March 2013 - The Canadian Association for Enterostomal Therapy

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THE LINK
www.caet.ca
DIABETIC FOOT
March 2013 The LINK
LE LIEN VOLUME
MARCH 2013
VOLUME 24, ISSUE 1
The Canadian Association for Enterostomal Therapy
ULCER PREVENTION
MARS 2013
24, PUBLICATION 1
PM42202514
Association Canadienne des Stomothérapeutes

The LINK, the official publication of the
Canadian Association for Enterostomal
Therapy (CAET) is published three times a
year. It is indexed in the Cumulative Index to
Nursing and Allied Health Literature
(CINAHL) database.
The LINK accepts contributions in the form
of professional news, research projects and
findings, clinical papers, case studies, reports,
review articles, questions for clinical corner,
and letters to the editor. Advertising and
news from industry are also welcome. The
deadline for submissions to the next edition
of The LINK is June 15th, 2013.
La revue Le LIEN est une publication
officielle de l’Association canadienne des
stomothérapeutes publiée trois fois par année
et indexée dans la banque de données
«Cumulative Index to Nursing and Allied
Health Literature».
Le LIEN accepte toute contribution sous les
formes suivantes: nouvelles professionnelles,
projets de recherches, études cliniques, études
de cas, rapports, revues d’articles, questions
destinées à la section clinique et lettres à
l’éditeur. Les publicités et nouvelles de
l’industrie sont aussi les bienvenues. La date
limite pour la soumission d’un écrit à
paraître dans le prochain numéro de Le
LIEN est le 15 Juin 2013.
For further information or to submit content/
Pour de plus amples renseignements ou pour
soumettre un écrit, veuillez contacter:
Tel: 1-888-739-5072
Email: catherine.harley@sympatico.ca
The LINK is published by Clockwork
Communications Inc. on behalf of CAET.
Clockwork Communications Inc.
PO Box 33145, Halifax, NS, B3L 4T6
Tel: 902.442.3882 Fax: 888.330.2116
www.ClockworkCanada.com
Managing Editor: Deborah Murphy
Art Director: Sherri Keenan
Translator: Jocelyne Demers-Owoka
Please forward any changes in membership
status or address to:
Noëlla Trudel
Tel: 1-888-739-5072
Fax: 613-834-6351
E-mail: members@caet.ca
Website: www.caet.ca/membership.htm
ISSN 1701-2473
Publications Mail Agreement No. 42202514
Return Undeliverable Canadian Addresses
to 66 Leopolds Drive,
Ottawa, ON, K1V 7E3
catherine.harley@sympatico.ca
MARCH 2013 • VOLUME 24, ISSUE 1
CONTENTS
HIghlights
FEATURE ARTICLE:
PEP TALK: DIABETIC
FOOT PREVENTION
BY: JANET L. KUHNKE, MARIAM
BOTROS, GAIL WOODBURY AND
MARC DESPATIS.
CAET 32ND ANNUAL
CONFERENCE
30-34
36-37
Regular Features
MEMBERSHIP COMMUNIQUÉ
CAET ACADEMY
REGIONAL DIRECTORS' CORNER
CORE PROGRAM LEADERS'
CORNER
ET COMMUNITY NEWS
INDUSTRY NEWS
UPCOMING
CONFERENCES
4-13
14-20
23-29
35-38
39-41
42
38

MEMBERSHIP COMMUNIQUÉ
CAET PRESIDENT’S MESSAGE
Submitted by: Susan Mills-Zorzes, RN, BScN, MDE. CWOCN, CETN(C), CAET
President.
president@caet.ca
An Invitation to Conference
T
his issue of The LINK focuses on
the 2013 CAET National
Conference in Toronto on May 9-
12, 2013. Has it been awhile since you
attended a Conference? In the September
issue my first message shared with you
the fact that, in additional to teaching me
the theory and practice of ET nursing,
my ETNEP instructors also taught me
the importance of attending the annual
conference in order to:
• Connect, or re-connect, with
colleagues and industry partners;
• Learn new information that has
become available about wound,
ostomy and continence nursing or
about how the specialty is being
impacted by changes in healthcare
policies;
• Participate in decisions that will affect
the direction of our specialty; and,
• To celebrate the successes of the
CAET and its members.
Each year’s conference begins with the
Annual Members Meeting (AMM). This
is the association’s annual business
meeting where the Board of Directors
briefly highlights, for the membership,
the events of the past year and, most
importantly, introduces, explains, and
asks for your input and support for any
upcoming projects or future changes in
direction. Many of these proposed
changes are introduced in advance of the
meeting through The LINK or via
mailings/e-mails to members. Nursing
has, however, a strong tradition of
thriving through oral communication.
This means that, in spite of the new
communication technologies available to
us as ET nurses, we often still have our
best communication when face-to-face.
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March 2013 The LINK
The AMM gives everyone the opportunity
to hear from, and give immediate
feedback to, the elected Board. Catherine
Harley, Executive Director, also explains
in her message (see page 8) that the CAET
is working to make changes to its
structure and By-laws in order to comply
with the new Canada Not-for-Profit
Corporations Act. These proposed
changes will be brought forward, at this
year’s AMM, for the membership’s vote.
These major changes mean that it is
critical that the membership participate in
the AMM so please plan to join us at this
important meeting on Thursday, May 9,
2013, starting at 9
am.
The CAET National
Conference
Planning
Committee has been
working very hard,
over the past year,
to develop a solid
educational
program that will
deliver a mix of
sessions, with
something of
interest to every ET
Nurse. The
Conference also
includes a new element – the opportunity
for members to present oral poster
sessions. Please visit www.caet.ca and
click on National Conference for more
information about the planned program.
At each National Conference there are
multiple opportunities for ET nurses to
network with their peers and with
industry partners. Industry partners
will be displaying their latest products
The CAET National
Conference Planning
Committee has been
working very hard, over the
past year, to develop a solid
educational program that
will deliver a mix of
sessions, with something of
interest to every ET Nurse.
and technologies in the Conference
exhibit hall. These exhibitors invest in
the CAET Conference in order to have
the opportunity to meet with ET
Nurses and explain their products.
They expect that you will not only visit
their booths to see what is new but
also to ask the hard questions about
their products and their value-added
services. Conference delegates will
also, just as importantly, have many
chances to network with and celebrate
with ET Nurses, from across the
country, during
the session breaks
and social events.
As an ET nurse
living in a
somewhat remote
area I find that,
despite the online
programs and
webinars that are
available to me,
attending the
conference
consistently gives
me timely and
direct access to key
opinion leaders,
mentors, and new information. It seems
my teachers were correct. Conference
attendance, and participation in the
AMM, continues to be my most valuable
and effective way of obtaining new
information, ideas and contacts to benefit
my practice and help me plan for the
future.
I look forward to seeing you in Toronto
May 9 to 12! cd

MEMBERSHIP COMMUNIQUÉ
MESSAGE DE LA PRÉSIDENTE DE
CAET
Soumis par : Susan Mills-Zorzes, IA, B.Sc.Inf., maîtrise en éducation à distance,
stomothérapeute certifiée, ICS(C), présidente de l’ACS.
president@caet.ca
Une invitation à la conférence
C
e numéro du LIEN traitera de la
conférence nationale 2013 du
CAET qui se tiendra à Toronto,
du 9 au 12 mai 2013. Est-ce que ça fait
longtemps que vous n’avez pas participé
à une conférence? Dans le numéro de
septembre, je vous faisais part du fait
qu’en plus de m’avoir enseigné la théorie
et la pratique de la stomothérapie, mes
enseignantes en stomothérapie m’ont
également enseignée l’importance de
participer aux conférences annuelles
dans le but :
• De tisser des liens ou d’en retisser
avec vos collègues et des partenaires
de l’industrie;
• D’apprendre de nouveaux
renseignements au sujet des soins des
plaies, de la stomie et de la continence
ou des répercussions qu’entraînent
sur notre spécialité des changements
de politiques en matière de soins de
santé;
• Participer aux décisions qui
toucheront à l’orientation de notre
spécialité;
• De célébrer les succès du CAET et de
ses membres.
La conférence de chaque année débute
par une réunion annuelle des membres
(RAM). C’est la réunion d’affaires
annuelle de l’association durant
laquelle le conseil d’administration fait
aux membres un résumé des
événements de l’année passée et,
surtout, présente, explique et demande
leurs opinions et leur soutien quant à
tout projet à venir ou changements
futurs de l’orientation. Plusieurs de ces
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March 2013 The LINK
changements proposés sont présentés
aux membres avant la réunion par le
biais de la revue LE LIEN ou
d’envois/de courriels. Les soins
infirmiers ont cependant une tradition
bien ancrée de communication orale,
ce qui signifie qu’en dépit des nouvelles
technologies de communication qui
sont mises à notre disposition en tant
que stomothérapeutes, nous
communiquons souvent mieux lorsque
nous nous rencontrons en personne. La
RAM permet à tous d’obtenir de
l’information du conseil
d’administration élu et de lui donner
une rétroaction immédiate. Catherine
Harley, notre directrice générale,
explique également dans son message
(voir page 10) que le CAET est en train
d’effectuer des modifications à sa
structure et ses règlements afin de se
conformer à la nouvelle loi canadienne
régissant les organismes à but non
lucratif. Ces modifications seront
proposées lors de la RAM de cette
année et elles seront soumises au vote
des membres. Étant donné que ce sont
des modifications majeures, il est très
important que tous les membres
participent à la RAM. Nous vous
invitons donc à vous joindre à nous
lors de cette réunion importante qui
aura lieu le jeudi 9 mai 2013, à
compter de 9 h.
Le comité de planification des
conférences nationales du CAET a
travaillé d’arrache-pied au cours de la
dernière année pour développer un
programme éducatif solide qui offrira
une variété de séances qui piqueront
Le comité de planification
des conférences nationales
du CAET a travaillé
d’arrache-pied au cours de
la dernière année pour
développer un programme
éducatif solide qui offrira
une variété de séances qui
piqueront certainement
l’intérêt de tout
stomothérapeute.
certainement l’intérêt de tout
stomothérapeute. La conférence
comprend également un nouvel
élément – l’occasion pour les
membres de présenter des
présentations orales par affiches.
Veuillez visiter notre site www.caet.ca
et cliquer sur l’onglet Conférence
nationale pour plus d’information au
sujet du programme.
Chaque conférence nationale multiplie
les occasions pour les
stomothérapeutes de réseauter avec
leurs pairs et les partenaires de
l’industrie. Ces derniers présenteront
d’ailleurs leurs tout derniers produits
et leurs toutes dernières technologies
dans la salle d’exposition de la
MEMBERSHIP COMMUNIQUÉ
MESSAGE DE LA PRÉSIDENTE DE CAET (suite)
conférence. Ces exposants
investissent dans la conférence du
CAET pour avoir l’opportunité de
rencontrer des stomothérapeutes et
de leur expliquer leurs produits. Ils
s’attendent à ce que non seulement
vous visitiez leur kiosque, mais
aussi à ce que vous leur posiez des
colles concernant leurs produits et
leurs services à valeur ajoutée. Les
délégués de la conférence auront
aussi, inversement, de nombreuses
occasions de réseauter avec les
stomothérapeutes et de célébrer
avec ces dernières durant les pauses
des séances et lors des événements
sociaux.
En tant que stomothérapeutes
vivant en région quelque peu
éloignée, je considère qu’en dépit
des programmes en ligne et des
webinaires qui me sont offerts, ma
participation en personne à la
conférence me donne toujours un
accès opportun et direct aux
principaux leaders d’opinion, aux
mentors et à de nouvelles
informations. Il semble que mes
enseignants avaient raison. La
participation à la conférence et à la
RAM continue d’être la façon la
plus utile et la plus efficace
d’obtenir de nouvelles
informations, idées et contacts pour
enrichir ma pratique et m’aider à
planifier pour l’avenir.
Je vous attends avec impatience à
Toronto du 9 au 12 mai! cd
Le LIEN March 2013
7

