the speciality and its connections.

Zhu Lixia, China

The “WCET Norma N. Gill Day” on June 26 is an important and special Day on which people pay attention to the
treatment and rehabilitation of colostomy patients and colostomy therapist group. The continue education program
at the national level “The new progress of colostomy, wounds, and incontinence care and management study”
has been held as scheduled by the uropoiesis surgical department in Wuxi people’s hospital of Jiangsu province.
Students come from Jilin, Hebei, Henan, Hunan, Hubei, Jiangsu, and other cities.
We have invited the Vice Principal of ET school in Sun Yat-Sen University Mrs. Zheng Meichun, the wound care center
of general hospital of Nanjing military region Mrs. Jiang Qixia, the director of uropoiesis surgical department Mr. Hu
Qiang and our three ET teachers Yang Xiaoyi, Jiang Xiaoqin & Zhu Lixia to take part in the training.
This study covers the management of difficult wounds, new progress in the prevention and treatment of pressure
ulcers, the prevention and cure of complications after colostomy, the recent advances in the treatment of incontinence
and all kinds of scale in colostomy, the application of the wound and incontinence patients, urinary colostomy and

BullETin October 2015 7

so on. Teachers use their abundant knowledge and rich theory to broaden students’ thought and encourage the
students to look for more scientific research topic and essay inspiration. At the same time, the students not only gain
the specialized knowledge, but also learn a lot of advanced management experience in the communication with
experts. They think this study promote the level of the nurse in clinical and connotation. More patients will enjoy the
result of this study. They speak enthusiastically and share their views in the active atmosphere.

This study help the students update concepts and expand the field of vision. The importance is that teacher’s
philosophy with work is gradually to every student. It is necessary to work hard without complain, do your best
and spread the positive energy in the way of success. The students have expressed that they are willing to apply
the harvest of learning and enlightenment to the future work for providing “colostomy patients” with higher quality
nursing service and further improving their management level to carry out nursing work better.

Teachers and students involved in this continuous program done on the WCET Norma N. Gill Day

Li Juyun, China

June 26, 2015, WCET Norma N. Gill’s day, Enterostomy Therapist Li Juyun assisted launching “Colostomy People
visiting” project for Nanjing cancer patients association in Jiangsu Province Traditional Chinese Medicine Hospital,
china. Since then, the colostomy people in Nanjing started the project of self management by stoma person visiting
which was dominated by professional colostomy therapists from Nanjing local hospitals previously. The form was a
group visiting, consisting of 6 volunteers with colon stoma, Ileum stoma or Urinary tract stoma trained and qualified
by ET. Those junior stoma persons 2~6 weeks after surgery were visited. This event was supported by Dai Xin Juan,
the director of the Department of nursing, Jiangsu Province Traditional Chinese Medicine Hospital. She pointed out
that, in the advocacy of quality care in today’s practice, to carry out such extended care services for specialist nurses
are the important manifestation of the care of nursing.

Before stoma person visiting, ET Li Juyun introduced to the 6 volunteers that the special day, June 26, is the birthday of
Norma N. Gil, the first Enterostomal Therapist as also a stoma person, spent all her life to help build self rehabilitation,
returning to society and home. The starting day for the project was chosen on Norma N. Gill’s day. Aiming to follow
the footsteps of Norma to help more stoma people to lead a healthy life.

BullETin October 2015 8

Li Juyun in her daily work Visit event, ETs meeting Junior stoma person

Li Juyun, ET, Registered nurses, the head nurse of digestive system surgical oncology, graduated in Nanjing
Enterostomal Therapist school, 2009. She is now engaged rehabilitation nursing one to one education, collective
education, outpatient extension service for stoma person and the care of urinary disorder after rectal cancer surgery
using clean intermittent catheterization technique in Jiangsu Province Traditional Chinese Medicine Hospital.

Kai-Li Lee. The Chi Mei Medical Center, WCET ID Taiwan

I am Kai-Li Lee, as the ET leader of Chi-Mei medical centers. Taiwan appreciated WCET reminding us to celebrate
a Norma N. Gill Day. As a member of Taiwan WOCN Association committee and WCET Taiwan ID and Education
committee. I do feel that it is our responsibility passing down the professional skills and knowledge of wound and
ostomy care to new generation of all ET nurses. Therefore, I invited ET nurses to come from different hospitals to
join us in celebrating the NNG day held in Chi-Mei Hospital on 26th June 2015. In this celebration, we cheered and
encouraged each other working together and doing well, also reminding us what all ET nurses’ responsibility is! The
following are some photos which were taken on 26th June: I hope you feel the joyful and touching moment in this
celebration!

