Continence

Topic Articles

99 result(s) for the key topic Continence were found:

Management of urinary tract infection (UTI) in the community
Urinary tract infection (UTI) is caused by the presence and multiplication of bacteria in the urinary tract, with associated tissue invasion. It is most common in women but can be more complicated in male and catheterised patients. This article highlights the importance of the correct diagnosis of UTI, which will identify ‘red flags’ to aid community nurses’ choice of management options and avoid the unnecessary prescription of antibiotics. In addition, the author makes recommendations for reducing catheter-associated UTIs (CAUTIs) in the community.
June 2014 : Volume 28, Issue 3
Reducing the risk of infection in indwelling catheterisation
Caring for patients with indwelling catheters is common in nursing practice in all settings (Foxley, 2011), despite being the last resort for patients with long-term bladder control problems. Community nurses in particular will regularly encounter patients with indwelling catheters, ranging from those with nerve damage such as spina bifida, multiple sclerosis (MS), stroke or spinal injury; those with debilitating or terminal illness with loss of mobility; to those who may lack the cognitive ability or sufficient awareness to use the toilet. Catheterisation carries a high risk of infection, resulting in an increased burden of care and cost to healthcare providers. It can also negatively impact on patient wellbeing. Providing for these patients 'around the clock' can be a particular problem in the community, with carers and patients requiring education in how to manage both the catheters themselves, as well as the accompanying equipment at night. This article provides a background to long-term catheterisation, before looking at ways of preventing infection as well as the techniques and equipment that can better enable 24-hour care.
June 2014 : Volume 28, Issue 3
A versatile range of leg bags for use in community patients
It has been estimated that around 4% of patients on community caseloads have long-term indwelling catheters (Pomfret, 2000). Healthcare professionals have a responsibility to be aware of the different closed drainage systems available, so that they can offer patients choices to suit their lifestyle and preferences. Leg bags are one option, which can be customised to maximise patient comfort and dignity. This paper discusses the impact that urinary incontinence can have on patient quality of life, and one range of leg bags that has been developed to meet patients’ specific needs.
April 2014 : Volume 28, Issue 2
Are our continence services fit for purpose?
Why does incontinence continue to lag behind many other key healthcare conditions, despite being a massive public health issue? There is a vast literature base that informs us that incontinence can affect men, women and children at any age, and that even slight incontinence can have a severe impact on quality of life for individuals and carers.
January 2014 : Volume 28, Issue 1
Supporting community patients with irritable bowel syndrome (IBS)
Irritable bowel syndrome (IBS) is associated with a significant impairment of quality of life. Due to the nature of its symptoms, the role of the nurse is central to the care of patients who may have IBS. The often embarrassing symptom profile means that patients may rely on nurses to provide psychological and physical support in helping them to improve their symptoms. In this article, the author discusses the management of patients with irritable IBS, including the optimal delivery of care for patients and the role of community nurses in dealing with this chronic condition.
January 2014 : Volume 28, Issue 1
Urinary incontinence and the importance of catheter fixation
Urinary incontinence affects quality of life in a large number of people of varying ages. For a significant number of patients the problem has to be addressed by catheterisation, a treatment method that can give rise to a host of potentially avoidable complications. Catheter stabilisation is an essential practice in avoiding unnecessary damage to the urethra and accompanying pain. While a number of products are available, there seems to be no preferred device for securing catheters. This article looks at CliniFix® (CliniMed, Buckinghamshire), a universal tube-securing device, which approaches tube fixation in a different way to strap-style-devices. 
November 2013 : Volume 27, Issue 5
Using an antimicrobial skin cleanser before catheterisation
Community nurses’ caseloads may include a large number of catheterised patients and catheter-related infection is a significant problem, with up to 90–100% of those who are catheterised long-term going on to develop a catheter-associated urinary tract infection (CAUTI). For community nurses, ensuring that their skin and that of the patient has been cleansed before any catheter-related intervention is paramount. This article looks at the use of a new antimicrobial cleansing solution (octenilin®; Schülke) and whether its properties reduced the infection risk associated with catheterisation in the community.