MEMBERSHIP COMMUNIQUÉ
EXECUTIVE DIRECTOR’S REPORT
Submitted by: Catherine Harley, RN, eMBA, CAET Executive Director.
catherine.harley@sympatico.ca
Guide to the 2013 CAET Annual Membership Meeting:
WHY CAET Members Need to
Participate!
There is a new Canada Not-for-Profit
Corporations Act which came into force
October 17, 2011. The Canadian
Association for Enterostomal Therapy
(CAET) has had a strong focus on
aligning the association’s By-laws to
meet the requirements of this new Act.
In addition to the By-law revision the
“Articles of Continuance” have also
been written and will replace the
“Letters Patent” and allow the CAET to
continue as a Not-for-Profit
Corporation. The revised By-laws and
the Articles of Continuance have been
reviewed by the CAET Board of
Directors and by legal counsel for
accuracy and will be put forward to the
CAET Members for a vote at the Annual
Members Meeting (AMM) on May 9,
2013. It is critically important that you,
as a CAET Member, attend the AMM to
ensure that your voice is heard, your
questions are answered, and your vote
counts.
What is an AMM?
An AMM (or Annual Members
Meeting) is a legal requirement for
voluntary organisations that have
company status. It is good practice for
charities to have an AMM to ensure that
the year is reviewed and any issues are
dealt with in a timely manner. Each
individual organisation should have a
section of its Constitution that deals
with AMMs including giving guidance
as to how the AMM should be run and
what matters should be dealt with.
The CAET AMM is a mandatory yearly
meeting of CAET Members and the
CAET Board of Directors that allows
stakeholders to stay informed and
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March 2013 The LINK
involved in the decisions and workings
of the CAET. It allows the membership
to gather and ask the Board of Directors
questions pertaining to the association’s
health and future strategy. During this
meeting the Board of Directors will
address current operations, long-range
planning and strategy, and the analysis
of audited financial data.
The next AMM will take place on
Thursday May 9, 2013, at 0900 to 1200
(followed by the CAET Member
Regional Meetings) at the Toronto
Marriott Downtown Eaton Centre
Hotel in Toronto, ON. A package of
information, pertaining to the AMM,
will be sent to each CAET member, via
email, sixty days in advance of the
AMM.
How an AMM is Run:
The AMM is conducted by the President
of the CAET. Minutes of the meeting are
taken by the Secretary. A typical AMM
agenda will cover the following items:
• Opening remarks/Welcome;
• Apologies from those who could not
attend;
• Minutes of previous AMM;
• Matters arising from the Minutes;
• Presentation of Annual Report
(President);
• Adoption of Annual Report;
• Presentation of Audited Accounts
(Treasurer);
• Adoption of Accounts;
• Appointment of Auditor
• Election of Office
Announcements/New Board
Members;
• Amendments to the By-laws;
• Motions to be put to the AMM;
• Any Other Competent Business; and
• Closing remarks.
Parliamentary Procedure
Parliamentary Procedure is a set of
rules to guide the conduct at meetings
in order to ensure everyone is heard
and that decisions are made without
confusion. Parliamentary Procedure
is a time-tested method of conducting
business at meetings and public
gatherings. It can be adapted to fit
the needs of any organization.
Robert's Rules of Order, newly
revised, is the basic handbook of
operation for the CAET and it's
important that everyone know these
basic rules!
What is a Motion?
A motion is a formal proposal for
action, presented by a CAET member,
for consideration at the AMM. A
motion should be received by the
organisation at least ninety days before
the AMM so that it can be included
with the papers sent out to the
membership.
What are Amendments?
Any proposed amendments to the
constitution are also discussed at the
AMM. These have been discussed in
advance by the CAET Board of
Directors and the CAET President may
take a few moments, during the AMM,
to explain why the Board believes that
the change is needed. Amendments are
often made to update the constitution in
light of new legislation or new
circumstances. After the motion or
amendment has been presented a vote
will take place.
EXECUTIVE DIRECTOR’S REPORT
continued on Page #13

MEMBERSHIP COMMUNIQUÉ
RAPPORT DE LA DIRECTRICE
GÉNÉRALE
Soumis par : Catherine Harley, IA, M.B.A. pour cadres, directrice générale de la
CAET. catherine.harley@sympatico.ca
Guide pour la réunion annuelle 2013 des membres
du CAET :
Pourquoi les membres du CAET
doivent-ils y participer?
Une nouvelle loi canadienne régissant les
organismes à but non lucratif est entrée
en vigueur le 17 octobre 2011.
L’Association canadienne des
stomothérapeutes (CAET) s’efforce
depuis cette date d’aligner ses règlements
pour qu’ils répondent aux exigences de
cette nouvelle loi. En plus de la révision
des règlements, des « Clauses de
prorogation » ont également été rédigées
et remplaceront les « Lettres patentes »,
ce qui permettra au CAET de maintenir
son statut d’organisme à but non
lucratif. Les règlements et les clauses de
prorogation ont été révisés par le conseil
d’administration du CAET ainsi qu’une
avocate pour s’assurer de leur
exactitude. Ces derniers seront soumis
au vote des membres du CAET lors de la
réunion annuelle des membres (RAM)
qui se tiendra le 9 mai 2013. Il est donc
très important que vous y participiez en
tant que membre du CAET afin de vous
assurer d’avoir voix au chapitre, des
réponses à vos questions et que votre
vote compte.
Que sont les RAM?
Une RAM (ou réunion annuelle des
membres) constitue une obligation
juridique des organismes bénévoles
ayant le statut d’entreprise. C’est une
pratique exemplaire des œuvres de
bienfaisance de tenir une RAM afin de
s’assurer de faire un bilan de l’année et
de gérer tout problème en temps
opportun. Chaque membre de
l’organisme devrait posséder l’article de
la constitution traitant des RAM,
notamment les conseils concernant la
façon dont les RAM devraient être
dirigées et quels sujets devraient y être
abordés.
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March 2013 The LINK
La RAM du CAET est une réunion
annuelle obligatoire des membres du
CAET et du conseil d’administration du
CAET qui permet aux parties intéressées
de rester informées et impliquées dans les
décisions et les travaux du CAET. Cette
réunion permet aux membres de se
réunir et de poser au conseil
d’administration des questions
concernant l’état et la stratégie future de
l’association. Lors de cette réunion, le
conseil d’administration traitera des
opérations en cours, de la planification
et des stratégies à long terme ainsi que
de l’analyse des données financières
vérifiées.
La prochaine RAM aura lieu le
jeudi 9 mai 2013, de 9 h à midi
(suivie des réunions régionales des
membres du CAET) à l’hôtel
Marriott du Centre Eaton au centreville
de Toronto, en Ontario. Une
trousse d’information concernant la
RAM sera envoyée par courriel à
chaque membre du CAET soixante
jours avant la RAM.
De quelle façon fonctionne une RAM?
Une RAM est présidée par la présidente
du CAET et un procès-verbal est rédigé
par la secrétaire. L’ordre du jour d’une
RAM type couvrira les sujets suivants :
• Mot d’ouverture/de bienvenue;
• Excuses des personnes qui n’ont pas
pu participer;
• Procès-verbal de la RAM précédente;
• Points soulevés à la suite du procèsverbal;
• Présentation du rapport annuel (par la
présidente);
• Adoption du rapport annuel;
• Présentation des comptes vérifiés (par
la trésorière);
• Adoption des comptes;
• Nomination d’un vérificateur/d’une
vérificatrice
• Annonces du siège social/élection des
nouveaux membres du conseil
d’administration;
• Modifications aux règlements;
• Motions soumises à la RAM;
• Toute autre affaire pertinente; et
• Mot de la fin.
Procédure parlementaire
La procédure parlementaire est une série
de règles pour diriger la tenue des
réunions. Elle s'assure que tous ont été
entendus et que les décisions ont été
prises sans confusion. La procédure
parlementaire constitue une méthode
éprouvée par le temps pour mener des
affaires lors de réunions et d’assemblées
publiques. Elle peut être adaptée aux
besoins de tout organisme. La plus
récente édition du code Robert's Rules
of Order sert de manuel de base pour les
opérations du CAET et il est essentiel
que tous les membres connaissent ces
règles de base!
Qu’est-ce qu’une motion?
Une motion est une proposition officielle
de demande d’action présentée par un
membre du CAET pour examen lors de
la RAM. Pour être incluse dans les
documents envoyés aux membres du
CAET, une motion doit être soumise à
l’organisme au moins quatre-vingt-dix
(90) jours avant la RAM.
Que sont des modifications?
Toute modification proposée à la
constitution est également discutée lors
de la RAM. Le conseil d’administration
aura discuté à l’avance de la
modification proposée et la présidente
MEMBERSHIP COMMUNIQUÉ
du CAET pourrait prendre quelques
minutes lors de la RAM pour expliquer
la raison pour laquelle le conseil
d’administration croit que cette
modification est nécessaire. Les
modifications sont souvent faites pour
mettre à jour la constitution à la lumière
d’une nouvelle loi ou de nouvelles
circonstances. Après la soumission d’une
motion ou d’une modification, il y a
vote.
Le vote
Le quorum pour une RAM du CAET
est de 20 % des membres votants, il est
donc très important que les membres
du CAET y participent (un quorum est
le nombre minimal de membres du
CAET qui doivent être présents pour
qu’une assemblée puisse valablement
délibérer). Selon la plus récente édition
du code Robert's Rules of Order,
l’exigence d’un quorum permet à
l’association de se protéger contre des
mesures tout à fait non représentatives,
prises au nom de l’organisme par un
MEMBERSHIP COMMUNIQUÉ
Voting
The quorum for the CAET AMM is
20% of the voting membership and so
it is very important for CAET
members to attend and be a part of
this meeting (a quorum is the
minimum number of members of the
CAET necessary to conduct the
business of the group). According to
Robert's Rules of Order, Newly
Revised, the requirement for a quorum
provides protection against totally
unrepresentative action, in the name
of the body, by an unduly small
number of persons. A vote of not less
than a majority of voting members
present is required for the passage of
any matter except as otherwise may be
required by the By-laws, the Act, or
Robert’s Rules of Order. Each voting
RAPPORT DE LA DIRECTRICE GÉNÉRALE (suite)
trop petit nombre de personnes. Pour
être adoptée, toute affaire doit avoir
obtenu au moins la majorité des votes
des membres votants qui sont présents,
sauf disposition contraire, exigée par
les règlements, la loi ou le code
Robert’s Rules of Order. Chaque
membre votant n’a droit qu’à un vote
et aucun vote ne peut se faire par
procuration.
Pourquoi les RAM du CAET sontelles
importantes?
Les RAM donnent l’occasion aux
membres d’en apprendre davantage
sur le CAET, d’exprimer leurs
opinions et de voter sur des
résolutions qui guideront les activités
futures du CAET. Pour une
association, les RAM servent à
communiquer officiellement à ses
membres l’information interne au
sujet de l’entreprise. Elles servent aussi
de forum pour répondre aux
questions. Tous les membres du CAET
sont invités à participer à la RAM qui
est entièrement gratuite. Les RAM
font partie intégrante du cycle de prise
de décision du CAET et nous sommes
résolus à ce que tous les membres du
CAET participent et contribuent à
nous aider à établir le cours futur de
l’association. Pour toute question au
sujet de la RAM du 9 mai 2013,
veuillez me contacter directement à
Catherine.Harley@sympatico.ca.
Bibliographie :
Urquhart, Lee, Parliamentary Lessons:
Based on Reed's Rules, a Handbook of
Common Parliamentary Law, 1er juin
2007.
Oleck, Howard Leoner, Parliamentary
Law for Nonprofit Organizations, juin
1979.
Robert, Henry M. III, Daniel H.
Honemann, Thomas J. Balch et Daniel
E. Seabold, Robert's Rules of Order
Newly Revised, 11e éd., 27 sept. 2011. cd
EXECUTIVE DIRECTOR’S REPORT (cont.)
member shall have one vote and no
vote shall be cast by proxy.
Why the CAET AMM Matters:
The AMM offers a great opportunity for
members to learn more about the CAET,
to voice their opinions, and to vote on
resolutions that will guide the CAET’s
future activities. An AMM provides a
way for an association to formally
communicate internal information,
about the corporation, to its members. It
also serves as a forum for answering
questions. All CAET Members are
welcome to attend the AMM and there
is no charge for the event. The AMM is
an important part of the CAET decisionmaking
cycle and we are committed to
having CAET Members participate and
contribute to help us set the future
course of the association. If you have
any questions about the May 9, 2013
AMM please contact me directly at
Catherine.Harley@sympatico.ca.
Bibliography:
Parliamentary Lessons: Based on Reed's
Rules, a Handbook of Common
Parliamentary Law by Urquhart Lee
(June 1, 2007).
Parliamentary Law for Nonprofit
Organizations by Howard Leoner Oleck
(June 1979)
Robert's Rules of Order Newly Revised,
11th ed, by Henry M. III Robert, Daniel
H. Honemann, Thomas J. Balch and
Daniel E. Seabold (Sept 27, 2011). cd
Le LIEN March 2013
13