For this celebration, I designed one coaster gift to our ET nurses. Hope they can remember
Norma N.Gill spirit ! The custom cake made this celebration warm and lovely.

BullETin October 2015 9

Kai Li Lee, RNET, presented the Norma N. Gill’s story and how she developed
stoma care nursing, and what about the ET role and duties.

An ET Preceptor (Kai-Li Lee, middle of the photo)

with the graduates representatives of Taiwan ET School.

The Chief of Colorectal Surgeons (middle man of the photo) joined this
Celebration with ET nurses together happily.

BullETin October 2015 10

Saraswati Bhandari, WCET ID Nepal

I am so happy that I could make effective use of today, the birthday of Norma N. Gill.

I visited to the “Bhaktapur Cancer Hospital “and met to the patients with ostomies and explained the application
process of given supplies. Also, I handed over a box of ostomy supplies to the nurses of same Hospital for future
use in poor patients. I have given those products through Stoma Care Nepal, a non profitable organization. I am
planning to do something on the World Ostomy Day too!

Saraswati visiting patients and nurses

Sarojini Sharma, Nepal

BP Koirala Memorial Cancer Hospital (BPKMCH) is the National cancer centre of Nepal. The catchment area of the
hospital is not only Nepal but also Uttar Pradesh & Bihar and another part of India. I have started the stoma clinic
in 2004 with limited resources. At that time i did not have formal training related to Enterostomal Therapy. Self
learning was my options as because our country still do not have training school Gastrointestinal and uro surgeons
were my major partners /mentors in taking care of ostomy patients for their dignified living.

In the beginning, we did not have stoma appliances in the market. We were able to be in touch with Friends of
Ostomates of USA. We share the problems of not having stoma appliances with them. Fortunately they started to
send stoma supplies to our patients. In 2007, I got the chance to visit the stoma clinic of TATA MEMORIAL Hospital
India. I also got Basic training on ET then after it was little bit easier to take care of my patient. Our hospital took
initiation to send me for the training.

In this year I spent 3 hours times with my junior nurses to talk about the contribution of Norma N. Gill for ostomates.
It was good time to talk more about the crucial role of Enterostomal Therapist for the perfect rehabilitation of
ostomates. I also had a good time with my patients. I spent one hour time with my patients to talk about the lady
who had a zeal and enthusiasm to take care of the ostomates.

Sarojini with junior Nurses and patient.

BullETin October 2015 11

Arum Ratna Pratiwi, WCET ID Indonesia

What did we (Indonesian nurses) do on June 26th, 2016?

We told people about Norma N. Gill Day by posting a brief story about Norma N. Gill on facebook. I tagged many
nurses and other professional healthcare such as doctor and pharmacist in this posting.

Courtesy of Widasari Srigitarja (InETNEP’s director).

And here, Indonesian ETNEP’s students celebrated Norma N. Gill Day. Their preceptors told them about Norma N.
Gill, who she was and what did she do to build Enterostomal Therapy?

Thanks Norma for inspiring us. We are proud to be ET Nurses!

BullETin October 2015 12

I Made Sukma Wijaya, Bali - Indonesia

On this celebration, I introduced Norma N Gill and her spirit to my new students in Nursing Academy to motivate
them to become professional nurses in the future and to choose what they passion in nursing. Besides that, I also
share how to change stoma pouch and support the ostomy patient to improve quality of life patient with an ostomy.
I never forget that the Norma N. Gill Foundation has given me a scholarship to be Enterostomal Therapist, thank you
so much.

Maria Susiati, Surabaya, Indonesia

PPNI plan (Indonesian Nursing Association) asked me to do a presentation on: “Nurses not only can work in hospitals”.
It allowed me to share my experiences as a practitioner in wound ostomy continence nursing.

Mariam Hj. Mohd Nasir and ET Team of University Malaya Medical Centre, Malaysia

HAPPY BIRTHDAY NORMA!

