This article examines the various elements that community nurses need to consider when attempting to provide best practice in urinary catheterisation. The author seeks to challenge what is considered best practice — particularly the requirement for all practice to be evidence based — while encouraging community nurses to think proactively about the care they are providing. The article stresses that the first principle of urinary catheterisation is to avoid the procedure where at all possible — catheterisation is potentially dangerous and can even be life-threatening if performed inappropriately. Overall, the author poses some key questions, including: should there be a difference in the care provided by community and hospital nurses; do community patients have the same needs as those in hospital; and can the manufacturers of drugs/products help to make avoiding urinary tract infections (UTIs) easier?
> Read More
Pain is experienced by many patients in primary and secondary care and its assessment and management is a fundamental aspect of nursing treatment. Community nurses need to possess a strong knowledge base of the various ways of treating pain to inform and advise their patients. This in turn enables nurses to help and empower patients to effectively control their pain with minimal side-effects. This article, the second in a two-part series on pain, provides an update on the management of acute and chronic non-malignant pain (the first part of this article, on the assessment of pain, appeared in Journal of Community Nursing 28: 83–86).
> Read More