CAET ACADEMY
CAET ACADEMY DIRECTOR’S REPORT
Submitted by: Virginia McNaughton, BA, MPA, RN, CETN(C), Director of the CAET Academy.
director@caetacademy.ca
14
If walking in to a room
full of “strangers” leaves
you cold remember that
no one attending the
CAET Conference is really
a stranger to you.
March 2013 The LINK
THE ART OF CONVERSATION
T
he Annual CAET Conference is
just around the corner and we
look forward to meeting old
friends and to making new ones.
Getting the most out of conferences
takes some planning. But conference
attendance isn’t just about attending
sessions: A conference is, for many,
the opportunity to meet, mingle, and
make contact.
If walking in to a room full of
“strangers” leaves you cold remember
that no one attending the CAET
Conference is really a stranger to you.
Everyone has come to the conference
for the same reasons. To learn more,
meet interesting people, and to engage
in thrilling conversations about the
field that they are passionate about –
Wound, Ostomy, and Continence
care. What could be more fun?
At the CAET Academy we believe that
it is really important to help bring the
new generation of ET Nurses in to the
fold and to introduce them to others
in their chosen field.
To kick-start the meeting and
mingling we will be hosting a CAET
Academy Student and Faculty
reception on May 9th at 4 pm
(following the Annual Members
Meeting). This reception is an
opportunity to meet others who share
common interests and experiences. If
you are or have been connected to the
Academy in any way, now or in the
past, please join us.
Once you get there don’t be shy. Walk
over to someone you don’t know, stick
out your hand, and introduce
yourself. When you give your name
also give the other person a small
piece of information that they can
relate to. An example might be “Hi
my name is Alice and I am a student
in the current Ostomy course.”
Questions also make good
conversation starters. Something as
simple as “Where do you work?” or
“What made you decide to become an
ET?” can be the jumping off point to
a really good chat!
Body language says a lot about how
open you are to conversation. So if
you are shy and feeling uncomfortable
this may show by you standing with
your arms folded or looking down…
and this can send out vibes that tell
others to stay away. Try to make eye
contact with people and smile!
If you already know some people at
the reception make it a point to bring
someone new into your group. When
you are introducing new people try to
give a bit of information about each
person that helps, in some way, to link
them together. An introduction might
include “Mary I would like you to
meet Jane. You two have a lot in
common. Jane works with kids with
ostomies in BC and I know you are
working in paediatrics in Quebec.”
Stay with them for a few minutes and
when they have started to chat excuse
yourself and move on to find others to
bring in to the conversation.
Remember this Conference is your
opportunity to learn and to share. I
look forward to some great
conversations at the CAET Academy
Reception and throughout the
Conference! cd

CAET ACADEMY
RAPPORT DE L’ACADÉMIE DE L’ACS
Submitted by: Virginia McNaughton, IA, B.A., MPA, ICS(C), directrice de l’Académie de l’ACS.
director@caetacademy.ca
16
March 2013 The LINK
L’ART DE LA CONVERSATION
L
a conférence annuelle du CAET
arrive à grands pas et nous avons
très hâte de revoir d’anciens amis
et de nous en faire de nouveaux.
Pour profiter au maximum de la
conférence, il faut planifier, mais il ne
faut pas seulement participer aux
séances. Pour plusieurs membres, la
conférence est l’occasion de
rencontrer des gens, de se mêler aux
participants et de tisser des liens.
Si le fait d’entrer dans une salle
remplie d’inconnus n’est pas votre
tasse de thé, n’oubliez pas qu’aucun
des participants de la conférence du
CAET ne vous est vraiment étranger.
Tous les participants à la conférence y
assistent pour les mêmes raisons :
pour apprendre davantage, pour
rencontrer des gens intéressants et
pour prendre part à des conversations
passionnantes au sujet de la spécialité
à laquelle ils s’intéressent, soit les
soins des plaies, de la stomie et de la
continence. Quoi de plus divertissant?
Nous, à l’Académie de l’ACS, croyons
qu’il est très important d’aider à
ramener au bercail la nouvelle
génération de stomothérapeutes et de
les présenter aux autres membres de la
spécialité qu’elles ont choisie.
Pour démarrer la réunion et la
socialisation, nous donnerons une
réception pour les étudiants et le corps
enseignant de l’Académie de l’ACS le
9 mai à 16 h (à la suite de la réunion
annuelle des membres). Cette
réception est l’occasion de rencontrer
d’autres personnes partageant les
mêmes intérêts et expériences. Si vous
êtes ou avez été liés à l’Académie de
quelle que façon que ce soit,
maintenant ou dans le passé, veuillez
vous joindre à nous.
Une fois sur place, ne vous gênez pas.
Dirigez-vous vers une personne que
vous ne connaissez pas, tendez la
main, et présentez-vous. Lorsque vous
vous présentez, donnez aussi à la
personne à qui vous vous présentez un
autre petit élément d’information
auquel elle peut s’identifier. Voici un
exemple : « Bonjour, mon nom est
Alice et je suis actuellement étudiante
dans le cours de stomie ». Une bonne
façon d’entamer la conversation est de
poser des questions. On peut
simplement demander : « Où
travaillez-vous? » ou « Pourquoi avezvous
décidé de devenir
stomothérapeute? » et les réponses
peuvent être un très bon point de
départ pour une conversation des plus
intéressantes!
Si le fait d’entrer dans une salle remplie d’inconnus n’est
pas votre tasse de thé, n’oubliez pas qu’aucun des
participants de la conférence du CAET ne vous est
vraiment étranger.

CAET ACADEMY
18
Le langage corporel en dit
beaucoup sur votre
ouverture face à la
conversation.
March 2013 The LINK
RAPPORT DE L’ACADÉMIE DE L’ACS (suite)
Le langage corporel en dit beaucoup
sur votre ouverture face à la
conversation. Alors, si vous êtes
gêné(e) et que vous n’êtes pas à l’aise,
cela pourrait se refléter par votre
attitude : bras croisés ou regard vers
le sol… ce qui peut envoyer des ondes
indiquant aux autres de rester à
l’écart. Essayez d’établir un contact
visuel avec les gens et souriez!
Si vous connaissez quelques
personnes à la réception, faites en
sorte de présenter une personne que
le groupe ne connaît pas. Lorsque
vous présentez de nouvelles
personnes, essayez de donner un peu
d’information à propos de chaque
personne, ce qui aidera, d’une
certaine façon, à les relier entre
elles. Pour ce faire, on peut dire : «
Marie, j’aimerais te présenter
Jeanne. Vous avez toutes les deux
beaucoup de choses en commun.
Jeanne travaille avec les enfants
ayant une stomie en Colombie-
Britannique et je sais que tu
travailles en pédiatrie au Québec ».
Restez avec elles quelques minutes
et lorsque leur conversation est bien
entamée, excusez-vous et déplacezvous
pour trouver d’autres
personnes à mêler à la conversation.
N’oubliez pas que cette conférence est
l’occasion pour vous d’apprendre et
de partager. Je me réjouis à l’avance
des bonnes conversations que
générera la réception de l’Académie de
l’ACS ainsi que la conférence! cd
CAET Executive
President: Susan Mills-Zorzes
President-Elect: Paulo DaRosa
Secretary: Lina Martins
Treasurer: Deb Cutting
Past President: Karen Bruton
Executive Director: Catherine Harley
Regional Directors
BC/Yukon: Lani Williston
Prairies/NT/Nunavut: Karen Napier
Ontario: Jillian Brooke
Québec: Liette St. Cyr
Atlantic: Eleanore Howard
CAET Staff
Membership Coordinator: Noëlla Trudel
Webmaster: Duane Schermerhorn
Bookkeeper: Catherine Morisset
CAET Academy
Director: Virginia McNaughton
Office Coordinator: Suzanne Sarda
Academic Advisors: Nicole Denis,
Diane Dutrisac, Nancy Parslow,
Moira Coates, Toba Miller,
Brenda Moodie, Marilyn Langlois,
Andrea Russell
IT Support: Linda Forster
Core Programs
Informatics and Research: open
Marketing: open
National Conf. Planning: Mary Hill
Political Action: Catherine Harley
Professional Development & Practice: Mary Mark
CAET/JWOCN Editorial Board
Features Editor: Kathryn Kozell
BC/Yukon: Dorothy Phillips
Prairies/NWT: Mary Hill
Ontario: Lina Martins
Quebec & Atlantic: Kathryn Kozell
CAET Ad Hoc Committees
Bylaws Chair: Vivien Wass
Nominations Chair: Corinne Allen
Le LIEN March 2013
19

