Continence - Promotion and Management by the Primary Health Care Team Consensus Guidelines

by Button, Denise; Roe, Brenda; Webb, Christine; Frith, Tony; Colin-Thome, David; Gardner, Lance

• ISBN13: 9781861560780
• ISBN10: 1861560788
• Edition: 1st
• Format: Paperback
• Copyright: 1998-02-04
• Publisher: Wiley

Summary

These guidelines were developed as part of the NHS Executive Consensus Strategy for Major Clinical Guidelines. The methods used for the production of the guidelines were (i) a systematic review of the literature on incontinence and continence promotion and (ii) a multidisciplinary consensus conference of invited experts and clinicians in continence care and consumers of continence services.Since advances in health care may soon outdate current methods, the guidelines do not aim to direct the practitioner to specific named treatments. Rather, the aim is to aid clinicians in making decisions about purchasing and providing appropriate continence services in Primary Care.

Author Biography

Denise Button BSc(Hons), MSC, RN, RNT, Postgraduate student, School of Nursing Studies, University of Manchester. Formerly Project Officer, Castlefields Health Centre, Runcorn, Cheshire.

Brenda Roe PhD, RN, FRSH, Honorary Senior Research Fellow, Institute of Human Ageing, University of Liverpool. Formerly Senior Research Fellow, Health Services Research Unit, University of Oxford.

Christine Webb BA (Hons), MSc, PhD, RN, RSCN, RNT, Professor of Health Studies, Institute of Health Studies, University of Plymouth. Formerly Professor of Nursing, School of Nursing Studies, University of Manchester.

Tony Frith MB, ChB, MRCGP, General Practitioner, Castlefields Health Centre, Runcorn, Cheshire.

David Colin-Thome MB, BS, FRCGP, D(Obst) RCOG, DCH, (Hon)MFPHM, General Practitioner, Castlefields Health Centre, Runcorn, Cheshire.

Lance Gardner MSc, RN, RHV, NPDip, Professional Development Officer, Queens Nursing Institute and Salford Community Health Care NHS Trust. Formerly Business/General Manger and Nurse Practitioner, Castlefields Health Centre, Runcorn, Cheshire.

Table of Contents

Foreword	vii
The Authors	ix
Acknowledgements	x
Contributors	xii
Chapter 1 Introduction and Background	1	(4)
Chapter 2 Summary of Guideline Statements	5	(4)
Chapter 3 Guidelines	9	(26)
Chapter 4 Systematic Review of the Literature	35	(70)
Introduction and background	35	(1)
Methodology	35	(4)
Definition of incontinence	39	(1)
Prevalence of urinary incontinence	40	(15)
Incidence of urinary incontinence	55	(1)
The burden of urinary incontinence	56	(5)
Causes and types of urinary incontinence	61	(10)
Assessment of urinary incontinence and enuresis	71	(4)
Promotion/restoration of continence	75	(15)
Management of incontinence	90	(7)
Faecal incontinence	97	(2)
Educational issues	99	(4)
Audit issues	103	(1)
Conclusion	104	(1)
Chapter 5 Recommendations for Further Research and Development	105	(2)
Appendix I Examples of Good Practice and/or Useful Resources	107	(4)
Appendix II Useful Addresses	111	(2)
Appendix III Methodology	113	(4)
Glossary of Terms	117	(8)
References	125