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Incontinence

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...

Teaching patients clean intermittent self-catheterisation: key points

Guidance from the National Institute for Health and Care Excellence (NICE) (2012a; 2012b) recommends that, whenever possible, intermittent catheterisation should be considered for its benefits..

Weight loss interventions as an option for a lifestyle treatment in urinary incontinence

This Cochrane systematic review undertook a comprehensive search of the Cochrane Central Register of Controlled Trials and MedLine using a previously validated search procedure from date of inception...

Short-term urinary catheters and their risks: an integrated systematic review

UCs are inserted for short-term or long-term purposes (Bardsley, 2015). They are used mainly as a short-term measure in the clinical area to relieve retention of urine (Meddings et al, 2014). A...

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