CAET ACADEMY
CAET Academy’s Newest Graduates
20
Photo Not Available
Pascale Bellemare
Cohort 9
Catharine Downs
Cohort 9
Photo Not Available
Michelle Langille
Cohort 8
Mélanie Ouellet
Cohort 9
March 2013 The LINK
Shallimar Buentipo
Cohort 9
Lynda Duclos
Cohort 9
Ellen Lawrie
Cohort 9
Photo Not Available
Elissa Remmer
Cohort 9
Valérie Chaplain
Cohort 9
Christina Gagnon
Cohort 9
Maude Limoges-Lemay
Cohort 9
Photo Not Available
Jennifer Sekatawa
Cohort 9
Karin Coljee
Cohort 9
Stephanie Hewer
Cohort 9
Carole McAnuff
Cohort 9
Arden Townshend
Cohort 9

REGIONAL DIRECTORS’ CORNER
REPORT FROM ATLANTIC REGION
By: Eleanore Howard RN, MSN, CETN(C), Atlantic Regional Director.
eleanore.ehoward@gmail.com
H
opefully winter is over and
spring is now starting across the
country. In October of 2012 17
Atlantic ETs met in Moncton for an
interesting and educational Regional
Meeting. The morning was devoted to
business and updates from the CAET
Board. ETs were urged to complete the
survey that will be coming out in 2013.
Membership was also discussed and
members were requested to participate
in the membership drive which has just
wrapped up.
In the afternoon we had two excellent
presentations from fellow ETs. Gail
Creelman presented on “Constipation
in Children and Adults” . This was a
very interesting presentation and
generated a lot of discussion from the
members present. Nancy Schuttenbeld
and Kathy Esligar presented a study,
undertaken in their district, on
“Pressure Ulcer Prevention” and
outlined the implementation process.
Their presentation was enthusiastically
received and showed the commitment
and dedication of these ETs to the
pursuit of excellence in practice. Thank
you to all three presenters. The
educational session ended with
presentations, from various ETs, about
challenging patients and suggestions for
their care were encouraged from all
those present.
This was the first regional meeting that
I chaired as the Regional Director (RD).
The meeting went smoothly, as usual,
due to the well-organized Joan Peddle
and with the help and direction of Jean
Brown, the former RD, who also
volunteered to take the minutes. After
the meeting concluded, late in the
afternoon, there was a brief break for
shopping and exercise before we all met
again for dinner and an impromptu
party in the RD’s hotel room. There
was much hilarity and laughter as this
is quite a fun group of ETs. After
breakfast, on Sunday morning, we all
headed away to our homes in various
parts of the Atlantic region. The
Regional Meeting is a highlight for
everyone who attends. The
camaraderie and friendship is great and
I think we all leave invigorated and
delighted to have spent time with such
an amazing group of nurses.
We also welcomed Tracy Fournier, an
ETNEP student, to her first meeting
and hope to meet other ETNEP
students at future Regional Meetings.
We have great support from Atlantic
Regional ETs for the ETNEP program
and I encourage any experienced ETs to
consider becoming a preceptor.
During the meeting I put out a call for
involvement in CAET Board projects
and several Atlantic Region ETs
expressed interest in doing so and I
have since passed along their names to
the Board.
I look forward to seeing many of you at
the CAET Conference in Toronto from
May 9th to 12th and at our next
regional meeting. cd
The Regional Meeting is a highlight for everyone who
attends. The camaraderie and friendship is great and I
think we all leave invigorated and delighted to have
spent time with such an amazing group of nurses.
Le LIEN March 2013
23

LE COIN DES DIRECTEURS RÉGIONAUX
RAPPORT RÉGIONAL DU QUÉBEC
Soumis par : Liette St-Cyr IA, B.Sc., infirmière clinicienne,
stomothérapeute, directrice régionale du Québec.
liette@boxisp.com
24
En laissant nos traces, nos
paroles et nos écrits, nous
arriverons à notre objectif
commun et ultime qu’est
la reconnaissance de
notre profession de
stomothérapeutes.
March 2013 The LINK
A
fin de mieux continuer ou de
poursuivre agréablement l’année
en cours, le congrès du CAET
s’en vient à grands pas et pourquoi ne
pas s’y inscrire? Ce congrès permet de
parfaire ses connaissances dans les 3
domaines de la stomothérapie, c’est
donc LE congrès à ne pas manquer qui
rejoint directement notre pratique.
Toronto est une ville facilement
accessible pour nous, sans être trop
éloignée, et ça vaut le déplacement. On
peut profiter de la ville accueillante et
d’une rencontre agréablement
organisée.
Je ne peux passer sous silence le
passage de Danielle
Gilbert,stomothérapeute, et du Dr
Laurent Delorme au forum de
discussion : les solutions infirmières
au congrès de l’Ordre des Infirmières
et Infirmiers du Québec. Une
vingtaine de panellistes de différents
domaines de la santé y participaient
afin de démontrer l’efficacité de la
présence de l’infirmière autonome
dans les milieux de santé. Quel plaisir
de voir que nous avons été représentés
comme professionnels spécialisés et de
façon très professionnelle! Nous
savons tous que l’infirmière
stomothérapeute peut avoir une
pratique autonome, mais les
GRANDS de la santé n’en font pas
une priorité. Heureusement, chaque
membre, à sa façon, tente de faire
valoir notre présence précieuse et
professionnelle dans différents
milieux de santé et cette présence est
de plus en plus remarquée.
Félicitations Danielle pour ton
implication dans la reconnaissance de
notre pratique et merci Dr Delorme de
nous intégrer naturellement dans les
équipes de santé. La reconnaissance
de la profession d’infirmière
stomothérapeute est une priorité pour
notre province et aussi pour le CAET.
En laissant nos traces, nos paroles et
nos écrits, nous arriverons à notre
objectif commun et ultime qu’est la
reconnaissance de notre profession de
stomothérapeutes.
Suite au succès de la première journée
de formation offerte par le
regroupement québécois en soins de
plaies, une deuxième est prévue en
mars. Peut-être qu’à la sortie de cette
publication, cette journée de formation
aura eu lieu, sinon, vérifiez afin de
pouvoir y participer. Je vous suggère de
surveiller l’évolution du regroupement,
car c’est pour nous une chance de
pouvoir discuter des soins de plaies en
français.
Sachez que le dossier concernant la
pratique autonome pour les
prescriptions des pansements
d’exception est toujours actif. Il est à
l’étude auprès des représentants
gouvernementaux. Il faut être patient,
garder nos convictions et la confiance
dans l'attente de cette reconnaissance.
Aussitôt que des changements
s’annonceront, je vous en ferai part.
Vous avez jusqu’au 31 mars pour
renouveler votre adhésion au CAET.
Faites vite, vous pourrez ainsi profiter
d’un meilleur tarif pour participer au
congrès. En plus, si vous recrutez un
nouveau membre, vous avez la chance
de gagner l’inscription au congrès 2014
à London, en Ontario.
Au fait, on se voit à Toronto à la
32econférence annuelle du CAET!!
C’est à inscrire à l’agenda du 9 au 12
mai 2013. cd

REGIONAL DIRECTORS’ CORNER
REGIONAL REPORT FROM ONTARIO
By: Jillian Brooke RN, BSc, MClScWH, CETN(C), Ontario Regional Director.
jillian.brooke@sympatico.ca
26
March 2013 The LINK
W
inter is almost behind us and
we can now look forward to
some warmer weather. As the
season changes we also need to look
for opportunities for change, to
further improve ourselves, and to
improve the care of our patients. With
that in mind I encourage CAET
members to consider looking at ways
to become involved in projects and
interest groups with similar goals and
objectives.
Not only does CAET encourage
member involvement in its own
projects, such as protecting the ETN
title and our professional standards of
practice, but it also promotes the need
to be aware of other related special
interest groups. Ontario Wound Care
Interest Group (OntWIG) is a group of
interdisciplinary health care
professionals representing all health
care sectors. OntWIG leads, promotes
and influences public policy related to
wound prevention and treatment for
all citizens in our Ontario Health Care
System. It is important that ETs are well
represented and I would encourage you
to go to visit the OntWIG website at
http://rnao.ca/connect/interest-groups
/ontwig to learn more about the
mission, vision and goals of the group
are.
There are lots of changes underway in
Ontario including changes to the
high-intensity needs funding program
for long-term care (LTC) and home
care funding by the Ontario Ministry
of Health and Long-Term Care. The
new expectation is that LTC facilities’
current focus on prevention and much
of the commitment to wound care will
now need to be covered by the LTC
facility’s own budget. In the area of
home care the health care providers
will now be given case by case
budgets, to provide care for a client,
that are solely based on etiology and
healing potential. These changes to
LTC and home care mean that clients
will now receive evidence-based
treatment that is, from the start of
treatment, both optimal and costeffective.
This is what ETs do best and
therefore our contribution will be
essential.
The CAET Ontario Region’s mid-year
meeting was held at the end of
November 2012. This was my first
meeting as the Regional Director and
so I thank those that attended for
their support. The minutes have been
distributed and I encourage you to
contact me with any questions or
ideas you may have. cd
As the season changes we also need to look for
opportunities for change, to further improve ourselves,
and to improve the care of our patients.

