Volume 49 - Issue 12 - December, 2003

Promoting Continence: Simple Strategies with Major Impact

Index: Ostomy/Wound Management 2003;49(12):46–52



Indwelling Catheter Management: From Habit-based to Evidence-based Practice

     Indwelling urinary catheters are used in the care of more than five million patients per year. Prevalence rates range from 4% in home care to 25% in acute care. Catheter-associated urinary tract infections account for more than 40% of all nosocomial infections and can be associated with significant complications. Clinical practices in catheter management vary widely and frequently are not evidence-based. Effective nursing measures include: identifying patients who no longer need indwelling catheters, discussing appropriate catheter alternatives, and providing patient and ca



We Are All Continence Nurses!

   To many healthcare professionals, continence nurse signifies a nurse specializing in advanced continence care — ie, urodynamic testing, biofeedback therapy, and electrical stimulation. As a result, most clinicians believe (and say) they are not involved in “continence care.” Yet clinicians in all care settings manage the care of patients with urinary and fecal incontinence, using toileting programs, absorptive products, and containment devices such as indwelling or external catheters and fecal containment devices. In addition, WOC(ET) nurses are frequently consul