EDITORIAL
i
T
his first issue of
Urology and Continence Care Today
focuses on
catheterisation and catheter care and why providing good
quality care and support for the many people living with a
catheter is vital.
The articles, written by experts in their field, look at a range of
topics relevant to clinical practice. The debate
piece focuses on the controversies around
catheterisation and why care should be
patient-centred and tailored to the individual
concerned. Jaqui Walker reinforces this with
her feature on the roles and responsibilities of
healthcare professionals to ensure that they
meet best practice standards in the delivery
of continence assessment and management.
As continence is part and parcel of patient
dignity, keeping the patient central is again highlighted in the piece
on intermittent self-catheterisation, as listening, giving choice and
education, can help patients to overcome the challenges of this
intimate and invasive procedure. Although indwelling catheters
should only be used as a last resort, for some they may be necessary.
Sharon Holroyd provides a comprehensive overview of the risks
involved and how following best practice can ensure that patients
get the right treatment, at the right time, with the lowest risk.
Alongside the physical aspects, the psychological impact of
catheterisation should never be underestimated. June Rogers
explores the burden this can place on quality of life, particularly
children and adolescents, and how nurses and urologists can help
to empower them to self-manage their condition and take control.
The insightful patient stories included within this issue, again
highlight the very real need for healthcare professionals to offer
ongoing emotional and practical support.
We hope that this supplement will be thought-provoking
and provide an update of best practice to everyone working with
patients who need catheters.
Binkie Mais, editor
Managing director
Nicola Rusling
nicola@woundcarepeople.co.ukPublisher/editor
Binkie Mais
binkie@woundcarepeople.co.ukBusiness director
Alec O’Dare
alec@woundcarepeople.co.uk07535 282827
Sales manager
Sam Ciotkowski
sam@jcn.co.ukOpinions expressed in the articles are those of the authors and
do not necessarily reflect those of Wound Care People Limited.
Any products referred to by the authors should only be used as
recommended by manufacturers’data sheets.
Welcome to
Urology and
Continence Care Toda
y
©Wound Care People Limited 2018
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ISSN 2516-4074
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All rights reserved. No part of
Urology and Continence Care Today
may be reproduced, stored in a retrieval system or transmitted by
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without the prior written permission of Wound Care People Ltd.
Printed in England by Blackmore Ltd, Shaftesbury
Picture on front cover courtesy of:
Vectorfusionart at Shutterstock
i
Contents
4 Continence care matters — is it time to take a fresh look at catheter care and could we do better? 8 The ACA — enabling healthcare organisations to flourish and grow Patricia McDermott 10 BAUN — helping to improve urological patient care Jane Brocksom 12 Overview of the urinary tract Rachel Leaver 14 Minimum standards of care: an overview Jaqui Walker 20 Intermittent self-catheterisation Rachel Leaver 28 Best practice in the use of indwelling catheterisation Sharon Holroyd 35 Best practice for trial without catheter Sharon Holroyd 40 Psychosocial issues and self-catheterisation June Rogers 46 An overview of the cost and complications of catheterisation Mariama Barrie 50 Patient perspective Belinda CampbellUROLOGY AND CONTINENCE CARE TODAY
2018,Vol 1, No 1
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