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Incontinence

The role of the district nurse in managing blocked urinary catheters

When dealing with catheter-related complications, it should first be ascertained if the catheter is indeed required (Thompson and Browne, 2019). Nazarko (2019) argues that 30-50% of people with...

Treatment of urge incontinence in women

This type of urinary incontinence may be caused by changes in anatomical support and/or neuromuscular function of the pelvic floor, or it may be idiopathic (BMJ, 2020). There is a high incidence of...

Incontinence in palliative care: assessment to promote dignity

UI has a stigma and can cause an individual to hide symptoms and avoid seeking appropriate help (Payne, 2017; Smith et al, 2019), often causing a communication barrier with the DN. Incontinence can...

Recent insights into catheter-related urinary tract infections

Inserting a catheter can damage the urothelial barrier and trigger immune responses. As a result, the patient may deposit proteins (eg fibrinogen) onto the catheter surface (Gaston et al, 2021)....

Faecal incontinence and dementia

The National Institute for Health and Care Excellence (NICE) (2007) clearly set out guidance for all health professionals who are managing a patient with faecal incontinence. The guidance states that...

Barriers affecting patient adherence to intermittent self-catheterisation

The use of self-catheterisation has grown since the 1970s with the development of the technique of clean intermittent catheterisation. Initially, self-catheterisation was used with paraplegic patients...

Catheters at home: managing urinary catheters in the home environment

In their literature review, Waskiewicz et la (2019) found that there were four factors that affected patients' ability to manage their own catheter. These were education, knowledge, empowerment and...

Intermittent catheterisation: the common complications

According to the International Continence Society, IC is defined as the drainage of the bladder or a urinary reservoir with subsequent removal of the catheter, mostly at regular intervals (Gazewski et...

Addressing the gender gap in urinary continence care

Urinary incontinence is defined by the International Continence Society (ICS) as ‘any involuntary leakage of urine’ (Abrams et al, 2003; Haylen et al, 2010). Prevalence figures depend on definitions...

Role of the community nurse in Parkinson's disease and lower urinary disorders

Parkinson's disease is caused by a loss of the dopaminergic neurons in the pars compacta of the substantia nigra (SNpc), which is part of the basal ganglia. Dopamine plays a vital role in regulating...

Psychological factors and intermittent self-catheterisation

Overall, there is an array of considerations when treating a patient who is using or is being considered for ISC. It is, of course, important that their cognition and insight are considered so that a...

Addressing and acting on individual ideas on continence care

A continence assessment is an essential process for an individual who experiences bladder dysfunction, as it is intended to capture critical clinical information (Ellis et al, 2017). It is considered...

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