Every year, June 26 will be a day for celebration because a legend named Norma Nottingham Gill Thompson was
born. This day is a special day for all Enterostomal Therapist around the globe because Norma, who famously known
as Mother of Enterostomal Therapist is responsible for the birth of Enterostomal Therapist.

Norma is a legend and she has left us with a lasting legacy which we have continued to care for patients with
stoma and wounds. She travel all over the world to offer help to train more Enterostomal Therapist (E.T.) She started
training others since 1961 till I met her in 1995 and I believe she continues till the day she left us.

She envisioned an association for all ETs and later WCET was born with her initiative together with her surgeon Dr
Ruppert Turnbull.

She was an extraordinary person and her contribution to the evolution of ETN is priceless and due to this, WCET has
acknowledged Norma birth date to be celebrated around the world.

Due to our month of Ramadhan, we had to celebrate in a different way.

Since day time, we are not able to eat because we are fasting from dawn about 5 am till about 7.30 pm and normally
most Muslim will go to the mosque for prayers. But we emailed each other to remind us about the day and have
done an article about Norma and her work. (This article will be published in a future issue of the WCET Journal).
We wanted to have a breakfast to celebrate Norma’s day, but it is a bit tired for us during the fasting month, so will
decide to celebrate later once the Ramadhan will be done.

BullETin October 2015 13

Finally, in University Malaya Medical Centre, our ET Team decided to celebrate it on the 10 September in-conjunction
with the starting of our Continence Care service. But to us every day is a day of celebration in remembrance of
Norma.

We had a presentation about Norma and her life by me. We decorated our clinic with Norma’s banner and all ETs
received a small purse with Norma N. Gill day sticker and a special poem for Norma.

We had a great time together, talking about Norma, looking at her photos and a fantastic lunch.

To Norma, rest in peace and we knew that Norma is so happy to know what we have done to continue her legacy.

Mariam presentation to all her ET Team and other Nurses too Mariam with some of her ET Team

BullETin October 2015 14

I have also written a poem that I would like to share with you:

SPECIAL POEM FOR MOTHER OF ENTEROSTOMAL THERAPIST

NORMA N. GILL THOMPSON

1920 – 1998

She inspired us, she taught us,

The value & price of love, caring and sharing

In providing the best care that we can give for the people who are in need.

We dedicate this to her.

NORMA
Norma N. Gill a lady with mission
ETN was born due to her commitment
June 26 a day to celebrate
Because she were born on that date
Norma is the person, with great dedication
She travel a very long way to reach her ambition
To her the struggle and difficulty is just a small portion
To bring together the whole nation

All the good deeds you have done Norma… we made a promise to you
Our memories with you will never gone Whatever you left … We will continue
All the challenges that you have borne On Norma N. Gill day the promise is renew
Because of you, ETN was born This journey will continue in the memory of you

Mariam Mohd Nasir, Malaysia

PS. A mistake on her name has been done in the last BullETin - issue 3, on page 25 “…the Malaysian ETNEP director
Mariam Noor” should be read as Mariam Mohd Nasir.

BullETin October 2015 15

Congrats !
Mariam Hj. Mohd Nasir, from Malaysia, have been nominated for the AMN (Member
of the Order of the Defender of the Realm)’s title for the outstanding social work and
contribution towards ET nursing education she done. This title is ranked 3rd among
the 10 classes of the Malaysian royal awards, in conjunction of Malaysian Majesty’s
birthday.

She has been also promoted as the next Chief Nursing Officer (CNO) and this has been
effective since the 1st September 2015.

Nevertheless even with the promotion, she still lead the ET Team of her hospital in
organizing ETNEPs, short courses for stoma and wounds and helping our neighbouring
countries in the region to further explore and establish their ET Team.

Kenyan Stoma Wound and Continence Nursing Education

new on-going Program
Elizabeth English, RN,RM, STN (Cred), BN,Dip Ap Sc (CHN) Grad Dip Hlth Couns, Past President World Council of
Enterostomal Therapists (WCET) and Coordinator Kenyan AKUH Stoma Wound and Continence Nursing Education
Program

Lawrence, who had his SWCN qualification last time, is now one of the local teacher

Kenyan Stoma Wound and Continence Nursing Education Program is a WCET AASTN Twinning project between
Australia and Kenya and is in its second year.  There are 19 students in the 2015 program and all appears very
enthusiastic and amazed by what they have learnt so far in the first module which had ended last May. More modules
are planned later in the year.