November 2013 : Volume 27, Issue 5
Inflammatory bowel disease - patient engagement and experience
Inflammatory Bowel Disease (IBD) is a collective name for a number of conditions such as Ulcerative Colitis (UC) and Crohn’s Disease (CD). It produces uncontrolled, chronic inflammation of the intestinal mucosa. IBD is characterised as a chronic illness that is punctuated by disease exacerbation and remission; patients require an individual, multidisciplinary/multimodal approach to care. There is currently no permanent cure for either CD or UC, therefore treatment strategies focus on good symptom control, modification of the disease process and improving quality of life.
May 2013 : Volume 27, Issue 3
Management of constipation in the community
Constipation is one of the most common gastrointestinal problems experienced by the general population, with an estimated UK prevalence of 52 per cent. Despite this, constipation is often both misdiagnosed and under-treated both in children and adults. This paper will look at the issues and suggest specific management strategies for addressing constipation in both the general adult population and these apparently vulnerable groups.
March 2013 : Volume 27, Issue 2
Good practice in catheter care
Despite many advances in the treatment and management of bladder dysfunction, there are still some patients who require an indwelling urethral or supra-pubic catheter, or intermittent catheterisation to help maintain urinary continence. This article builds upon the principles of catheterisation presented by Booth and Clarke in the May/June 2012 issue of JCN, outlining fundamentals such as privacy, dignity, harm minimisation and the use of care bundles.
November 2012 : Volume 26, Issue 6
Continence product use: a review
The prevalence of incontinence is significant in care settings. However, care is often focussed on containing the problem rather than establishing and treating the underlying cause. In order to assess the appropriateness of product usage, and therefore give an indication of quality of continence care within our organisation, we undertook a review. This article, a previous entry in the JCN Writing Awards, describes the methodology and results and identified areas for practice improvement.
September 2012 : Volume 26, Issue 5
Principles of urinary catheterisation
Urinary catheterisation is one of the most common procedures undertaken in both primary and secondary care. However, the process carries a number of inherent risks, such as the potential for trauma and the introduction of infection. In addition, the inappropriate use of a catheter can cause long-term damage. This article outlines the indications for their use and the type to be used according to patient requirements.
May 2012 : Volume 26, Issue 3
Treating psoriasis in community practice
Psoriasis is a common, recurring inflammatory condition that affects the skin, scalp and joints. It can have a profound effect on an individual’s self-image, self-esteem, and sense of well-being and can negatively affect all aspects of life.
May 2012 : Volume 26, Issue 3
Choosing the correct stoma appliance
Pat Black discusses some of the modern stoma appliances available and offers a guide to choosing the correct appliance for the patient with a bowel or bladder stoma.
November 2011 : Volume 25, Issue 6
Constipation: review of management and treatment
In her second article Gaye Kyle discusses the management and treatment of constipation and the need to develop a proactive approach.
November 2011 : Volume 25, Issue 6
Managing chronic constipation
In the first of two articles Gaye Kyle reviews the definitions of constipation, epidemiology, causes of constipation, symptoms and assessment.
September 2011 : Volume 25, Issue 5
Stoma management and palliative care
Barbara Borwell discusses how an individual’s ability to deal with the practical features of stoma care will differ, therefore, requiring unpredictable levels of intervention. This article focuses on the principles of stoma care acknowledging the importance of factors, which can enhance the quality of life
July 2011 : Volume 25, Issue 4
Continence product use in the community
Ian Pomfret, June Rogers & Julie Vickerman discuss the various uses of continence aids available in the community
May 2011 : Volume 25, Issue 3
Stoma formation
Jennie Burch discusses stomas and the reasons for their formation.
May 2011 : Volume 25, Issue 3
Reducing the risk of traumatic hypospadias
Dr Guy Evans, Dr Shahid Kausar & Miss Yuko Smith discuss two case studies which look at how practitioners might reduce the risk of traumatic hypospadias in catheterised patients.
