5,173 research outputs found
Continence and skin health: new methods and new thinking
No full textUrinary and faecal incontinence are associated with dermatitis (Brown, 1994) and pressure ulcers (Spector and Fortinsky, 1998) but the mechanisms are poorly understood. Current nursing practices related to continence care, skin cleansing and protection have a weak foundation in research (Ersser et al, 2005) and much practice is based on beliefs, particularly regarding the use of products such as barrier creams. This symposium bring stogether recent work comprising the development of new methodologies and measurement techniques to study continence and skin care - the most basic of nursing care activities. Continence and skin health – how does water damage skin? Dr. M. Fader Drawing on evidence from baby diaper, pressure ulcer and cosmetic research, this paper will examine the theoretical background to hydration skin damage and will discuss the reliability and validity of current methods of measuring skin health in both laboratory and clinical settings. These will include including measurement of skin pH, erythema, trans-epidermal water loss (TEWL), capacitance and subjective rating
Catheters and incontinence after radical prostatectomy: preparing (but not scaring) men
No full textEvery year about 6000 men in the UK undergo radical prostatectomy (RP) for treatment of prostate cancer. Despite surgical advances, RP continues to be associated with significant side-effects including urinary incontinence (UI). Immediately following removal of the urinary catheter, leakage can be sudden, heavy and persistent requiring immediate recourse to continence products
Harriet Kelly
No full textHarriet Kelly, wife of Charles Kelly, is shown here with Josiah Gibbs and Frank Beckwith at Marysvale, Utah. Charles Kelly was a printer, artist, author, historian, the first superintendent of Capitol Reef National Park
Charles Kelly
No full textCharles Kelly is shown in this image at age 82. Charles Kelly was a printer, artist, author, historian, the first superintendent of Capitol Reef National Park
Problems facing people living at home with dementia and incontinence: causes, consequences and potential solutions
No full textBackground: many people living at home with dementia (PLWD) also have poorly managed toilet-use or incontinence problems with damaging consequences for both people with dementia, unpaid carers and health care professionals. Currently, there are no theoretically or empirically based interventions to help. The underlying causes and subsequent consequences of these problems need to be fully understood in order to support the development of interventions that have the potential to decrease the impact of these problems on people’s lives.Aim: to establish the range of causes, consequences and potential solutions of toilet-use and incontinence problems for PLWD and their carers.Method: a qualitative design was used. Semi-structured interviews were undertaken with PLWD, carers and healthcare professionals (continence or dementia nurses). PLWD and carers were recruited via www.joindementiaresearch.nihr.ac.uk and via dementia/carer groups. Nurses were recruited via their employers. Interviews were digitally recorded and transcribed verbatim. Framework analysis was used to interpret the data to address the goal of the research.Results: 45 people (26 unpaid carers, 2 people with dementia, 9 continence and 8 dementia healthcare professionals) took part. The causes of toilet-use and incontinence problems were reported to be multi-faceted and complex including those related to dementia (e.g. lack of insight into toileting needs or how to use the toilet), those which are physical (e.g. existing bladder or bowel issues or poor mobility), psychosocial (e.g. inability to ask for help for incontinence) or societal (e.g. fear of stigma), or related to care systems (e.g. lack of expert knowledge) or products (e.g. poor fit or confusing for users). Consequences included harms to physical and mental health, social isolation, increased carer workload and care system resource implications.Conclusion: this study provides the first detailed characterisation of the causes and consequences of and potential solutions for incontinence problems for PLWD at home and their carers. Multifaceted and complex problems were identified, layering dementia, physical, psychosocial, societal and care system factors and highlighting contextual variation. This new knowledge provides the essential basis for the (now underway) development of urgently needed practical and implementable interventions for this underserved population
Charles Kelly
No full textCharles Kelly was a printer, artist, author, historian, the first superintendent of Capitol Reef National Park
Charles Kelly
No full textCharles Kelly was a printer, artist, author, historian, the first superintendent of Capitol Reef National Park
Charles Kelly
No full textCharles Kelly was a printer, artist, author, historian, the first superintendent of Capitol Reef National Park
Charles Kelly
No full textCharles Kelly was a printer, artist, author, historian, the first superintendent of Capitol Reef National Park
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