REGIONAL DIRECTORS’ CORNER
REGIONAL REPORT FROM PRAIRIES / NWT / NU
By: Karen Napier RN, BScN, CETN(C), Regional Director for Prairies/NWT/NU.
karennapier-caet@shaw.ca
A
s we move into the Spring of
2013 remember to include the
CAET National Conference
“Lead the Change” in your plans.
The conference is being held at the
Toronto Marriott Hotel, Eaton Center,
from May 9th to 12th.
28
March 2013 The LINK
The Annual Members Meeting will also
take place on Thursday, May 9th.
During this meeting our active members
will be voting on the new Articles of
Continuance and revised CAET By-laws.
Membership participation in this event
is of the utmost importance. And
remember that we are still accepting
posters for the conference. If you, or
anyone you know, is interested in
submitting an abstract for the poster
presentation please check the CAET
website for more details.
Members have, throughout the year,
indicated that it is difficult to participate
in regional meetings due to both time
away from work and the associated travel
costs. This appears to be an ongoing issue
for many within the organization. New
technology may make this less of an issue.
Alberta Health Services is currently in the
process of introducing Microsoft Lync.
This software will allow those that work
within the organization to communicate
instantly and the hope is that it will
enhance the way the organization shares
information and ideas. I look forward to
seeing how software like this can be used
to heighten the communication within the
CAET.
I encourage everyone to share
information about their local areas. The
more we know about each other the more
we can support each other. Information
that you would like to share can be
forwarded to your Regional Director. I
look forward to seeing everyone at the
National Conference in May!! cd
REGIONAL DIRECTORS’ CORNER
REGIONAL REPORT FROM BC & YUKON
By: Lani Williston RN, BScN, ET, BC & Yukon Regional Director.
Lani.williston@interiorhealth.ca
We would like, someday,
to distribute clinical
practice documents to every
hospital, community care
facility, and residential
care facility across BC.
I
have often had to step out of my
comfort zone in my role as
Regional Director and in my
career as an ETN. I recently returned
from 2 weeks of ETN work in an area
of BC where there had been no
consistent ET presence for more than
a year. I spent each day travelling to a
new community and meeting new
staff, consulting with clients who had
experienced ostomy and wound
problems, and facilitating educational
sessions. It was distressing to see that
clients had not had any enterostomal
support. It made me realize that I had
taken for granted that everyone in BC
received the same level of care as the
clients in my region. I had also
assumed that health care providers
knew what an ET nurse does and how
to contact one if necessary.
During my travels I met with the
administration in each area and
promoted what an ETN could do for
them including shortening hospital
and community care length of stays
and reducing costs through
standardizing supplies and using
supplies more appropriately. I also
outlined outcomes related to one of
my recent client consults – a woman
from this area who had an ileostomy
for 3 months and had never been able
to keep an appliance on for more than
12 hours. She was distraught,
exhausted and not very trusting of me
as no one had, as yet, been able to
find a solution for her. The first
appliance I tried on her lasted over 24
hours and the next one over 48 hours.
She was jubilant and no longer needed
to see the community care staff. She
could change the appliance on her
own, with confidence that it would
stay on, and could go out to do
previously difficult things like get her
hair done and have lunch with her
husband. She was thankful and felt
that this had given her back control of
her life!
A BC Provincial Ostomy committee
is currently being formed, at the
request of HSSBC (our Provincial
purchasing department), to help
ensure that this group of ETN’s has
input into our next contract
regarding ostomy supplies within our
hospitals, communities and
residential care facilities. We hope, as
part of this committee, to develop
Provincial Ostomy clinical practice
documents to ensure best practices
for our patients/clients. Lauren Wolfe
and Deb Cutting co-chaired this
initial meeting and further meetings
will be conducted by teleconference
so that all ETNs around BC can
participate. With the success of the
Provincial Skin and Wound
Committee, and their achievement of
standardization wound care in BC,
the BC Provincial Ostomy cannot be
far behind. We would like, someday,
to distribute clinical practice
documents to every hospital,
community care facility, and
residential care facility across BC.
We look forward to sharing more
information about this committee as
we network with colleagues during
the CAET National Conference in
Toronto this May. I look forward to
seeing you there. cd
Le LIEN March 2013
29

FEATURE ARTICLE
A PEER-LED EDUCATIONAL PROGRAM:
FOCUS ON PREVENTION OF
DIABETIC FOOT ULCERS
PEOPLE LIVING WITH DIABETES AND NEUROPATHY
EMPOWER OTHERS TO MANAGE THEIR FOOT CARE
Authors:
Janet L. Kuhnke RN, BSN, MS, ET, is the Co-Director of the PEP Talk Program for Canadian Association of
Wound Care and on the Faculty at St. Lawrence/Laurentian University’s BSN Collaborative Program in Cornwall, ON.
Mariam Botros DCh, IIWCC, is the Director of the PEP Talk Program for Canadian Association of Wound Care and
a Chiropodist at Women’s College Hospital Wound Healing Clinic in Toronto, ON.
Gail Woodbury BScPT, PhD, is the Program Evaluator of the PEP Talk Program for Canadian Association of Wound
Care and Faculty at Queen’s University, in Kingston, ON.
Marc Despatis BSc, MSc, MD, RVT, FRCS, is the Chief of Vascular Surgery at Centre hospitalier universitaire de
Sherbrooke in Sherbrooke, QC.
INTRODUCTION
P
eople who live with chronic health
condition, such as diabetes, face a
challenging and complex journey.
Patient interaction with healthcare
providers, regarding diabetes, includes
discussions about medication, blood
glucose, blood pressure and lipid targets,
physical activity, nutritional intake,
smoking cessation, weight management,
psychological health, and quality of life.
Personal experiences of people with
diabetes include coordinating healthcare
appointments, navigating the healthcare
system, and advocating for access to
healthcare services and providers
(Robert Wood Johnson Foundation,
2010). It is crucial that attention to
optimal foot care and foot assessment –
including discussions about the risks for
and management of neuropathy – be
included in these interactions.
Diabetic Neuropathy
Diabetic neuropathy (sensory,
autonomic, motor, or mixed) is defined
30
March 2013 The LINK
as damage to the nerves of the lower
limbs or hands, and is often caused by
blood glucose levels that remain
elevated over a long period of time.
Neuropathy may present as a feeling of
numbness, tingling or burning,
paraesthesia, sensitivity to touch, or
muscle weakness (National Institute of
Neurological Disorders and Stroke,
2008).
Diabetic neuropathy and diabetic foot
ulcers are debilitating, often lifethreatening,
and greatly affect the
patient’s quality of life (Boulton,
2012a; Smith, Lamping, & Maclaine,
2012; Yao, H., et al., 2012). Foot ulcers
are, fortunately, one of the most
preventable complications of diabetes.
Risk factors for diabetic neuropathy
are noted in Table 1 (Rhim & Harkless,
2012).
Losing the protective sensation of pain
is one of the contributing risk factors
for developing a diabetic foot ulcer. If
foot examinations and assessments are
not conducted, on a regular basis, by the
person with diabetes or their healthcare
team then the neuropathy and its
complications can remain undiagnosed
and thereby increase the risk for diabetic
foot ulcers and subsequent amputation
(Canadian Institute for Health
Information, 2009; McIntosh, Peters,
Young, Hutchinson, Chiverton,
Clarkson, et al., 2003).
A major concern with neuropathy is the
gradual reduction in protective pain
signals that result in people with
diabetic neuropathy losing the ‘gift of
pain’ that would normally warn them
to alter or change activity, assess their
feet for skin breakdown, and seek
timely healthcare services (Boulton,
2012b).
Prevention includes the healthcare team
conducting comprehensive and
consistent foot assessments, providing
the patient with education about
proper foot care, and having the person
living with diabetes adopt selfmanagement
foot care practices.
FEATURE ARTICLE
Photo by: R. Ketchum
A PEER-LED EDUCATIONAL PROGRAM:
FOCUS ON PREVENTION OF DIABETIC FOOT ULCERS (cont.)
“Evidence suggests that
patient outcomes are
mediated through patients’
sense of empowerment,
engagement, and behavior
after they leave the medical
setting…”
Optimal foot care practices
recommended by the Canadian
Diabetes Association (CDA), the
Canadian Association of Wound Care
(CAWC) and the National Aboriginal
Diabetes Association (NADA) all
indicate that healthcare practitioners
are responsible for encouraging and
empowering people living with
diabetes to refrain from walking in
bare feet, avoid soaking their feet,
examine their feet daily, and wear
appropriate footwear (Canadian
Association of Wound Care, 2012;
National Aboriginal Diabetes
Association, 2009; Canadian Diabetes
Association, 2012).
Patient Empowerment
Patient empowerment is a term that
a person living with diabetes may
often hear in discussions with
healthcare professionals… but what
does it mean? A middle-aged man
who lives well with multiple chronic
health conditions recently defined, to
the authors of this article, what
patient empowerment meant to him:
L to R: Kyle Goettl (National Expert advisor for the PEP program),
Ken M. McLellan (Peer Leader) Brenda McMellan (Ken's spouse),
Janet Kuhnke (Co-Director, PEP program), Gail Woodbury (Evaluation
Director) and Mariam Botros (Director, PEP program).
“Being listened to, being
respected, being given credible
health information to make my
decisions, and being part of a
relationship with a person in the
healthcare field.”
It is important to note that this
individual’s statement demonstrates
the desire for an equal healthcare
partnership not a relationship where
the power and knowledge remains
with the healthcare provider.
Anderson and Funnell (2010) noted
that empowerment is not a
traditional approach to care, i.e.
empowerment does not result from
care that is done to a patient.
Empowerment begins, rather, when
healthcare providers acknowledge
that people living with diabetes need
to be in control of their daily
diabetes care. Group-directed
interventions may utilize the
empowerment concept. Chen and Li
(2009) found, in a systematic review,
that group-directed interventions for
people living with chronic diseases
may improve their healthcare status,
psychological condition, and quality
of life.
Action plans, goal-setting behaviour
strategies, and person-focused
conversations between the person
with diabetes and the healthcare
providers, are crucial for supporting
self-care initiatives for people living
with diabetes. McGowan (2012)
stated:
“Evidence suggests that patient
outcomes are mediated through
patients’ sense of empowerment,
engagement, and behavior after
they leave the medical setting;
therefore, targeting patients’
health beliefs and behaviors may
be a more effective strategy for
improving patient health and
quality of life.”
Le LIEN March 2013
31