March 2011 : Volume 25, Issue 2
The patient journey: guiding practice in intermittent catheterisation
Karen Logan discusses the development of a guideline to deliver best quality care to patients learning and living with clean intermittent catheterisation
January 2011 : Volume 25, Issue 1
Catheter care: is it really improving?
Ian Pomfret discusses the findings from two recent reports looking at catheter safety
September 2010 : Volume 24, Issue 5
Stress incontinence
Patricia McDermott explores the health care professionals role in promoting conservative rehabilitative treatment strategies that may be effective in the treatment of genuine stress urinary incontinence
May 2010 : Volume 24, Issue 3
Review of the factors influencing continence care
The winner of the 2009 JCN Excellence in Practice Awards - Patricia McDermott reviews the contextual factors of culture, attitudes, education and training that may influence proactive continence care
January 2010 : Volume 24, Issue 1
Faecal incontinence – exploring the ‘hidden problem’
Dr Karen Ousey & Dr Warren Gillibrand discuss the need for thorough assessment for individuals presenting with faecal incontinence.
December 2009 : Volume 23, Issue 12
Reducing encrustation & catheter blockage
Ian Pomfret, Lauren Tew & Sharon Eustice discuss the use of silver alloy catheters in the management of catheter encrustation and blockage and reducing catheter acquired urinary tract infections
October 2009 : Volume 23, Issue 10
Safe and secure – improving practice in the UK
Lynda Eastwood discusses the need for innovation in catheter care practice
May 2009 : Volume 23, Issue 5
Assessment and management of faecal incontinence
Alison Bardsley gives an overview of this distressing condition and how it can be managed in the community setting
April 2009 : Volume 23, Issue 4
Urinary catheterisation: the infection control aspects
In a previous article several issues surrounding urinary catheters and their care were raised. In this article, Debbie Wright and Ian Pomfret discuss these and other catheter-related issues from infection control and continence promotion viewpoints
March 2009 : Volume 23, Issue 3
Coated catheters – reviewing the literature
Alison Bardsley aims to provide a summary of the evidence available for the use of anti-infective coated or impregnated catheters.
February 2009 : Volume 23, Issue 2
A novel method of suprapubic catheter management
Ian Pomfret discusses a case study whereby, patient, carer and continence specialists have achieved a novel way of meeting a client's specific continence needs
Ian Pomfret SRN, NDN Cert, PWT is a District Continence Adviser for Central Lancashire PCT. Article accepted for publication: June 2008
November 2008 : Volume 22, Issue 11
Managing stoma & skin related problems
Joanne Wright gives an overview of the management of stomas and skin related problems
Joanne Wright RGN, RM is a Practice Nurse and a Freelance Medical Writer, Brighouse, West Yorkshire
Article accepted for publication: June 2008
September 2008 : Volume 22, Issue 9
Indwelling urinary catheters: friend or foe?
Ian Pomfret introduces a new series of continence articles. In this first article, he discusses the pro’s and cons of indwelling catheterisation
Ian Pomfret SRN, DN Cert, PWT, District Continence Adviser, Central Lancashire PCT
Article accepted for publication: May 2008
July 2008 : Volume 22, Issue 7
Intermittent catheterisation
Ann Winder gives a guide to the appropriate use of intermittent catheterisation.
Ann Winder RGN, Head of Continence Services & Professional Lead – Specialist Adult Services, Hertfordshire
Article accepted for publication: January 2008
May 2008 : Volume 22, Issue 5
Skin care and incontinence
On behalf of members of the CCSG Ian Pomfret discusses the range of skin cleansing products available for incontinent patients
Ian Pomfret SRN, NDN Cert, PWT is a Continence Advisor, Central Lancashire PCT
January 2008 : Volume 22, Issue 1
Promoting continence positively
Claire Hope gives an overview of the impact that urinary incontinence can have on a persons physical and
psychological health and social well being
Claire Hope RN, RM, PG Dip HCE, MSc is a Nurse Lecturer at St Bernards Hospital, Gibraltar
*Article accepted for publication August 2007
November 2007 : Volume 21, Issue 11
The effects of urinary and faecal incontinence on the skin
Joanne Whiteley gives an overview of the need for holistic assessment of incontinent patients' skin
Joanne Whiteley RGN, BSc is Continence Services Manager, Kirklees PCT
Article accepted for publication: July 2007
October 2007 : Volume 21, Issue 10
Care of a colostomy
Sylvie Hampton discusses some of the practical issues faced by ostomates and the management of skin and stoma
Sylvie Hampton MA, BSc (Hons.) DpSN, RGN is a Tissue Viability Consultant, Eastbourne.
