1 ioa around the world. 2 ioa regions asia15 countries europe 42 countries north america &...

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IOA AROUND THE WORLD

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IOA REGIONS• ASIA 15 countries

• EUROPE 42 countries

• NORTH AMERICA & CARIBBEAN 8 countries

• SOUTH AMERICA 9 countries

• SOUTH PACIFIC 2 countries

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Points To Note

The Asian region is easily the largest in The Asian region is easily the largest in the IOA in terms of population and the IOA in terms of population and therefore of potential numbers of therefore of potential numbers of Ostomates.Ostomates.

Ostomy Services and Stoma Care Nursing Ostomy Services and Stoma Care Nursing is by and large, sadly lacking, inadequate is by and large, sadly lacking, inadequate or totally non existent.or totally non existent.

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Management of Stoma

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Hospital in Ho Chi Minh City

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OUTPATIENT DEPARTMENT

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Nurses at the training meeting

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MONGOLIA

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National Cancer Center Mongolia

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.Traditional Nomadic tents called GER

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Traditional Ger• The traditional life style is one Ger-

one Family basis. In another words the GER has only one round shaped common room in which everything together like kitchen, beds, dining and living area. An average family has 4-6 people (couple and 2-4 children).

• There is no running water, shower, utility and rest room in GER. A common toilet is outside in a fence some 15-25 m away from the GER.

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A common toilet is outside in a fence some 15-25 m away from the GER.

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TWINNINGFollowing the founding of the association in

Mongolia, Japan stepped in to help. A delegation from theJapanese Association visited Japan and as a result atwinning arrangement has been agreed upon.

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Responsible Factors

• Training of Doctors & NursesTraining of Doctors & Nurses• Healthcare AuthoritiesHealthcare Authorities• Ostomy ProductsOstomy Products• Management of StomaManagement of Stoma• Ostomy AssociationsOstomy Associations• Government AgenciesGovernment Agencies• Patients & SocietyPatients & Society

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Ostomates Requirements

•Information about his / her diseasesInformation about his / her diseases•Physical Requirements and SupportPhysical Requirements and Support•Post Stoma RehabilitationPost Stoma Rehabilitation• Back to Pre stoma lifeBack to Pre stoma life

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Health Care Authorities• Hospitals – Stoma Care Not Priority• Hospitals – Not Sponsoring Nurses

For Training• Stoma Care Clinics – do not Exist

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Training of Nurses

• Insufficient Training Centers

• Insufficient Trained Nurses

• Insufficient Information During General Nursing Training

• Trained Nurses – Not Practicing Stoma Care

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Follow Up Clinics

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WCET Training Schools

• Austria – 1 SchoolAustria – 1 School

• Australlia – 4 SchoolsAustrallia – 4 Schools

• Belgium – 1 SchoolBelgium – 1 School

• Brazil – 3 SchoolsBrazil – 3 Schools

• Canada – 1 SchoolCanada – 1 School

• China – 4 SchoolsChina – 4 Schools

• Finland – 2 SchoolsFinland – 2 Schools

• France – 4 SchoolsFrance – 4 Schools

• Germany – 2 Schools Germany – 2 Schools

• Hong Kong – 2 SchoolsHong Kong – 2 Schools

• Hungary – 1 SchoolHungary – 1 School

• Italy – 1 SchoolItaly – 1 School

• India – 1 SchoolIndia – 1 School

• Indonesia – 1 SchoolIndonesia – 1 School

• Japan – 2 Schools Japan – 2 Schools

• Korea – 2 SchoolsKorea – 2 Schools

• Malaysia – 1 SchoolMalaysia – 1 School

• Mexico – 1 SchoolMexico – 1 School

• New Zealand – 1 SchoolNew Zealand – 1 School

• Norway – 1 SchoolNorway – 1 School

• Slovenia – 1 SchoolSlovenia – 1 School

• Spain – 2 SchoolsSpain – 2 Schools

• Sweden – 1 SchoolSweden – 1 School

• Thailand – 1 SchoolThailand – 1 School

• United Kingdom – 4 SchoolsUnited Kingdom – 4 Schools

• USA – 6 SchoolsUSA – 6 Schools

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CHINAThere are about 100 thousand persons

who receive ostomy surgery every year.

Groups in China

• the GuangXi Stoma Association, • the Guangzhou Stoma Association, • the Beijing Stoma Association, • the Hangzhou Stoma Association • the Shanghai Stoma Association.

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DIFFICULTIES

• Ostomates are scattered around a vast area

• No regular funding• No public funding for ostomy

equipment• No outside agency support; only

support is from the Hong Kong Stoma association.

