HI-WOC Services

These are the top services we provide to our patients in Hawaii

HI-WOC health services icon

Our Top Healing Pillars Customized To Fit Your Needs

Our commitment is to ensure that each patient and their family are offered a comprehensive and individualized, wound, ostomy and continence service. We believe in a holistic healing environment through the provision of education, advocacy and treatment options to patients of all ages and abilities within the islands of Hawai’i.

Tube Management

Patients can receive assistance in managing various tubes e.g. drainage or enteral feedings. Patients with enteral tubes and devices can receive further instruction and follow up. This includes ongoing monitoring of their nutritional needs by a dietician.

FAQ

No, it is not normal to have formula leaking from the site and should be evaluated by a health care provider who is knowledgeable about tube management as there are several possible reasons for leakage.

Yes, there are some simple tips such as covering the site with an abdominal binder or dressing your mother in clothing that limits her access to the tube. However, she can be evaluated for a low profile device which may help to minimize her pulling at the tubing. An appointment can be made to determine if the use of a low profile device is appropriate.
More than likely your child may have developed “hyper granulation tissue” which frequently causes some bleeding and increased drainage. You can contact the surgeon or gastroenterologist who placed the device or feel free to make an appointment.
Enteral-feeding-tubes-Hawaii

Bowel/Urinary Diversions

Patients undergoing continent or incontinent surgery for intestinal and urological diversions, whether temporary or permanent, require intensive physical and emotional care as well as support to resume their normal lifestyle. Services are provided for patients with Colostomies, ileostomies, urostomies, continent (bowel or bladder) diversions, pre/post-operative education, somal site marking, post-op discharge & follow-up, treatment/prevention of stomal or peristomal skin complications

hawai-wound-Urinary-Diversions

FAQ

The only time that it is acceptable to change a pouch 1 to 2 times a day is when a person has a colostomy and is using a “closed-end” pouching system (which is not drainable).

It is not uncommon for patients to have stomal changes over the 6 to 8-week postoperative period as the stoma is “shrinking” as well as changes with the surrounding skin are occurring. The surrounding skin is also changing as the swelling which occurs with a surgery begins to resolve, leading to problems with leakage. The patient should be evaluated by a certified ostomy nurse who can assess the area and offer recommendations for pouching or use of other ostomy supplies.

There are a handful of stores on Oahu that care ostomy supplies. It would be best to contact me (Anne Jinbo) regarding the types of supplies that are needed as types and quantities of ostomy supplies are limited.

Continence Care

To assist patients with neurogenic bowel and/or bladder conditions needing education and monitoring as new treatments are initiated, e.g. clean intermittent catheterization or care of suprapubic tubes. Bowel management strategies can be offered through a variety of treatment options e.g. behavioral, pharmaceutical, or other treatment options.

FAQ

Yes, a bowel management plan can be developed for your son which can be tailored to his body/needs, and hopefully, he can stool daily and avoid the use of diapers. This is a complex and very individualized program and it would be best to set up an appointment to discuss this further.

No, it is not normal to have a lot of drainage around a suprapubic catheter. There are several possible causes for the leakage, but it would best to make an appointment so your patient can be further evaluated.

Hawai wound Continence care

FAQ

There are many reasons why a wound does not close. If the wound was deep it should be evaluated by a certified wound specialist to determine the possible cause for delayed healing.

Most medical insurance plans do cover wound care dressings, however the amount of coverage varies with the different insurances. It would be best to ask your health care provider to recommend a “durable medical supply company” who can work with you to determine what types of dressings are covered by your plan and probable cost for each type of dressing.

Based on your report of having thick greenish drainage from the wound and the edges of the wound are becoming red and swollen, it sounds like you may have developed a wound infection and should be evaluated by a health care provider or a wound care specialist as soon as possible.

FAQ

There are many reasons why a wound does not close. If the wound was deep it should be evaluated by a certified wound specialist to determine the possible cause for delayed healing.

Most medical insurance plans do cover wound care dressings, however the amount of coverage varies with the different insurances. It would be best to ask your health care provider to recommend a “durable medical supply company” who can work with you to determine what types of dressings are covered by your plan and probable cost for each type of dressing.

Based on your report of having thick greenish drainage from the wound and the edges of the wound are becoming red and swollen, it sounds like you may have developed a wound infection and should be evaluated by a health care provider or a wound care specialist as soon as possible.

Make An Appointment

Please use the contact form below and carefully select the type of service you are requiring. We’ll be in touch with your request as soon as possible.

    REFERRING HEALTHCARE PROVIDER

    A referral maybe needed from your primary care provider and/or healthcare insurance before the appointment.

    Testimonials

    Charlaine k Testimonials

    In 2016 our son was born with VACTERL.  I had no idea what to do, or where to turn.  I felt alone and was completely overwhelmed with all my post operative duties: catheters, wound care, colostomy bags, stomas, medications, diaper rash like I had never seen before……the list goes on and on.  Anne was my angel, my saving grace, and shoulder to lean on.  She educated me and supported me through some of my most difficult times as a new mother of a child with special medical needs. Anne’s knowledge is unsurpassed, and her dedication and commitment to her patients is what makes her truly amazing as a healthcare specialist.

    Charlaine K., HI-WOCS
    Marry Testimonials

    In 2016 our son was born with VACTERL.  I had no idea what to do, or where to turn.  I felt alone and was completely overwhelmed with all my post operative duties: catheters, wound care, colostomy bags, stomas, medications, diaper rash like I had never seen before……the list goes on and on.  Anne was my angel, my saving grace, and shoulder to lean on.  She educated me and supported me through some of my most difficult times as a new mother of a child with special medical needs. Anne’s knowledge is unsurpassed, and her dedication and commitment to her patients is what makes her truly amazing as a healthcare specialist.

    Mary C, HI-WOCS
    Heinrich Tupou Testimonials

    I was sent to see Anne at Hawaii Wound, Ostomy & Continence Services and over a six-month period, it finally healed. While under her care I was able to get another pair of compression wraps to use over both legs (thigh and lower legs). This is the second time Hawaii Wound, Ostomy & Continence Services has “helped me out of the hole”. Read More....

    Heinrich T, HI-WOCS