Article accepted for publication: July 2007
September 2007 : Volume 21, Issue 9
Urinary catheter problems: 2
Ian Pomfret discusses the management of air in urinary catheter bags
Ian Pomfret RGN, DN, PWT is a Continence Adviser, Central Lancashire PCT
Article accepted for publication: April 2007
July 2007 : Volume 21, Issue 7
Male urinary incontinence - could penile sheaths be the answer?
Jennie Potter discusses the use of penile sheaths
Jennie Potter is Lead Nurse for Continence Care Fast Response Team, Selby & York Primary Care Trust (PCT)
Article accepted for publication: December 2006
May 2007 : Volume 21, Issue 5
Treating UTI in the primary care setting
Louise Lee reviews three research articles on the treatment of urinary tract infection (UTI) in a primary care setting.
Louise Lee RGN, Cert MHSC, BSc (Hons) is a clinical nurse specialist in continence which provides a service across three PCTs.
Article accepted for publication: December 2006
January 2007 : Volume 21, Issue 1
Penile sheaths: a guide to selection and fitting
Ian Pomfret gives a guide to selecting and fitting penile sheaths.
Ian Pomfret SRN, NDN Cert, PWT, is a District Continence Advisor, Chorley & South Ribble PCT.
Article accepted for publication: September 2006
November 2006 : Volume 20, Issue 11
Intermittent self catheterisation: a change in practice or just a series of developments?
Willie Doherty argues that intermittent self catheterisation should be acknowledged as the first option in treatment of bladder emptying dysfunction and management rather than initiating indwelling catheterisation as first line management.
Willie Doherty, RNLD, RGN, D/N Cert, ENB 978 is clinical nurse specialist at North Herts and Stevenage PCT.
Article accepted for publication: July 2006
September 2006 : Volume 20, Issue 9
Urinary catheter problems
Ian Pomfret & Mandy Wells describe some common catheter problems faced by district nurses and some not so common solutions.
Ian Pomfret SRN, NDN Cert, PWT is District Continence Adviser, Chorley & South Ribble PCT.
Mandy Wells MSc, RN, RM, Nurse Consultant, Integrated Bladder and Bowel Care, Exeter PFT, East Devon PCT, Mid Devon PCT and the Royal Devon and Exeter Foundation NHS Trust.
Article accepted for publication: June 2006
July 2006 : Volume 20, Issue 7
Making sense of working together
Ian Pomfret, Clare Holden, Debbie King, Rebecca Molyneux, Linda Newsham, Lauren Tew and Julie Vickerman discuss an enterprise and what may be achieved when there is close collaboration between the key personnel responsible for providing both continence care and infection control (IC) services.
Ian Pomfret RGN, NDN Cert, PWT (District Continence Adviser)
Julie Vickerman Dip COT (Clinical Specialist, Continence Occupational Therapy)
Clare Holden BSc Hons Physiotherapy (Clinical Specialist, Continence Physiotherapy) are team members of the Continence Advisory Service, Chorley & South Ribble NHS Primary Care Trust.
Linda Newsham RGN, Dip N, MICS (Senior Nurse, Infection Control), Chorley & South Ribble NHS Primary Care Trust.
Rebecca Molyneux RGN, Cert Ed, BSc Hons, MHSc (Senior Nurse, Infection Control), Lancashire Teaching Hospitals NHS Trust).
Debbie King RN, BSc Hons (Lead Infection Control Nurse), Solihull NHS Primary Care Trust, Solihull, West Midlands
Lauren Tew RGN, BSc Hons, PG Dip, RNT (Infection Control Nurse and Clinical Consultant), Bard Ltd.