• Coloplast• ConvaTec

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Training of Nurses

• In 1994, 2 ETs, Trained in Australia

• In 2000, 5 ETs, Trained In Hong Kong

• In 2007, 120 ETs, Trained in China at ET School in Guangzhou

China has more than 100 ,000 ostomy surgeries per year

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ET Training of Nurses In India

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KLES Hospital, Belgaum, India

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Quality of Ostomy Products

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SIGN AT AIRPORT MIAZAKI

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OSTOMY TOILET

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JAPAN• In 1977 Invalidity Pension was

provided to ostomates until the age of 65 years.

• In 1979 ostomates were recognized as Handicapped persons.

• Appliances are readily available across Japan, they are very expensive.

• Being recognized as handicapped, ostomates can get reimbursement from the government .

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JAPAN• This reimbursement is subject to

how much the FAMILY income is. It is not based on how much the individual ostomate earns but the total income of the household.

• The reimbursement that is allowed for low income households is colostomate /ileostomate 8,000 yen per month B537; urostomate 13,000 yen per month B 686

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Stoma Care in Italy

• 50,000 Ostomates in Italy

• 500 fully trained ET Nurses

• 2000 trained nurses in stoma care across all provinces of Italy

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ForFor Knowledge – Will TravelKnowledge – Will Travel

From Boliviato Argentina

6:30 am - all one day and all one night, and all another day - Teresa and Vittorio, two ostomates travel to get information at the ALADO MEETING

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Asociación Boliviana de OstomizadosAsociación Boliviana de OstomizadosABO

Década de los años 70

PROBLEMAS

Falta absoluta 100% de material para estomas improvisación

Arq. Teresa Antequera PeñaArq. Teresa Antequera Peña Vice-presidenta de ABOVice-presidenta de ABO

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ABO

Década de los años 70

PROBLEMAS Y CONSECUENCIA

1.- Bajo conocimientos de los médicos en el implante y el manejo de estomas.

Arq. Teresa Antequera Peña Vice-presidenta de ABO

Necrosis de transversostomíaNecrosis de transversostomía Prolapso de transversostomíaProlapso de transversostomía Y mala ubicación del estomaY mala ubicación del estoma

Asociación Boliviana de Asociación Boliviana de OstomizadosOstomizados

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Stoma Care Training of Nurses In Bolivia

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Ostomates Waiting to see Stoma Nurse

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Ostomy Products

• Knowledge About Products Among Doctors & Nurses

• Availability of Products

• Quality of Products

• Economics of Products

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Knowledge About Products Among Doctors & Nurses

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Ostomy Products

Knowledge About Products Among Doctors & Nurses

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Ostomy Products

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Ostomy Products In Children

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Economically Under Privileged

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Education & Taboos

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Availability of Ostomy Products

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Economy & Ostomy Products

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Economy & Ostomy Products

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Quality of Ostomy Products

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Publications & Media

•Ostomy Journals•Teaching aids •Websites – http://www.ostomyinternational.org•Discussion forums on internet•World Ostomy Day Reports

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Publications

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A common toilet is outside in a fence some 15-25 m away from the GER.

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• 22 Member Associations in Australia with some 30,339 declared members. • activities are to promote the general welfare of ostomates, • to collaborate with the government

on the operation of the Stoma

Appliance Scheme,

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Stoma Appliance Scheme

• ACSA provides advice, support and guidance on the distribution to members of Associations of in excess of $40M of ostomy appliances and related products.

• Scheme continued to operate at this high level of efficiency under the guidance of the Executive, Associations and the Stoma Appliance Officers.

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• ACSA maintains overall responsibility for the day to day operation of the Scheme and undertakes most of the administrative duties.

• Operational issues requiring a decision will be referred to ACSA in the first instance.

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FORMING AND SUSTAINING OSTOMY GROUPS

A strong and active Ostomy Association is the key to the rehabilitation of Ostomates worldwide.

Everyone familiar with ostomy matters knows that without a safe appliance system there is no way to rehabilitation; no way back to a normal life for an ostomate.

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FORMING AND SUSTAINING OSTOMY GROUPS

It must continue to be the #1 task for IOA to initiate and promote the foundation of an Ostomy Association if one does not exist.

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The Role of IOA

IMPROVE PUBLIC AWARENESS OF

IOA THROUGH AN EXPANDED

WEBSITE and IOA TODAY.

www.ostomyinternational.org

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The Role of IOACOLLABORATIONS WITH THE MEDICAL COMMUNITY COLORECTAL SURGEONSWCETALLIED AGENCIES INDUSTRY

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Funding Projects – Lions For Stoma Care

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Lions & FOW Canada

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Lions & FOW Canada

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I Thank You for the opportunity to be with you today. If I can be of any help to you at all, you can reach me at:

ippioa@ostomyinternational.org