The Australian team supported by the Australian Association of Stomal Therapy Nurses has funded all of this Twinning
Program themselves by seeking donations from various sources.  A main aim of the program is to make it sustainable
so this year we are mentoring 7 of the students from 2014 program to become tutors (with 2 more joining us in the
second module). As I am trying to raise money to assist them from the remote areas with their accommodation costs
in Nairobi, any help is welcome.

BullETin October 2015 16

It is quite amazing in just one year to see how this education is making a difference in the lives of these stoic African
patients.  Their stories and their suffering is confronting and challenging but seeing the difference that stoma nurses
can make in their lives is just so rewarding.

Students and tutors in stoma and wound care practice: from workshops to patient bedside

Disaster following earthquake Nepal 2015

Shanti Bajracharya, Enterostomal therapist, Kathmandu - Nepal

The day started as a quite normal day on 25th April 2015, everybody doing their normal
daily activities, without even knowing that the day was going to be one of the most tragic
days in the history of Nepal leaving around 10,000 dead and many more injured. The
earthquake hit Nepal at around 11.58AM making one of the districts in Gorkha as epicentre.
It struck Kathmandu with magnitude of 7.8 Richter scale. Many houses an old heritages
and temples also collapsed on that day. People were physically as well as mentally hurt
after that day. Nobody was able to sleep at their own home, since it became the most risky
place for people. People felt open spaces and streets were safer.

Since that was on Saturday so everybody was at home. Everybody was frightened, we all
went out of the house to an open space. For few hours there were lots of aftershocks, which
I was unable to leave my family. Later after strong after shakes were over i went to my hospital knowing that a huge
disaster was on the way.

BullETin October 2015 17

EQ = Earth Quake

Disaster preparedness in our Baidya & Banskota hospital

• Training programmes conducted on disaster preparedness to staffs

• Hospital had its own disaster plan manual our hospital was under one of the biggest hospitals in the city i.e
Patan hospital for help and support.

• District Public Health Office was conducting programmes for inter hospital communications.

Disaster activation at B&B hospital

First victim arrived after 9 minutes 15 seconds of first earthquake. Then after there was a continuous flow of victims
one after another Since many patients started to arrive. Since many patients started to arrive, disaster state was
announced in the hospital. All the staff were called to the hospital and the hospital’s incident command centre was
activated. Triaging was done to all the victims who arrived. And then they were categorised as red, yellow and green
and then dispatched to the respective areas. On the first day of quake our hospital was crowded with patients, and
we had to adjust the patients in fields and inside the tents. Since the staff were also frightened after the quakes, most
of the inpatient facilities had to be shifted outside the building. Even operation theatre had to be shifted outside.

Patient data at B&B hospital

• Total no of patients—498

• Admission- 190

• Discharged on same day-184

• Surgery-154

OT = operative theater

BullETin October 2015 18

Support from national and international
agencies
After the major disaster in the country there were
lots of support to our hospital as well as different
hospitals in the city. Help included volunteers,
medical supplies. Our hospital also extended their
health services to the nearby districts like Kavre,
Sindhupalchowk, Trishuli,Gorkha, Nagarkot by
organising health camps.

HRDC= Hospital and Rehabilitation Centre for Disabled

Children

Effect of earthquake on Ostomates

As everybody, ostomates were also psychologically
traumatised. Most of the ostomates were out of
bags since their houses collapsed and they could not
retrieve their bags. Some of them had to live outside
the house for few weeks. Some of them were unable
to come to the colostomy clinics due to unavailability
of vehicle during that time. The regular colostomy
clinics had to be closed. Only emergency patents were
taken care of and given the bags. Distant colostomy
clinic were run for the evaluations while the general
health cap were run through B&B hospital and I had
opportunity to treat some of them.

Shanti with a patient

Conclusion
Our beautiful city Kathmandu has been ruined by the major earthquake. But still we somehow managed to come
back to our normal life, though it took us months. We were fortunate enough to have such a huge amount of help
and support from international agencies. We are still struggling on our way ahead to build Nepal as it was before.