Article accepted for publication: January 2006
May 2006 : Volume 20, Issue 5
Stress urinary incontinence, whose problem is it?
Jeanette Haslam gives an overview of female stress urinary incontinence.
Jeanette Haslam, MPhil, Grad Dip Phys, MCSP, RP is an Independent Clinical Specialist in Women's Health, Senior visiting lecturer, University of Bradford.
Article accepted for publication: October 2005

Illustrations reproduced within this article are by kind permission of the Lilly/Boehringer Ingelheim alliance.
January 2006 : Volume 20, Issue 1
Questioning practice - the need for research in continence care
Ian Pomfret and Rona Mackenzie give an overview of the work of a continence forum in evaluating and researching the evidence base behind continence management.
Ian Pomfret SRN, NDN Cert, PWT is a District Continence Adviser, Chorley & South Ribble PCT.
Rona Mackenzie RGN, RM, NDN Cert, Cert Ed, BA (Hons) is a Clinical Nurse Specialist, Epping Forest PCT
Article accepted for publication: October 2005
November 2005 : Volume 19, Issue 11
Multiprofessional treatment of urinary incontinence following radical prostatectomy
Ian Pomfret and Clare Holden give an overview of collaborative working in continence services.
Ian Pomfret RGN, NDNc, PWT
is District Continence Adviser, Chorley and South Ribble Primary Care Trust, Lancashire. Clare Holden BSc (Hons) Physiotherapy
is Clinical Specialist Continence Physiotherapist, Chorley and South Ribble Primary Care Trust, Lancashire. Article accepted for publication June 2005
September 2005 : Volume 19, Issue 9
An introduction to stomas
Lyn Kirkwood gives an overview of the anatomy of the digestive tract, the types of stomas created and the reasons for having a stoma.
Lyn Kirkwood, Clinical Nurse Specialist, Weston General Hospital, Weston-super-Mare. Article accepted for publication: February 2005
July 2005 : Volume 19, Issue 7
Relieving constipation
Fiona Wondergem discusses the need for community practitioners to provide evidence of effectiveness when managing constipation and advocates a stepped approach to care. Fiona Wondergem RGN, RSCN, BSc (Hons) is a Student Health Visitor, Leeds Metropolitan University, West Yorkshire. Article accepted for publication: February 2005
May 2005 : Volume 19, Issue 5
Improving continence care: searching the evidence
Deborah Flynn explores the evidence base of pelvic floor exercises (PFEs) for the treatment of urinary stress incontinence (SI) and discusses the implications of a national clinical guideline for continence services.
Deborah Flynn RGN, DN, BSc, Dip Prof Studies was District Nurse Team Leader at the time of writing. She is now Clinical Nurse Specialist for Continence & Lead Nurse for Continence for Funded Nursing Care/Complex Care, North Devon PCT. Article accepted for publication: January 2005
March 2005 : Volume 19, Issue 3
Benchmarking continence services
Ian Pomfret and Frank Booth discuss the benchmarking of continence services and describe the experiences of neighbouring primary care trusts Flyde Coast PCT and Chorley and South Ribble PCT
Ian Pomfret RGN, DN Cert, PWT, is District Continence Adviser, with Chorley and South Ribble PCT. Frank Booth RGN, DN Cert, is Head of Continence Services with Fylde PCT.
Article accepted for publication: July 2004
January 2005 : Volume 19, Issue 1
Constipation - a hard habit to break
December 2004 : Volume 18, Issue 12
Contracting within the NHS
Frank Booth gives an overview of contracting for continence services within the NHS
Frank Booth RGN, DN Cert is a District Continence Advisor/Continence Services Manager, Flyde PCT, Lancs
Article accepted for publication: February 2004
November 2004 : Volume 18, Issue 11
Urinary catheters and associated uti's
Ian Pomfret and Lauren Tew discuss the essential role of the nurse in the reduction of catheter associated urinary tract infections (CAUTIs)
Ian Pomfret RGN, NDN Cert, PWT is District Continence Adviser, Chorley & South Ribble PCT.