FEATURE ARTICLE
Table 1. Risk factors for
development of diabetic foot ulcers
(Rhim & Harkless, 2012)
32
Intrinsic factors
• Plantar hyperkeratosis (callus)
• Structural deformity:
o progression of deformity
(hammer toe, pes cavus,
prominent metatarsal
heads plantarly)
o from badly performed
amputation
• Limited joint mobility
• Severe foot deformity from
Charcot neuroarthropathy
Extrinsic factors
March 2013 The LINK
A PEER-LED EDUCATIONAL PROGRAM:
FOCUS ON PREVENTION OF DIABETIC FOOT ULCERS (cont.)
• Footwear and inserts (tight-fitting
shoes, rubbing on pressure points)
• Mechanical trauma
• Thermal injury
• Foreign body (pebble, thickened
nail, ingrown toenail)
• Poor knowledge of diabetes and its
lower extremity manifestations
Behavioural factors
• Barefoot walking
• Lack of daily foot surveillance
• Impossibility of self-care
• Poor hygiene
• Cigarette smoking
Empowerment for patients means
that healthcare professionals can
effect change through patient
encounters that are not based upon
power or domination.
Empowerment is only possible when
relationships are equal and the
people with diabetes are in control of
their disease, to the best of their
ability (Funnell, 2004; Funnell,
Anderson, Arnold, Donnelly, &
Taylor-Moon, 1991). Healthcare
professionals can help people with
diabetes develop their inherent
capacity to take responsibility for
their own lives and manage the
complexities of diabetes.
Empowerment focuses on sharing
ideas regarding how to manage
health, adopt optimal foot care
practices, and navigate the healthcare
system. It also includes sharing
reflections on personal journeys
(Stanford School of Medicine, 2012;
Boothroyd & Fisher, 2010; Nettles
& Belton, 2010; Tang, Syala,
Cheerrington, & Rana, 2011).
“Peer support interventions …
provide a potentially low-cost,
flexible means to supplement
formal health system support for
people living with diabetes.”
– World Health Organization, 2007
PEP Talk: Diabetes, Healthy Feet
and You
The Peer Education Program (PEP)
Talk: Diabetes, Healthy Feet and You
is the first, and only, national peer-led
program in Canada that provides
support groups and educational
sessions on preventative diabetic foot
care (www.diabetespeptalk.ca). The
program was developed by CAWC
and is funded by the Public Health
Agency of Canada (PHAC).
PEP Talk peer-leaders are
individuals who live with neuropathy
and can share their personal stories
to help empower other people who
are experiencing the same issues.
They have lived with and know the
complexities of diabetic neuropathy.
The program allows them to help
Canadians living with diabetes:
• prevent diabetic foot ulcers;
• recognize the early warning
signs of neuropathy, vascular
insufficiency, and foot ulcers; and
• learn the steps needed to ensure
effective care if an ulcer develops.
Dedicated volunteer healthcare
professionals work with peer leaders
to develop community outreach
action plans that connect, educate and
support people living with diabetes.
These healthcare professionals include
diabetes educators, physicians, nurses,
nurse practitioners, chiropodists,
podiatrists, dieticians, enterostomal
therapists, occupational therapists
and physiotherapists. In addition to
supporting people living with diabetes
they also work with peer leaders to:
• help locate community
resources that can support
people living with diabetes;
• identify and refer people with
diabetes to PEP Talk
community workshops; and
• encourage them to have their
colleagues refer people with
diabetes to PEP Talk
community workshops.
The PEP Talk peer-led support
model ensures a shared
responsibility between healthcare
professionals and volunteers who are
eager to help their peers. Peer-led
support models are used to teach
valuable self-management skills
including dealing with stress,
monitoring symptoms and
navigating the healthcare system
(McGowan, 2012).
The PEP Talk web portal – available
in both English and French – connects
peer leaders, healthcare professionals
FEATURE ARTICLE
and community participants to ensure a
continuum of learning, support and
growth. Program participants receive
monthly foot care e-tips, have access to a
wide range of national and communitybased
resources, and are able to discuss
challenges with other program participants
through an online discussion board.
The CAWC PEP Talk project team works
closely with peer leaders and healthcare
professionals to identify appropriate
indicators and targets for participants
and resources based on their community’s
population and context. The PEP Talk
workshops use the Diabetes, Healthy Feet
& You brochures, flyers and posters
which have been translated into 16
languages. PEP Talk workshop locations
are identified in Table 2.
The success of the PEP Talk: Diabetes,
Healthy Feet and You workshops lies in
the strength of the community peer
leaders’ and healthcare professionals’
knowledge of their own community and
ability to recruit people with diabetes to
participate in the workshops.
Hopes and Aspirations of PEP Talk
Peer Leaders (October 2012)
• “That this program will lessen
foot and leg amputations.”
Table 2. PEP Talk workshop locations
A PEER-LED EDUCATIONAL PROGRAM:
FOCUS ON PREVENTION OF DIABETIC FOOT ULCERS (cont.)
• “To see changes and improvements
in the field of diabetes.”
• “That the information received
will help others, hopefully in a
domino effect.”
Acknowledgements
Special thanks to the following for their
review and comment regarding this
manuscript: Nicola Waters RN, MSc,
Mount Royal University, Calgary, AB and
Kyle Goettl RN, BScN, Med, IIWCC,
Nurse Clinician, Amputee Rehabilitation,
Parkwood Hospital, London, ON.
Dualities of interest
None declared by the authors.
References:
Anderson, R. M., & Funnell, M. M.
(2010). Patient empowerment: Myths
and misconceptions. Patient Education
and Counseling, 79, 277–282.
Boothroyd, R., & Fisher, E. B. (2010).
Peers for progress: Promoting peer
support for health around the world.
Family Practice, 27,(Suppl. 1), 62–68.
Boulton, A. J. M. (2012a). The diabetic
foot. Medicine, 38, 622–648.
Boulton, A. J. (2012b). Diabetic
neuropathy: Is pain God's greatest gift
Province Location(s)
Newfoundland Gander
Nova Scotia Sydney, Ingonish
New Brunswick Moncton
Prince Edward Island Charlottetown
Ontario London
Quebec Sherbrooke (French)
Saskatchewan Pinehouse Lake, La Ronge (Aboriginal)
Manitoba Pine Falls
Alberta Calgary
British Columbia Vancouver
to mankind? Seminars in Vascular
Surgery, 25, 61–65.
Canadian Association of Wound Care.
(2012). Peer-led education program:
PEP talk. Retrieved November 28,
2012, from http://diabetespeptalk.ca.
Canadian Diabetes Association. (2012).
Foot care: A step toward good health.
Retrieved November 28, 2012, from
http://www.diabetes.ca/diabetes-andyou/healthy-guidelines/
foot-care-a-step-toward-good-health.
Canadian Institute for Health
Information. (2009). Diabetes care
gaps and disparities in Canada.
Retrieved November 28, 2012, from
https://secure.cihi.ca free_products/
Diabetes_care_gaps_disparities_aib_e.pdf.
Chen, Y. C., & Li, I. C. (2009).
Effectiveness of interventions using
empowerment concept for patients
with chronic disease: A systematic
review. Journal of Advanced Nursing,
7, 1177–1232.
Funnell, M. M. (2004). Patient
empowerment. Critical Care Nursing
Quarterly, 27, 201–204.
Funnell, M. M., Anderson, R. M., Arnold,
M. S., Donnelly, M., & Taylor-Moon, D.
(1991). Empowerment: An idea whose
time has come in diabetes education. The
Diabetes Educator, 17, 37–41.
McGowan, P. T. (2012). Self
management education and support in
chronic disease management. Primary
Care, 39, 307–325.
McIntosh, A., Peters, J., Young, R., et
al. (2003). Prevention and management
of foot problems in type 2 diabetes:
Clinical guidelines and evidence.
Sheffield, UK: University of Sheffield.
Retrieved November 28, 2012, from
http://www.ncbi.nlm.nih.
gov/books/NBK51709/pdf/TOC.pdf.
Le LIEN March 2013
33

FEATURE ARTICLE
National Aboriginal Diabetes
Association. (2009). Foot care tips.
Retrieved November 28, 2012, from
http://www.nada.ca/diabetes/foot-carefor-people-with-type-2-diabetes.
National Institute of Neurological
Disorders and Stroke. (2008). NINDS
diabetic neuropathy information page.
Retrieved November 28, 2012, from
http://www.ninds.nih.gov/disorders/dia
betic/diabetic.htm.
Nettles, A., & Belton, A. (2010). An
overview of training curricula for
diabetes peer educator. Family Practice,
27(Suppl. 1), 33–39.
Rhim, B., & Harkless, L. (2012).
Prevention: Can we stop problems
before they arise? Seminars in Vascular
A PEER-LED EDUCATIONAL PROGRAM:
FOCUS ON PREVENTION OF DIABETIC FOOT ULCERS (cont.)
Surgery, 25, 122–128.
The views or opinions expressed in the
editorial or articles are those of the authors
and do not necessarily represent the policies
or views of the Canadian Association for
Enterestomal Therapy (CAET). Although
reasonable efforts are made to ensure
accuracy CAET, and its agents, take no
responsibility whatsoever for errors,
omissions or any consequences of reliance
on material or the accuracy of information.
Publication does not constitute CAET
endorsement of, or assumption of liability
for, any claims made in advertisements.
Robert Wood Johnson Foundation.
(2010). Chronic care: Making the case
for ongoing care. Retrieved November
28, 2012, from http://www.rwjf.org/
files/research/50968chronic.care.chartb
ook.pdf.
Smith, S. C., Lamping, D. L., &
Maclaine, G. D. (2012). Measuring
health-related quality of life in diabetic
peripheral neuropathy: A systematic
review. Diabetes Research and Clinical
Practice, 96, 261–270.
Stanford School of Medicine. (2012).
Diabetes self-management program.
Retrieved November 28, 2102, from
http://patienteducation.stanford.edu/pr
ograms/diabeteseng.html.
Tang, T. S., Syala, G. A., Cheerrington,
A., & Rana, G. (2011). A review of
volunteer-based support interventions
in diabetes. Diabetes Spectrum, 24,
85–98.
World Health Organization. (2007).
Peer support programmes in diabetes.
Retrieved November 28, 2012, from
http://www.who.int/diabetes/
publications/Diabetes_final_13_
6.pdf.
Yao, H., Ting, A., Minjie, W., Yemin,
C., Xiqiao, W., Yuzhi, J., et al. (2012).
The investigation of demographic
characteristics and the health-related
quality of life in patients with diabetic
foot ulcers at first presentation.
International Journal of Lower
Extremity Wounds, 11, 187–193. cd
This publication is copyright
in its entirety. Material may
not be reprinted without the
written permission of
CAET. Contact through
www.CAET.ca.
CORE PROGRAM LEADERS’ CORNER
POLITICAL ACTION
By: Catherine Harley RN, eMBA, CAET Executive Director.
he CAET has supported the
launch of the Canadian Wound
Interest Group to bring together
those involved in wound care research.
The group will be led by Dr. Pamela
Houghton PhD, of Western University
in London, ON. This group was
created based on the idea of Anita Stern
PhD, of Toronto Health Economics and
Technology Assessment Collaborative
(THETA) and after discussions
regarding the need for a stronger focus
on Canadian Wound Research. The
preliminary goals of this group are still
in development but will fall in to the
following areas:
1. To generate de novo research
(rather than collate existing
research) using a range of research
methodology (cell culture, animal
models, clinical research involving
human subjects); and
2. To foster a link between academic
research centres where
investigator-driven research is
conducted.
CANADIAN WOUND INTEREST GROUP
INITIATED
Response to date has been strong from
the CAET, the Canadian Association of
Wound Care, and a variety of
individuals involved with research
networks across the country.
This group could one day be
positioned to lobby government for a
large multi-site grant or funding
package to support wound care
research in Canada. Similar results
have been successfully achieved, in the
past, by organizations such as the Rick
Hansen Institute and the Australia
Wound Management Association.
Individuals who have expressed an
interest have been asked, as a next step,
to provide a one page summary that
highlights the kind of wound related
research they are, or have been,
involved in. This should help identify
common areas of interest and
encourage collaboration among
existing researchers. If you are
interested in getting involved with the
Canadian Would Interest Group please
don’t hesitate to contact me.
Wound Care Alliance Canada
The CAET continues to be involved in
the steering committee for Wound Care
Alliance Canada. The steering
committee comprises representatives of
the Canadian Association of Wound
Care, Ontario Wound Interest Group,
Canadian Association for
Enterostomal Therapy, as well as three
individuals from the MEDEC Wound
Care Committee (Peter Gardner of
Smith & Nephew, John Stone of
Healthpoint and David Whiteside of
Hollister). The WCA is currently
working on establishing a partnership
model to strengthen its ability to
achieve the goal of establishing a
Canadian Wound Care Innovation
Center of Excellence. There will be
more news from this group as plans are
implemented throughout 2013.
Pan Canadian Ostomy
Reimbursement Initiative
The final copy of the Ostomy
Appliance Reimbursement Policy
Reform manuscript will be submitted
to Ostomy Wound Management in
2013. An enormous amount of work
has gone into the development of this
document. Participant feedback was
collected during the Canadian
Colorectal Cancer Association meeting
in Montreal last March and many ET
Nurses as well as the CAET
participated in this meeting. The
meeting Chairs, who oversaw the
development of the manuscript, were
Gwen Turnbull RN, BS, ET and Louise
Forest-Lalande RN, M.Ed, ET. Both
Chairs have worked tirelessly over the
past nine months to develop a
thoughtful and comprehensive
document and to incorporate countless
edits and feedback. Their efforts have
shaped the direction of this
manuscript. cd
34 March 2013 The LINK
Le LIEN March 2013 35
T