Shanti in Kathmandu

BullETin October 2015 19

European Council of Enterostomal Therapy and 6th Symposium of
Stoma Nurses of Serbia in Belgrade
Renata Batas, RN, ET, ED, PR of ECET

Executive Board of European Council of Enterostomal Therapy (ECET)

together with members of other countries (from left to right: Werner Droste,
Germany – Vice president of ECET; Gabrielle Kroboth, Austria – President of
ECET; Nenad Živanović, Serbia, Gian Carlo Canese, Italy and Renata Batas,
Slovenia – Public Relation of ECET)

Association of Stoma Nurses Serbia organized on 3d and 4th April, 2015 the sixth symposium of Enterostomal
Therapy with international participants, where ECET Board participate with lectures of Enterostomal Therapy,
such as Stoma site marking, Nursing care for the ostomy patients with disabilities and special needs, Quality of
life, Ostomy psychosocial and quality of life.

Dr. Zoran Krivokapic, internationally renowned surgeon, President of the European Association of colorectal
surgery presented in the lecture issue of the incidence of colorectal carcinoma in Serbia, which represents 46
newly diagnosed cancers of the colon of 100,000 inhabitants and colon cancer is on the rise. The etiology is still not
completely clear. They estimate treatment success with five-year survival rate and percentages of local recurrence
carcinoma.

90% of colon cancers are detected in patients older than 50 years. The focus is on early diagnosis with the aim of
successful surgical treatment.

Werner Droste from Germany presented the importance of preoperative stoma site marking.

Successful ostomy care after operation depends on that. It allows safe installation of ostomy appliances without
leakage and possible peristomal skin irritation.

Dr. Velimir Marković, the surgeon talked about importance of preoperative preparation of the patient to the
stoma. Problems arise when it comes to urgent surgery. Thus, doctors, nurses and especially patients are the main
objective to achieve an optimal quality of life with a stoma.

Dr. Gian Carlo Canese from Italy presented a study on the quality of life of patients with a stoma. He talked about
importance of multicultural approach to patients. Because of different cultural, religious beliefs, these patients
have different needs, otherwise accept their new body image.

Case report of surgical wound VACTM – Therapy with their positive effects and financial undertaken was represented
too.

BullETin October 2015 20

Živka Madžić, Head nurse of First Surgical Clinic in Belgrade and President of the Stoma nurses association of Serbia
introduced the concept of nursing care of the patient with colorectal carcinoma. He talked about the application
of the theories of Virginia Henderson and Dorothea Orem.

Dragan Jakovljevic from Health Centre presented the results of colorectal cancer screening in 2013 – 2015. 10.926
tested patients 8% (897) had a positive test, 80% had colonoscopy (690) and 8% of them were found colon
carcinoma, 50% patients were made polypectomy (342), 245 cases had other diagnosis, 10% of them was without
disease.

Jagoš Radovič from Clinical Center Kragujevac presented the importance of the national program for the detection
of colon cancer.

Mirjana Marinkovic, Head nurse of the Clinical Center Niš (Serbia) spoke about the importance of patient trust in
health care personnel. It is the only way to achieve an optimum cooperation of the patient for the treatment.

Daliborka Gredo, a nurse from the Institute for health protection of mother and child of Serbia presented the care
of children with stoma.

In Serbia, they have a slightly different way to deal with patients with a stoma than in some other countries. They
have a so-called Stoma centers in various parts of Serbia, where patients receive the stoma help, advice for self-care.

The theme of the symposium was also intermittent self-catetherisation at men, skin disorders of peristomal skin and
treatment.

As part of the symposium was held also a General meeting of ECET where the Executive Board, together with
delegates from other countries, planned their activities in the coming years.

General meeting ECET-European Council of Enterostomal Therapy:

the Executive Board of ECET and delegates from other countries.

Nurses from Serbia have expressed their desire for a special training in the field of Enterostomal Therapy. The
proposal was to organize home school and invited lecturers from abroad.

However, Nurses from Serbia have in recent years expanded the scope of nursing. Attention began to devote
the pediatric field, incontinence and wound care. As part of the symposium at the end of presentations, many
discussions were held. There were many new ideas, approaches to nursing care. So we are full of new information,
good impressions split each to his own home. And surely true: Knowledge has value if you share it!