Lauren E Tew RN, BSc Hons, PGDip (HE), RNT is Infection Control Consultant, Bard Ltd. Article accepted for publication: July 2004
September 2004 : Volume 18, Issue 9
An agenda for action on continence
Frank Booth gives an overview of the state of continence provision and services in the UK
Frank Booth, RGN, DN Cert. is a District Continence Advisor/Continence Services Manager with the Fylde Primary Care Trust. Article accepted for publication: May 2004
July 2004 : Volume 18, Issue 7
Crisis management in catheter care
Ann Yates, RGN, BN (Hons), Dip Nurs, Fetc is Chairperson of the Association for Continence Advice Wales and Director for Continence Services for the Cardiff and Vale NHS Trust. Article accepted for publication: February 2003
May 2004 : Volume 18, Issue 5
Blocked indwelling urethral catheters: evaluating evidence based practice
Barbara Holtom reviews the literature and discusses if it is possible to plan individualised catheter changes for patients
Barbara Holtom RGN, DNCert, Dip Prof Studies (Nursing) is a Senior Community Night Sister. Article accepted for publication: October 2003
March 2004 : Volume 18, Issue 3
Advancing care and clinical practice
Deborah Flynn gives an overview of a project designed to increase people in care homes access to continence services
Deborah Flynn RGN, DN Cert, Dip Prof Studies. At the time of writing she was employed as a DN Team Leader, now working as a Clinical Nurse Specialist (Continence), North Devon PCT.
Article accepted for publication: May 2003
January 2004 : Volume 18, Issue 1
Back to Basics 1: Assessment of bowel dysfunction
In a two part back to basics article, Karen Irwin looks at the assessment and management of bowel dysfunction and gives an overview of common bowel problems.
Karen Irwin BA (Hons), RGN, DN, DiPNS is a Clinical Nurse Specialist - Bowel Dysfunction, Bolton Primary Care NHS Trust. Article accepted for publication: June 2003
November 2003 : Volume 17, Issue 11
Back to basics: urinary sheaths
Ian Pomfret gives a basic guide to using and choosing urinary sheaths.
Ian Pomfret SRN, NDN Cert, PWT is a District Continence Adviser, Chorley & South Ribble Primary Care Trust. Article accepted for publication: April 2003
October 2003 : Volume 17, Issue 10
An agenda for action on continence
Frank Booth gives an overview of the state of continence provision and services in the UK.
Frank Booth RGN, DN Cert, is a Continence Services Manager Windmill Mews, Blackpool.
Article accepted for publication: March 2003
September 2003 : Volume 17, Issue 9
A survey of continence nurse advisors working in one health region
Lynn Austin describes a research study which provided profile of clinical nurse specialists working in a primary care setting in a bid to enhance understanding of the role and work undertaken by continence advisors in one health region.Lynn Austin MSc, RGN, MRC Fellow, School of Nursing Midwifery and Health Visiting, University of Manchester.
Article accepted for publication: February 2003
August 2003 : Volume 17, Issue 8
Catheter removal and recatheterisation
John Robinson suggests several techniques to remove old catheters and recatheterise patients. John Robinson RGN, RMN, NDN (Cert), District Charge Nurse, Continence Advisory Service, Morecambe Bay Primary Care Trust NHS, Morecambe. Article accepted for publication: September 2002
May 2003 : Volume 17, Issue 5
Choosing a catheter
John Robinson runs through a few practical steps to consider when choosing a urinary catheter.
John Robinson RGN, RMN, NDN (Cert), is a District Charge Nurse, Continence Advisory Service, Morecambe Bay Primary Care Trust NHS, Morecambe, Lancs. Article accepted for publication: April 2002
March 2003 : Volume 17, Issue 3
Anaesthetic gel insertion during male catheterisation
Vivien Ogden describes a literature review and a pilot study of anaesthetic gel insertion in male recatheterisation.
