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Incontinence

Intermittent self-catheterisation: the gold standard for individuals with bladder dysfunction

The indications to undertake ISC are numerous (Box 1); however, not all individuals will be suitable or capable of undertaking the procedure. Children aged as young as 4–5 years can be taught the...

Men's satisfaction with female/unisex and male incontinence pads: a comparative clinical audit

UI can be caused by alteration to the bladder, lower urinary tract or pelvis due to surgery (such as prostatectomy), neurological conditions (such as Parkinson's disease, dementia or multiple...

Supporting patients to prevent urinary tract infection and self-catheterise

A study carried out by Okamoto et al (2017) found that there is uncertainty among intermittent self-catherisation (ISC) users regarding the signs and symptoms of urinary tract infection (UTI) and at...

A holistic approach to assessing an individual with urinary incontinence

As life expectancy has increased, so too has the need for full-time care places in residential settings (Huber, 2009). It has been extensively reported that the population will continuously age,...

Overview of Urinary Incontinence

The National Institutes for Health (NIH) (2023) explains that the bladder tightens in order to move urine into the urethra while the muscles surrounding it relax to allow the urine to pass out of the...

Intermittent self-catheterisation: the community nurse's role in identifying and overcoming the barriers

ISC is recognised as the gold standard for the treatment of neurological bladders, promoting improved independence, quality of life and wellbeing (Holroyd, 2018) and reducing the risk of infection and...

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...

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