BullETin October 2015 21

10th Wound care annual conference of the Swiss Association for
Woundcare – Romande (French speaking) section
Dr Maria Iakova – MD & Laurent Chabal

After having in 2014 the 1st join Conference with the German speaking section in Bienne, we had this year our
annual local conference at Beausobre theatre in Morges, on May 28. We had around 330 participants (various health
professionals as under and post graduate Nurse students) with 25 sponsors. 2 Nursing schools had a booth as 3
invited associations (Swiss Romande association for Clinician Nurses, ASRIC ; Support for para and tetraplegics as
well as other people with neurological paralysis symptoms, ParaHelp; and Swiss Romande Association for victims of
burns, FLAVIE).

As the moto of this conference was “For the simple to the complex wound”, we had a very transdisciplinary and
interesting programme. A special topic was around wound care in a complex context: Dr Hubert Vuagnat, our past
President, talked about his experience in wound care training in Cameron and Vincent Kokou Kouami, WCET ID from
Togo, about wound care in Togo.

During the conference, many connection had been done between participants, speakers and exhibitors for potential
future collaborations.

Left to right: Dr Hubert Vuagnat - Vice President, Dr Maria Iakova - President, Laurent Chabal - Vice Secretary,
Vincent Kokou Kouami & Lucie Charbonneau - Vice President

BullETin October 2015 22

Enterostomal Therapy Nurses Association of the Philippines, Inc.
(ETNAP) 5th Annual Convention and Scientific Meeting, Event
Report
Authors:

Paula Cristina H. Quiambao RN, CWON Mary Grace Anne P. Batalla, MAN, RN
WCET International Delegate for the Philippines Faculty, University of the Philippines Manila,
College of Nursing

With the aim of providing its participants with essential knowledge on the concept of holism and how it can be
integrated into the practice of ostomy, continence, and wound care, the ETNAP, Inc. held its 5th Annual Convention
and Scientific Meeting themed “Optimizing Competencies Towards Holistic Ostomy, Continence and Wound
Nursing Practice” on May 29, 2015 at Eurotel Hotel in Manila. This was attended by approximately 100 delegates
from different institutions across the Philippines. The attendees were mostly nurses who have a special interest in
learning about ostomy and wound management.

Conference organizers with delegates. (Photos by MG Batalla)

As this is an evolving and relatively young specialty in the Philippines, the organization deemed it important to
impart among its stakeholders the value of holistic approach in specialty nursing practice and how it can impact
both clientele and healthcare team.

At the beginning of the program, the national president of the Philippine Nurses Association, Inc. (PNA), Dr. Mila
Delia Llanes, delivered her keynote message which highlighted the crucial roles of the organization in augmenting
competencies in specialty nursing practice and contributing to a healthier nation. This was followed by nomination
of new Board of Directors and Nomination and Election Committee (NOMELEC) members.

Following the nomination was the conference proper which was divided into three sessions. The first session
consisted of lectures by Dr. Araceli Balabagno entitled “Holism as a Framework in Specialty Nursing Practice” and by
Ms. Paula Quiambao which was about pressure ulcer and management of maintenance wounds.

BullETin October 2015 23

 Demonstration of tai chi by Dr. Balabagno

During the second session, Dr. Armand Crisostomo and Dr. Marie Carmela Lapitan, consultant surgeons from the
Division of Colorectal Surgery and Division of Urology of the Philippine General Hospital respectively and professors
at the University of the Philippines College of Medicine, delivered lectures providing participants theoretical
background on medical-surgical procedures and nursing implications related to ostomy and continence. In addition,
the lecture titled “Integrating the Holistic Approach in Nursing Care of Patients with Ostomy” was delivered by the
first ET in the Philippines, Ms. Nelda Escueta.

The last section of the convention involved a podium presentation of two recent research studies done in the
Philippines which motivated the delegates to engage in activities that contribute to nursing literature and
advancement of nursing practice. There were also poster presentations by four Indonesian ETs that further
encouraged regional collaboration among ASEAN members.

The results of the election were announced at the end of the program.

Overall, the event was a success. Most of the delegates upon evaluation rated the event as an informative scientific
meeting and convention and that the learning objectives of the program have been met.

BullETin October 2015 24

Jumpstarting Wound and Ostomy Care Specialty Courses
in the Philippines
Authors:

Paula Quiambao RN CWON Ma. Angela Patricia Aceleen Monteagudo, RN

UP Manila Concepcion, RN UP Manila
President, ETNAP UP Manila

As the famous industrialist Henry Ford quoted, “Coming together is the beginning; keeping together is progress;
working together is success”, the 3rd year of Woundpedia Course in the Philippines had been a huge and successful
learning activity to all healthcare professionals and to all the WCET members in the Philippines.