Vivien Ogden RGN, Dip DN Community Nursing Studies is a District Nursing Sister, Grovelands Medical Centre, Reading, Berks.
Article accepted for publication: July 2002
January 2003 : Volume 17, Issue 1
Audit of community catheter care - a comparative study
Ian Pomfret, Ann Winder & Willie Doherty report on a twin centre study designed to test the accuracy of an audit of community catheter care.
Ian Pomfret SRN, NDN Cert, PWT is a District Continence Advisor, Chorley & South Ribble Primary Care Trust. Ann Winder RGN is a Senior Clinical Nurse Specialist, North Hertfordshire & Stevenage Primary Care Trust. Willie Doherty NNLD, RGN is a Clinical Nurse Specialist, North Hertfordshire & Stevenage Primary Care Trust.
Article accepted for publication July 2002.
November 2002 : Volume 16, Issue 11
The prostate and its problems
Beverley Chiodo gives an overview of some of the more common causes of prostate problems and discusses some of the treatments available.
Beverley Chiodo BA(Hons), RGN is a Freelance Health Writer living in West Yorkshire.
Article accepted for publication September 2002.
November 2002 : Volume 16, Issue 11
Audit of community catheter care
Ian Pomfret describes an audit of community catheter care in a bid to assess workload pressures of a Lancashire rapid response team.
Acknowledgements:
The RRT, Chorley & South Ribble PCT, Mrs. J. Scanlon, Manager RRT, Ms. S. Baxter, Clinical Governance & Audit Facilitator
Ian Pomfret SRN, NDN Cert, PWT, District Continence Adviser, Chorley & South Ribble Primary Care Trust. Article accepted for publication March 2002.
October 2002 : Volume 16, Issue 10
Physiotherapist’s role within the continence team
Joanne Whitehead describes the role of the physiotherapist as part of a continence team.
Joanne Whitehead GradDipPhys, MCSP, SRP is now a Clinical Specialist Physiotherapist/Continence at Burnley General Hospital, Lancashire.
Article accepted for publication October 2001.
September 2002 : Volume 16, Issue 9
Back to basics: an introduction to continence issues
Ian Pomfret provides an overview of continence issues.
Ian Pomfret SRN, NDN Cert, PWT, is a District Continence Adviser, Chorley & South Ribble NHS Trust. Article accepted for publication March 2002.
July 2002 : Volume 16, Issue 7
Continence awareness for people with a visual impairment
Cate Parker looks at the difficulties faced by visually impaired people with continence problems.
Cate Parker RGN, BA, PGCE, Project Development Worker, PromoCon.
Article accepted for publication August 2001.
June 2002 : Volume 16, Issue 6
Irritable Bowel Syndrome (IBS)
Francis Allison discusses the diagnosis and treatment of irritable bowel disease.
Francis Allison, BA, Dip N (Lond.), Cert.Ed. RGN, RMN, RNMH, RCNT, RNT, is a Freelance Health Writer (former Senior Lecturer in Primary Healthcare), Lancaster.
Article accepted for publication May 2001.
June 2002 : Volume 16, Issue 6
Use of the stages of change/transtheoretical model in promoting continence
Michael Hughes discusses the use of a client-centred model to promote continence
Michael Hughes RN, BSc (Hons), DipN, Cert HPM, MIHM, MRSH, SHEPS is an Independent Healthcare Training Consultant, London.
Article accepted for publication September 2001.
May 2002 : Volume 16, Issue 5
Digital rectal examination/manual removal of faeces in adults
Karen Irwin discusses the protocols surrounding the use of digital rectal examination and manual removal of faeces and offers a step by step guide to performing the procedure.
Karen Irwin BA (Hons) RGN, DN is a Clinical Nurse Specialist - Bowel Dysfunction within the Community Health Care Bolton NHS Trust.
Article accepted for publication May 2001.
April 2002 : Volume 16, Issue 4
The political aspects of continence: informing the public
Former director of the Continence Foundation David Pollock gives an overview of the political sensitivity of continence issues in Britain.
David Pollock was until February 2001 Director of the Continence Foundation, London.