CAET 32nd Annual Conference
Leading Change / Diriger le changement
Wednesday, May 8th
0800 - 1300 Registration for Workshops Only
Li Ka Shing Knowledge Institute, St. Michael’s
Hospital, 209 Victoria St.
Workshops (at Li Ka Shing Knowledge Institute):
0900 - 1200 Conservative Sharp Wound Debridement:
Sharpening your Knowledge and Skills (A)
Karen Bruton RN, CETN(C), BScN and Amanda
Loney BScN, RN, CETN(C), WOCN, IIWCC.
Management of Lower Leg Edema (B)
Mary Engel RN, CETN(C), Mavis Hicknell, RN, CETN(C)
and Kathy Burt RN, RMT, CDT,
1300-1600 Hands on Pelvic Floor Assessment -
A Critical Step in Stemming the Flow (C)
Moira Coates, RN, BScN, ET and Cheryl Ertl,
RN, BSc, CETN(C).
1830 CAET Welcome Reception – Marriott Hotel
Thursday, May 9th
0730 - 1700 Registration
0900 - 1200 CAET Annual Members Meeting (Lunch provided)
1300 - 1600 CAET Regional Members Meetings
1600 - 1700 WCET Meeting
1630 - 1800 CAET Academy Reception for Students,
Faculty, and Graduates
1800 - 2030 Exhibit Grand Hall Opening
Friday, May 10th
0700 - 1600 Registration
0730 - 0830 Coloplast Power Breakfast
0830 - 0845 Opening Ceremonies
0845 - 1000 Plenary Session
Intergenerational Diversity in the Workplace -
Nora Spinks
1000 - 1100 Plenary Session
Political Action: How to get involved -
Doris Grinspun, RN, MSN, PhD, O.ONT.,
Executive Director of RNAO.
1100 - 1230 Break - Exhibits and Poster Sessions
1230 - 1330 Systagenix Power Lunch
1330 - 1430 Concurrent Sessions
Ostomy
Enterostomal Therapy + Nursing Informatics +
Nursing Department = Best Practice
Monica Frecea, RN, BScN, CETN(C), MN(c);
Julie Tjan Thomas RN, MN, CETN(C); Alex Pavelich
BSc, OCGC, Health Informatics; and Kathryn Kozell
RN, MScN, APN, CETN(C).
Wound
Challenges to Wound Care in the Emergency
Department
Christine Murphy RN, CETN(C), BSc(hons), MClScWH,
PhD (cand.) and Lorne Westenfeld MDCM, FRCPC.
Continence
Integrating Continence Into Your E.T. Practice
Moira Coates RN, BScN, ET
Professional Practice
Show Me the Data: Supporting ETN Practice
through Data Collection
Jo Hoeflok RN (EC), BSN, MA, CETN(C), CGN(C).
1430 - 1530 Break - Exhibits and Poster Sessions
1530 - 1630 Plenary Session
Inflammatory Bowel Disease - Dr. Zane Cohen
M.D., F.R.C.S.(C).
1630 - 1730 Plenary Session
Moisture Associated Skin Damage - Dr. Mikel Gray
PhD, PNP, FNP, CUNP CCCN, FAANP, FAAN
1900 - 2300 Networking Event: Bata Shoe Museum
Saturday, May 11th
0700 - 1600 Registration
0730 - 0830 Hollister Power Breakfast
Register Now at www.CAET.ca
The entire educational program will be hosted at the Toronto Marriott with the exception of the Wednesday Workshops.
0830 - 1000 Plenary Session
More than Skin Deep: Caring for the Burn Wound -
Judy Knighton R.N., M.Sc.N., CNS.
1000 - 1100 Break - Exhibits and Poster Sessions
1100 - 1200 Plenary Session
My Leaky Body - Julie Devaney
1200 - 1300 Learning Lunch
1300 - 1330 Oral Presentations
Ostomy
Pre-operative Ostomy Preparation for all Patients
and Families
Kathryn Kozell RN, BA, MScN, APN, CETN(C);
Monica Frecea RN, BScN, CETN(C), MN(c); and
Julie Tjan Thomas RN, MN, CETN(C).
Wound
A3 Thinking in Pressure Ulcer Prevention: A Rapid
Improvement Event
Jacqueline Baptiste-Savoie RN, MSN, CETN(C) and
Alfred Ng BSc., PT, MHSc (Admin), CHE, PMP.
Continence
The Role of the Nurse Practitioner/ Enterostomal
Therapy Nurse for Children with Anorectal
Malformations and Hirschsprung’s Disease
Kimberly Colapinto RN(EC), MN, CETN(C), NP.
Professional Practice
Creative Funding to Support ETN Practice
Jo Hoeflok RN(EC), BSN, MA, CETN(C), CGN(C).
1330 - 1400 Oral Presentations
Ostomy
Promoting Patient Self-Assessment in Ostomy Care:
Take A Look©
Jo Hoeflok RN (EC), BSN, MA, CETN(C), CGN(C).
Wound
Increasing the RN role in Conservative Sharp
Debridement: A Panel Discussion
Elise Rodd-Nielsen RN, BSN, CETN(C);
Connie Harris RN, ET, IIWCC, MSc; Karen Laforet
MCIS, RN, BA, IIWCC; Dr. Gary Sibbald BSc, MD,
FRCPC(Med)(Derm), Med. Professor;
Mariam Botros D.CH, CDE, IIWCC.
*Register early for Wednesday Workshops – space is limited*
Professional Practice
The Value Proposition: Marketing the ET Role
Patti Barton RN, PHN, CETN(C)
1400-1500 Break - Exhibits and Poster Sessions
1500-1630 Plenary Session
Advocacy in Action: Putting the ET in TEAM’ - Debbie
Miller RN, BScN, MN, CETN(C); Louise Forest-Lalande
RN, M.Ed., ET; and Kathryn Kozell RN, BA, MScN, APN,
CETN(C).
CAET BANQUET
1830 Reception
1900 Dinner and Banquet Program
Sunday, May 12th
0700 - 0800 Registration
0800 - 0900 Power Breakfast
0900 - 1000 Plenary Session
Teaching the World - Louise Forest-Lalande RN, M.Ed. ET.
1000 - 1100 Concurrent Sessions (Select One)
Ostomy
Sexual Recovery After Ostomy Surgery
Joy Baetz RN, ETN and Leslie Heath RN, BScN,
CETN(C), MClSc-WH.
Wound
Calciphylaxis: A Black Hole in the Nephrology Universe
Betty Kelman RN, MEd, CNeph(C).
Continence
You Are a Continence Nurse
Dr. Mikel Gray PhD, PNP, FNP, CUNP, CCCN,
FAANP, FAAN.
Professional Practice
International Skin Tear Advisory Panel Update 2013
Kim LeBlanc MN, RN, CETN (C), IIWCC and Dawn
Christensen Graduate Diploma Wound Mgmt, MHSc(N),
RN, CETN(C), IIWCC.
1100 - 1200 Plenary Session
Opening My Heart - My Journey from Nurse to
Patient and Back Again
Tilda Shiloff RN, BScN, CNCC(C).
1200 Closing Remarks
May 8 - 12, 2013
Toronto Marriott Downtown Eaton Centre Hotel
525 Bay Street, Toronto, ON

CORE PROGRAM LEADERS’ CORNER
NATIONAL CONFERENCE PLANNING
By: Mary Hill, RN, BScN, MN, CETN(C).
T
he CAET National Conference
Planning Core Program (NCPCP)
team has developed an exciting
educational program for the 32nd Annual
CAET National Conference in Toronto.
Join your colleagues and ET nurses at the
downtown Toronto Marriot Downtown
Eaton Centre Hotel. The following are a
few of the educational program highlights
this year:
• We have a number of high profile
speakers at this year’s conference
including: Julie Devaney, a patientexpert
and author of the critically
acclaimed book “My Leaky Body”;
Nora Spinks who will present on
Intergenerational Nursing and describing
how each generation has its own
experiences, attitudes and perspectives;
and Doris Grinspun, CEO of the
38
CAET 32ND ANNUAL NATIONAL CONFERENCE
“LEADING CHANGE”
TORONTO, MAY 8-12, 2013
March 2013 The LINK
Registered Nurses' Association of
Ontario (RNAO) will address political
action and how to get involved.
• In keeping with this year’s conference
theme of “Leading Change” a panel of
ET nurses will discuss how their roles,
as members of various teams,
influences change through practice,
education, and leadership. Debbie
Miller, RN, BScN, MN, CETN(C) will
be discussing her involvement with
Disease Pathway Management for
colorectal cancer patients. Louise
Forest-Lalande RN, M.Ed., ET will
talk about her involvement with the
Pan Canadian Reimbursement
Initiative. And Kathryn Kozell RN,
BA, MScN, APN, CETN(C) will
highlight her involvement with Wound
Care Alliance Canada.
Upcoming Conferences
2013 NPUAP National Biennial
Conference
February 22-23, 2013
Houston, TX, USA
www.npuap.org
The Global Conference on
Amputation Prevention, Diabetes
Management, and Diabetic Foot and
Diabetic Wound Care
March 21-23, 2013
Los Angeles, CA, USA
www.DFCon.com
Ontario Wound Interest Group
(OntWig) Symposium
April 19, 2013
Niagara-on-the-Lake, ON
http://ontwig.rnao.ca
Symposium for Advancement
of Wound Care (SAWC)
May 2-5, 2013
Denver, CO, USA
www.sawc.net
CAET 32nd Annual National
Conference
May 9-12, 2013
Toronto Marriott Downtown
Eaton Center Hotel
Toronto, ON - www.caet.ca
EWMA 23rd Conference of the
European Wound Management
Association
May 15-17, 2013
Copenhagen, Denmark
www.ewma2013.org
• CAET is introducing a new element
this year with an offering of oral
abstracts. Eight ET nurses will speak
on different categories of Wound,
Ostomy, and Continence Care and
Professional Practice including
research, practice- based ET nursing,
case studies, and areas that help
promote the ET profession.
• This year CAET will also be hosting
pre-conference workshops on May
8th. Back by popular demand are
Conservative Sharp Wound
Debridement; Hands on Pelvic Floor
Assessment: A Critical Step in
‘Stemming the Flow’; and Managing
Lower Leg Edema. Due to the hands-
on element of these workshops they
will be limited to 30 participants.
Register early for your chosen
workshop as spaces will fill quickly!
The NCPCP is proud to present the 32nd
Annual CAET National Conference and
we look forward to seeing you in Toronto
from May 8 to 12, 2013. For more
information please visit www.caet.ca. cd
WOCN - 45th Annual Conference
June 22-26, 2013
Seattle, WA, USA
www.wocn.org
Fourth UOAA National Conference
August 7-10, 2013
Jacksonville, FL, USA
www.ostomy.org
Canadian Association of Wound
Care (CAWC)
November 7-10, 2013
Vancouver, British Columbia
www.cawc.net
ET COMMUNITY NEWS
“SHARE OUR CANADIAN PERSPECTIVE”
By: Kathryn Kozell, RN, BA, MScN, APN, CETN(C), Editor, CAET Feature Section
kkozell@rogers.com
A
s the first affiliate society member
of the Journal of Wound, Ostomy
and Continence Nursing
(JWOCN) Editorial Board meeting it
was a privilege to represent CAET in late
December 2012.
In January 2011, Phyllis Bonham, PhD,
MSN, RN, CWOCN, DPNAP, FAAN
then President of WOCN welcomed our
affiliation by stating, “… we start this
exciting journey to advance knowledge
and scholarship to benefit the members
of both the WOCN Society and the
CAET.”
Why should the CAET remain an
affiliate society member of JWOCN? In
answering this question, I share some
impressive facts about this affiliation
means for the CAET.
• JWOCN is known as a
development nursing journal. Dr.
Mikel Gray, Editor in Chief along
with Section Editors and reviewers
invest hours to review, critique, and
review again all submissions by
experienced and first time authors.
Manuscript writing is a
developmental skill and JWOCN
assumes this function with a
scholarly and mentoring approach.
• JWOCN is rated in the top 2
percent of refereed nursing journals
indexed in MEDLINE and
CINAHL.
• JWOCN has gained a significant
increase in international readers
since 2011.
• JWOCN is accessed through OVID
by over 48 countries.
• The JWOCN website was accessed
in 2012 by 88, 610 visitors; 153,
794 visits; and each visit lasted on
average 26:09 minutes.
• Manuscripts submitted to JWOCN
have almost doubled since 2011;
53% are North American and 47%
are international.
• JWOCN is ranked 27/97 in
Nursing Journals (Social Science
category) and 31/99 in Nursing
(Science category).
• 2013 will mark the 40th
Anniversary of JWOCN.
What does this mean to you as a
contributor to the CAET Feature Section
or author of a manuscript waiting to be
published in JWOCN?
• As a developmental nursing journal
you will always receive
constructive feedback and support
for your original work. All Section
Editors and the Editor in Chief are
educators, researchers and
clinicians…they want to see you
succeed in your publishing
endeavors.
• The rigors of a refereed journal
ensure that your work has met a
standard of publication excellence.
As a result of JWOCN’s mentoring
approach and the turn-around-
time by authors, the average time
from submission to acceptance for
publication can be 4 to 6 months.
JWOCN is implementing revised
review processes and
communication strategies to reduce
this time.
• Increased national and
international readership means that
Canadian work is reaching WOC
nurses in 48 countries; the largest
circulation occurring in China,
Australia, England, Mexico, Spain
and Japan.
• This exposure for Canadian ETNs
and CAET is providing
opportunities to impact WOC
nursing worldwide.
• JWOCN is celebrating 40 years as
a publishing leader in WOC
nursing. The CAET is now part of
this leadership.
As a CAET member, JWOCN is my
first resource used to support my
professional nursing practice. Whether
I refer to my hard copy or access the
JWOCN website, I know that the
quality of all publications are
scholarly, well referenced, represent
research, practices, opinions, and
guidelines which are expanding
enterostomal therapy nursing
knowledge. The CAET – JWOCN
affiliation agreement “… also enhances
the quality and quantity of authors
contributing to our journal, and
expands networking opportunities for
everyone." ( Dr. Mikel Grey, Editor in
Chief, JWOCN) Let JWOCN be your
first choice as a publication resource
for your ETN practice. cd
“… we start this exciting
journey to advance
knowledge and scholarship
to benefit the members of
both the WOCN Society
and the CAET.”
- Phyllis Bonham
Le LIEN March 2013
39