Last June 29-July 2, 2015, doctors, nurses, nursing attendants and volunteers who have special interest and practice
in wounds and ostomies gathered to attend a much awaited learning event and training at the middle of the year.
The Woundpedia IIWCC was directed by Dr. R.Gary Sibbald and co-directed by WCET Vice President, Dr. Elizabeth
Ayello, Ms. Hiske Smart, Dr. Barbara Delmore and the WCET ID for Philippines, Ms. Paula Quiambao, all of whom are
WCET members.

Woundpedia Manila 2015 Faculty and Speakers, HIske Smart, Barbara Delmore,
Elizabeth A. Ayello, Paula Aromin, R. Gary Sibbald, Paula Quiambao

This was made possible through the generous grant of Calmoseptine Inc., through its CEO, Mr. Gregory Dixon, as
well as the joint efforts of the IIWCC faculties, WCET Philippine members and wound care team from University of the
Philippines-Manila. The members of the faculty strategically invited key people from different institutions located at
different parts of the archipelago.

Woundpedia Manila 2015 Basic Course Attendees

BullETin October 2015 25

As any basic course on this specialty is not offered in our country and that most health professionals obtain their
training in the nearby nations such as Malaysia, Singapore or even in the United States, it was made sure that most
of the attendees invited were selected carefully based on their interest, passion, practice and service to the country.
Attendees were from UP-Philippine General Hospital, UP College of Nursing, Manila Naval and other military hospital
and units from the islands of Luzon to Mindanao, The Ruth Foundation, ET Nurses Association of the Philippines
(ETNAP), Makati Medical Center, Cardinal Santos Medical Center, St. Joseph’s Hospital and many other private
hospitals in the country.

Woundpedia Manila 2015 Intermediate Course Attendees

This 2 days Basic course and another 2 days Intermediate course tackled topics about wound management and stoma
skin care. The session included lectures on the basics of skin and skin care, wound bed preparation, introduction to
dressings, burns and trauma, stoma skin complications and management, MASD (Moisture Associated Skin Damage),
and lower limb ulcers such as neuropathic, venous and arterial ulcers. Skills component of the training included
making an improvised monofilament and using the 60-Second Diabetic Foot Screen, use of infrared thermometry,
and demonstration of compression therapy through layered bandaging.

Monofilament and 60 Second Foot Screen activity

The participants were able to practice their knowledge gained from reading the articles published in WCET journal
on how to make a monofilament and do a 60-second foot screen.

An actual patient, who survived an extensive electrical burn injury shared his inspiring story through a short
interview.

P. Quiambao, WCET ID for

Philippines interviews a burn
survivor who wanted to share
his story with the participants.

BullETin October 2015 26

The session was made very interactive which promoted better retention of what were imparted to them. There were
also problem solving group activities and team building exercises to be able to send a message that collaboration
in healthcare or working as a team is crucial in moving the system towards success. A student from the last year’s
program, Lt. Paula Aromin also shared several severe cases of trauma and combat wounds from the military units,
and some application of therapies which they have learned last year, through brief presentations.

The last two days of training used an approach with one level of difficulty higher than the basic course. A case based
approach to learning key concepts was used. Also this time, insights were obtained from the participants on how
they can apply practical learnings to their current practice areas and systems they are in.

Participants on team building activity

Towards the end, activities of WCET in the Philippines for the Year 2014 to 2015, led by WCET Philippine ID and
members, were also presented as a form of continuation of the efforts done by the team, in increasing the number
of skilled and practicing nurses and doctors in the specialty, since the WoundPedia courses started in 2013.

Overall, the course was well accepted by the attendees with much enthusiasm and excitement. Many had showed
interest and strong commitment to bring to their respective areas a positive change, inspired by the learnings
from this event. Everyone is looking forward to the continuity of the educational activities on this specialty, and
even establishing wound clinics with a functional team of doctors, nurses and allied health care professionals
towards providing best practice on care, prevention and cure of many kinds of skin injuries and conditions that
lead to wounds, ostomies and their complications. Since the Woundpedia courses have began, the number of WCET
members have increased from 3 to 26 and continues to gain interested members.

