Sunday, June 25
  3:15 pm – 4:15 pm
(201) Expert Session: Update on Bowel Obstruction
Kirk Ludwig, MD

1.2 Contact Hours
    This expert session will be a comprehensive review of the pathophysiology of bowel obstruction and will address current care and management issues including medical and surgical treatment options.
    1. Explain the pathophysiology of bowel obstruction.
    2. Identify options available for the management of bowel obstruction.
    3. Explain indications for surgical management of bowel obstruction.
       
  4:30 pm – 5:30 pm
(205) Norma Gill Lecture: Survey of WOC Nurses on Stomal and Peristomal Complications: Validation Study
Janice C. Colwell, MS, RN, CWOCN
Janice Beitz, PhD, RN, CS, CNOR, CWOCN

1.2 Contact Hours
    This session will highlight the results of the Survey of Wound Ostomy Continence (WOC) Nurse Clinicians on Stomal and Peristomal Complications: A Validation Study. This study was funded by the Wound, Ostomy and Continence Nurses Society Center for Clinical Investigation.
    1. Discuss survey findings related to the definitions of selected stomal and peristomal complications.
    2. Identify valid interventions for selected stomal and peristomal complications.
    3. State the estimated yearly contact of patients experiencing selected peristomal and stomal complications.
       
Monday, June 26
  8:00 am – 10:30 am
(K3) General Session: Ostomy Consensus
Janice C. Colwell, MS, RN, CWOCN
Margaret T. Goldberg, MSN, RN, CWOCN
Moderator: Mikel Gray, PhD, CUNP, CCCN, FAAN

3.0 Contact Hours
    At the first ostomy consensus presentation, the topic centered on pouching system wear time. The principles were presented and the discussion centered upon the definition of wear time, an outcome to begin to establish standards in managing the patient with a fecal and urinary diversion. This year’s presentation will build upon wear time and begin to examine other critical ostomy based outcomes. More than a lecture, this session will rely on interaction between the moderators and attendees, as expert clinicians and clinical investigators, to establish the standards for measuring essential outcomes when providing care to patients with ostomies. A white paper will be posted on the WOCN Web site that will serve as the basis for this discussion. It is a “not to be missed session” for anyone planning, delivering, or supervising the care of a person with an ostomy.
       
  10:45 am – 11:45 am
(302) Expert Session: Abdominal Wall Reconstruction: Focus on Peristomal Hernia Repair
David H. Song, MD, FACS

1.2 Contact Hours
    This expert level session will be a comprehensive overview of abdominal wall reconstruction, focusing on reconstruction of the peristomal hernia and the outcomes using advanced techniques.
    1. Describe indications for abdominal wall reconstruction.
    2. Explain the surgical procedure for abdominal wall reconstruction.
    3. Relate patient management issues both pre- and postoperatively.
       
  3:00 pm – 4:00 pm
(306) Lost to Follow-up/Transitioning Between Sites of Care
Lea Crestodina, MSN, RN, GNP, CWOCN, CDE
1.2 Contact Hours
    Educating ostomy patients post-operatively and meeting the needs of established ostomy patients has become increasingly challenging. The closure of UOA in the fall of 2005 leaves one less resource to this group of patients. This session will explore creative methods of providing education and support to ostomy patients in all care settings.
    1. Identify discharge planning challenges associated with shortened post-operative hospital stays.
    2. Describe “fast track” teaching strategies in the acute care, long-term acute care, home care, and outpatient setting.
    3. Summarize creative methods of meeting the ongoing needs of the ostomy patient in the absence of the UOA.
       
  4:15 pm – 5:15 pm
(310) Expert session: Creative Solutions to Pouching without a Pouching Surface
Jane Fellows, RN, BSN, CWOCN

1.2 Contact Hours
    This expert session will address systemic and local disease processes that can result in a loss of peristomal skin and provide creative solutions to meeting the pouching needs in this challenging population.
    1. Identify systemic/local disease processes that result in loss of skin.
    2. Describe two methods of pouching the stoma and providing local treatment with peristomal skin loss.
    3. Discuss appropriate care measures to protect patient from skin loss associated with systemic or local disease.
    4. Relate systemic treatment appropriate for treatment of disease process.
       
Tuesday, June 27
  9:00 am – 10:00 am
(401) Rupert B. Turnbull Lecture: Surgical Update: Fecal Diversions
Ann Lowry, MD

1.2 Contact Hours
    This session will be a comprehensive review of the newest trends in colorectal surgery. Care and management of both the preoperative and post-operative patient will be discussed with a focus on the evidence base for prevention of complications and the implications of shortened length of stay.
    1. Describe current evidence base for the use of pre-operative bowel preparation.
    2. Discuss recent developments in surgical closure techniques.
    3. Identify new trends in pain management.
       
  10:15 am – 11:15 am
(405) Challenges in Clinical Practice
To Be Announced

1.2 Contact Hours
    This session will feature experienced ostomy clinicians who will present challenging patient care cases. Discussion will include presentation, challenge, planned intervention, and outcome, as well as any alternative options that were not implemented. The assessment and management of the patient situation will incorporate the existing evidence base and rationale for the selected plan.
    1. Discuss unique clinical situations as presented by experienced ostomy clinicians.
    2. Identify strategies that the WOC nurse can use for the management of a patient with a complex ostomy issue.
       
  2:00 pm – 3:00 pm
(409) Guidelines for Pediatric Ostomy and Skin Care
Kimberly Bookout, MSN, RN, CPNP, CWOCN

1.2 Contact Hours
    This session will introduce the new WOCN Clinical Practice Guidelines for the management of the pediatric patient with an ostomy. This evidence-based guideline, developed by a panel of WOCN members who practice in pediatrics, addresses the unique needs of this population, including age specific recommendations, interventions, and standards of care. Product recommendations will be identified as well as practices contraindicated in this very special group of patients.
    1. Describe recommended ostomy and skin care guidelines for the pediatric population.
    2. Discuss the needs, interventions, and standards of care for the pediatric population.
    3. Identify practices that are contraindicated in the pediatric population.
       
Wednesday, June 28
  8:00 am – 9:00 am
(501) Surgical Issues in the Management of the Obese Patient with a Stoma
Alessandro Fichera, MD, FASCR

1.2 Contact Hours
    Obesity has increased in the adult population by 75 percent since 1991 and is still on the rise. This session will address the challenges of surgical intervention in the obese population.
    1. Identify issues in stoma construction in the obese patient.
    2. Discuss guidelines for stoma marking in the obese ostomy patient.
    3. Discuss pre-operative and post-operative management of the obese patient.

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