Article accepted for publication June 2001.
December 2001 : Volume 15, Issue 12
Continence, health policy and older people
Sue Thomas discusses current policies that influence continence service provision for older people.
October 2001 : Volume 15, Issue 10
Urethral catheterisation - is gel needed?
Ian Pomfret discusses the use of anaesthetic gel in catheterisation.
October 2001 : Volume 15, Issue 10
Reconfiguration of a continence service
Ian Pomfret describes how a continence specialist, occupational therapist and physiotherapist are delivering a multidisciplinary and multi-skilled continence service to people living in a Lancashire health trust.
July 2001 : Volume 15, Issue 7
Continence products - top five requests
Helen White and Debra Evans give us the lowdown on the top five continence product requests.
June 2001 : Volume 15, Issue 6
Selecting the appropriate method of catheterisation
Ian Pomfret guides us thorugh the different types of catheterisation available.
April 2001 : Volume 15, Issue 4
Managing adult faecal incontinence
Karen Irwin discusses the sensitive management of faecal incontinence.
February 2001 : Volume 15, Issue 2
Removing catheters
John Robinson gives a brief overview of his ongoing research projects into whether patients complain of pain on removal of catheters.
December 2000 : Volume 14, Issue 12
Intermittent self-catheterisation
Hilary Duffin outlines the individual methods and advantages of clean intermittent catheterisation - a much underused technique in bladder control management
October 2000 : Volume 14, Issue 10
Catheter care case histories
Ian Pomfret describes three case histories of patients with catheter related problems and discusses how the community nurse may be able to meet the needs of these clients.
August 2000 : Volume 14, Issue 8
Promoting continence - a reflective account
Linda Davis reflects on an incident whereby a client with continence problems would not comply with treatment suggestions
June 2000 : Volume 14, Issue 6
Day-time wetting in school age children
June Rogers reviews the differing types of day-time wetting problems affecting children and discusses appropriate interventions and treatments.
April 2000 : Volume 14, Issue 4
Urinary continence management – penile sheaths
Ian Pomfret describes the correct use of penile sheath systems in the management of male urinary incontinence.
April 2000 : Volume 14, Issue 4
Assessing psychological well-being of incontinent patients
Gwenda Lewis describes the use of psychological assessment to ensure the well-being of incontinent patients.
September 1999 : Volume 13, Issue 9
Catheter care - trouble shooting
Ian Pomfret describes some of the more commonly experienced catheter problems and gives advice on tackling them.
June 1999 : Volume 13, Issue 6
The role of health promotion in childhood soiling
Jane Lucy describes the role of health promotion in the care of children who soil and their families.
April 1999 : Volume 13, Issue 4
Continence advisors to the rescue!
Dorothy Sneddon discusses the qualities needed to be a successful continence advisor.
February 1999 : Volume 13, Issue 2
Stress incontinence
Loraine Roberts describes some of the factors which can affect a client's ability or willingness to comply with treatment guidelines for stress incontinence.
December 1998 : Volume 12, Issue 12
Audit outcomes: standards for catheter care
Ian Pomfret discusses the findings of the latest audit outcomes with regard to standards for catheter care.
October 1998 : Volume 12, Issue 10
Continence and the community nurse
Michael Hughes defines incontinence and discusses its prevalence and service provision.
October 1998 : Volume 12, Issue 10
Realising the potential of urinals for women
Joan McIntosh describes the range of urinals for women available in the UK.
August 1998 : Volume 12, Issue 8
Promoting continence training for people with learning difficulties Part One
Linda Smith & Paul Smith review continence training approaches used in the treatment of people with learning disabilities.
June 1998 : Volume 12, Issue 6
Attitudes of health workers to incontinence
Claire Smith describes a small pilot study which questioned the attitudes of health workers towards incontinence.
April 1998 : Volume 12, Issue 4
Treating urinary incontinence using biofeedback and neuromuscular stimulation
Jeanette Haslam describes the differing types and uses of biofeedback and neuromuscular stimulation when treating incontinence.
February 1998 : Volume 12, Issue 2