BullETin October 2015 27

OTHER UP-COMING EDUCATION EVENTS

WCET Celebrates World Ostomy Day 2015

In celebration of World Ostomy Day, the WCET will be hosting a free webinar
on Friday, 2 October.
Please visit www.wcetn.org to view this important and informative webinar.

How Patients and Nurses Diverse Cultures Affect Nursing Care

Given the diversity of patients and nurses who provide care, cross-cultural communication and competency
are essential. Cultures have diverse focuses which are globally defined as collectivism (group identification) or
individualism (self-determination of the person). In this webinar, Dr. Purnell, author of the Purnell Model for
Cultural Competency, will explain these cultural perspectives and how they impact nursing and healthcare
practices within the specialty of stoma, wound, and continence care.
Distinguished Faculty Moderator
Larry Purnell, PhD, RN, FAAN Susan Stelton, MS, RN CWON
Professor Emeritus, University of Delaware, Newark, DE MSN, RN, ACNS-BC, CWOCN
Adjunct Professor Florida International University, Miami, FL WCET President, 2014-2016
Adjunct Professor, Excelsior College, Albany, NY

Objectives and Topic Outline

1. Explore basic assumptions and the complexity of culture
a. Diversity among healthcare providers.
b. Cultural awareness, sensitivity, and competence;
c. Cultural relativism, imposition, and imperialism;
d. Ethnocentrism, stereotyping, and generalization;
e. Acculturation, assimilation, and enculturation

2. Distinguish general collectivistic and individualistic cultural attributes and characteristics — Moral, polit-
ical, or social outlook that stresses human interdependence or dependence and the impact they have on
nurse-patient relationships.
a. Individualistic cultures: Scandinavian countries, USA, Eastern European, German, Great Britain, and
Appalachian;
b. Collectivist cultures: Hispanic/Latino and Latino; Asian and Pacific Islanders; Turks; Native
Americans; African American and Blacks from Nigeria, Ghana, and many other African countries;
Middle Easterners; and traditional tribal societies.

3. Apply collectivistic and individualistic attributes and characteristics to exemplars (European American and
Asian) in the provision of stoma, wound, and continence care.

BullETin October 2015 28

Next ASCN UK Conference

We are delighted to announce our annual conference as the Association of Stoma Care Nurses UK (ASCN UK) will be
held at The International Convention Centre (ICC), in Birmingham from 18th – 20th October.

We sincerely hope that 2015 will continue to see both the growth and success of our national event, something
which could not be achieved without your ongoing support.

We need your abstracts for both posters and oral presentations to ensure the conference addresses your professional
needs. We can only provide you with what you are willing to present. There will be many companies exhibiting,
giving us all an opportunity to keep updated on products and services. There will be presentations from last year’s
award winners and 2015 winners will be announced. Remember to submit your applications for the Bursary Award
(supported by Opus Healthcare), Stoma Care Nurse of the Year Award (supported by Salts), the Presenters Award
(supported by Coloplast) and the Research Awards (supported by Urostomy Association).

We all look forward to seeing you at what is certain to be a great conference.

Judy Hanley, Chair ASCN UK

More information on : http://ascnuk.com/ascn-uk-conference/

BullETin October 2015 29

World Wide Pressure Ulcer Prevention Day and
Next NPUAP Conference
The National Pressure Ulcer Advisory Panel (NPUAP) is proud to announce that World Wide Pressure Ulcer Prevention
Day is to be celebrated in 2015 on November 19th.

Moving forward each year the third Thursday of November will be designated for this public awareness. The objective
of World Wide Pressure Ulcer Prevention Day is to increase national awareness for pressure ulcer prevention and to
educate the public on this topic.

NPUAP has developed an extensive media materials package appropriate for all healthcare settings and organizations,
to download this free material visit: http://www.npuap.org/resources/educational-and-clinical-resources/2015-
world-wide-pressure-ulcer-prevention-day/

WCET is a member of the NPUAP Collaborating Organization Council and Karen Zulkowski (PhD, DNS, RN, CWS), our
WCET Journal Editor, is a member of its Allumni Council.

More information on : http://www.npuap.org/events/2016-staging-consensus-conference/

BullETin October 2015 30

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

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

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

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

Disclaimer:
Opinions expressed in the WCET BullETin are those of the author(s) and not necessarily those of the World Council
of Enterostomal Therapists, the BullETin Editor or BullETin Assistant Editors.

BullETin October 2015 31