Backbone of care

Article Abstract:

Spinal cord injury patients need to follow a reliable bladder management programme which takes into account their age, sex and personal circumstances. It is important for spinal cord injury patients to maintain healthy bladder and kidney function in order to prevent the build up of bacteria, infection and serious complications. Catheters can be used to lower bladder pressure, although some patients manage their bladder control with the aid of external devices which take account of the unpredictable nature of neurogenic bladder problems.

Complications and side effects, Central nervous system diseases, Spinal cord injuries

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Pointing to change

Article Abstract:

The UK Department of Health has established a working party to look into outcome indicators for patients suffering from urinary incontinence. The development of a framework is expected to help health care professionals assess symptoms associated with incontinence, using severity measurements and pad leakage tests. Indicators cover women with stress incontinence, patients in long term care and referral rates of doctors who see patients presenting with incontinence symptoms.

Research, Medical care

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Managing incontinence

Article Abstract:

Nurses have an important role to play in encouraging people to be open about continence problems. Embarrassment may prevent sufferers from seeking help, but nurses can display literature and frame questions which will encourage people to appreciate that their problem is not uncommon. An assessment should then reveal the cause of the problem. Incontinence due to an unstable bladder or stress incontinence may respond to exercise or drug therapy.

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