ET COMMUNITY NEWS
ASPIRING STUDENT RESEARCHES AND DESIGNS
OSTOMY CUTTER
Submitted by: Karen Bruton, RN, BScN, CETN(C), Past President of CAET. kbruton@nhh.ca
Tiange Li, a Grade 12 student in Toronto, contacted Mary Penner (Ostomy Toronto President) looking for
information on ostomy care as he was developing useful tools. In turn Mary forwarded Tiange to me and
we later met. Tiange, a volunteer who has worked at several nursing homes, had overheard nurses discussing
ostomy flanges and how possible cutters would really benefit patients and nurses. Tiange used this idea to
develop a science project for the annual Canada-Wide Science Fair.
Tiange began with some preliminary ideas then approached an engineering professor who provided help to Tiange Li
improve his design. He then took drawings to a machinist who made a prototype of his ostomy flange cutter
model. The project won the Regionals in Toronto and later received several bronze medals at the Nationals in Charlottetown, PEI.
One of the judges at the Toronto fair offered Tiange a student position at the "Intelligent Design for Adaptation, Participation and
Technology" (iDAPT) lab. iDAPT’s mandate is to research and design rehabilitation-focused products and technologies. Tiange has
since been refining the ostomy flange cutter in addition to working on several iDAPT projects. Tiange recently entered the Life
Sciences program at the University of Toronto and has said he will also be looking in to the CAET Enterostomal Therapy Program.
Congratulations Tiange on all your great work!! As an aspiring scientist your vision and product development has the potential to
provide great value for patients with ostomies. cd
WORLD COUNCIL OF ENTEROSTOMAL THERAPISTS
Submitted by: Karen Bruton, RN, BScN, CETN(C), Past President of CAET. kbruton@nhh.ca
Louise Forest Lalande, WCET President
WCET members - have you had the time to open your latest
WCET Journal or Bulletin? Louise Forest Lalande, RN, ET,
Med, and WCET President, has been very busy fulfilling the
obligations of her role. Canadian ETs are very proud of Louise,
who is from Quebec, as she shares her knowledge, skill and
expertise with fellow healthcare professionals around the
world! She is an inspiration to international healthcare leaders
who are promoting positive patient outcomes through
knowledge translation.
Benefits of WCET Membership
There are many benefits in being a member of WCET so keep
your membership current and active! Benefits include:
• 4 issues per year of the WCET Journal and access to back
issues;
• Norma N Gill scholarship opportunities;
• Membership rates for WCET Biennial Congress
registration;
• Opportunities to join committees or hold executive
positions; and
• Excellent opportunity to meet and network with other
international colleagues and to receive news from around
the world.
40
March 2013 The LINK
WCET Journal Articles
Elizabeth Ayello, WCET Journal
Executive Editor, encourages
members to submit articles for
publication in the WCET
Journal. Consider submitting
your work to this international
journal. Topics may include an
interesting case study, unique
practice implementation,
completed research study, a
professional practice issue, or an
essay/paper on wound, ostomy and continence care. The
submission process was outlined in on page 6 of the
October/December 2012 issue of WCET Journal (Vol 32, Issue
4) and submission guidelines are available at
http://www.wcetn.org/journal-submissions.
Attend the 20th WCET Biennial Congress, in Gothenburg,
Sweden, June 15-19, 2014
Consider attending 2014 WCET – Let’s create the largest
contingency of Canadian ETs that have ever attended the
congress! cd
ET COMMUNITY NEWS
THE CAET – JWOCN CONNECTION
AUTHORS WANTED! … To share our Canadian perspective
What are the benefits to you as a CAET member and Journal affiliate?
• The JWOCN is rated in the top 2 percent of refereed nursing journals indexed in MEDLINE
and CINAHL
• This prestigious nursing journal has gained a significant increase in international readers
• A Canadian ETN perspective is now part of this international nursing readership
Do you have a clinical practice challenge or an innovative
project which is changing or advancing ET practice?
Have you developed an educational program to benefit
patient and or staff and would like to communicate this to
the ETN world?
Have you conducted a survey, clinical trial or would like to
collaborate in research?
If so, contact us NOW! Your CAET Editorial Board will
assist you to create a newsworthy submission to the JWOCN
and help connect you to the ETN world. Writing an original
manuscript for publication? Consider JWOCN first.
"Our affiliation (with CAET)
also enhances
the quality and quantity
of authors contributing
to our journal, and
expands networking
opportunities for everyone."
( Dr. Mikel Grey, Editor in
Chief, JWOCN)
For more information contact your regional editorial board representative:
BC/Yukon: Dorothy Phillips (dorothyphillips@shaw.ca)
Prairies/NWT: Mary Hill (mhillster@shaw.ca)
Ontario: Lina Martins (lina.martins@lhsc.on.ca)
Quebec & Atlantic: Kathryn Kozell (kkozell@rogers.com)
Le LIEN March 2013
41

INDUSTRY NEWS
42
O.O.S. MEDICAL
O.O.S. Medical is proud to introduce OstomyEssentials, a new line of ostomy accessories that provides
exceptional performance and value for money.
The OstomyEssentials line currently has two products:
• Flushable Ostomy Pouch Liners – these liners make emptying your pouch clean and easy, and can help make
your pouches last longer. Best of all, our liners are much more affordable than other liners on the market today.
• SG3 Ostomy Deodorant – neutralize odors with powerful SG3 deodorant, for a fraction of the price of
other deodorants. Just a few drops in the pouch can control odors for hours.
We are working hard to bring more products to the OstomyEssentials line that can help make living with an
ostomy easier. As always, OstomyEssentials is focused on providing you with high performance products and
great value for money.
For more information, contact us at 1-800-387-5150 or visit www.OstomyEssentials.ca.
Dealer inquiries welcome.
3M IS PLEASED TO INTRODUCE A NEW,
LARGER 15 CM (6") SIZE COBAN 2 COMPRESSION KIT!
3MTM CobanTM 2 Layer Compression System has been clinically proven in two
randomized controlled trials. 1,2
• New larger 15 cm (6”) size now available to bandage the thigh!
• Provide sustained, therapeutic compression for up to 7 days.2
• Application is quick and easy to teach and learn.3
• Creates a thin, lightweight, breathable sleeve, allowing patients to wear their own shoes and return to their
daily activities
20096 6 in x 3.8 yd (15 cm x 3,5 m) NEW!
3M Coban 2 Layer Compression System, with the purple packaging, provides high compression (35-40
mm Hg). It is ideal for the majority of patients with venous leg ulcers, lymphedema and other conditions where
compression therapy is appropriate. Indicated for patients with ABPI ≥ 0.8, the 6" kit is most commonly used
to bandage the knee and the thigh. It can also be used below the knee on a larger limb.
To learn more about 3M Coban 2 Layer Compression Therapy products, visit us at
www.3M.com/coban2layer, contact your 3M Skin & Wound Care representative or call the 3M Health Care
Customer Helpline at 1-800-228-3957.
March 2013 The LINK
For a Life in Motion. Conformable Compression that Works
Compression Therapy Kits for Patients of all Sizes, Shapes and Lifestyles
References
1. Moffatt C, Edwards L, Collier M, Treadwell T, Miller M, Shafer L, Sibbald RG, Brassard A, McIntosh A, Reyzelman A, Price P, Kraus SM, Walters SA, Harding K. A
randomised controlled 8-week crossover clinical evaluation of the 3M Coban 2 Layer Compression System versus Profore to evaluate the product performance in
patients with venous leg ulcers. Int Wound J 2008; 5 (2): 267-279.
2. Mosti G, Crespi A, Mattaliano V. Comparison Between a New, Two-component Compression System With Zinc Paste Bandages for Leg Ulcer Healing: A Prospective,
Multicenter, Randomized, Controlled Trial Monitoring Sub-bandage Pressures. Wounds 2011; 23 (5): 126-134.
3. Collier M, Schuren J. Ease of use and reproducibility of five compression systems. J Wound Care 2007; 3M Supplement: 8-10.