Continence Care Pathways

, by Bayliss, Valerie; Locke, Rachel; Salter, Elizabeth

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ISBN: 9780470061435 | 047006143X
Cover: Paperback
Copyright: 6/29/2009

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This practical and timely book gives all the information required to implement care pathways for continence so that patients at all levels can have access to evidence based support and advice. It guides the reader through the pathway experience offering suggestions and advice on how to implement them locally, avoiding pitfalls, and incorporating case studies from Trusts who implement them. Written by experts in the field, it brings evidence and practice together, offering an alternative approach to assessment.

Dedication	p. ix
About the authors	p. xi
Foreword	p. xiii
Preface	p. xv
An overview of continence care and the case for care pathways	p. 1
Main policy documents	p. 2
Nursing role	p. 4
Providers of care	p. 5
Patient-centred care	p. 6
Background to continence care	p. 7
The evolution of care pathways	p. 10
Benefits of care pathways	p. 11
Key summary points	p. 12
The impact of quality and the need for evidence	p. 15
The patient's perspective	p. 15
Evidence-based practice	p. 16
The case for change	p. 18
Audit project	p. 19
The care pathway solution	p. 20
The evidence	p. 20
Other sources of evidence	p. 22
Outcome of evidence base and variance tracking	p. 23
Next steps	p. 24
Key summary points	p. 29
Process of development of care pathways	p. 31
Advantages of care pathways	p. 31
Process mapping and service redesign	p. 32
Local adaptation of template pathways	p. 36
Interviews	p. 36
Pilots	p. 36
Evaluation	p. 37
Overcoming resistance to change	p. 37
Improving communication with patients	p. 38
Communication techniques	p. 40
Using the continence care pathway: examples of NLP	p. 41
Case histories using NLP techniques	p. 42
Language	p. 43
Key summary points	p. 44
The generic continence pathway	p. 45
Fluid intake	p. 46
Cranberry juice	p. 48
Caffeine	p. 49
Suggested standard statements which may form part of the generic pathway	p. 50
Urinalysis	p. 50
Constipation	p. 54
Medication	p. 58
Environmental factors	p. 58
Cognitive dysfunction	p. 61
Key summary points	p. 64
Symptom-related specific pathways	p. 65
Quality of life	p. 66
Symptom profile, assessment and standard statements	p. 66
Standard statements relating to stress incontinence	p. 68
Standard statements relating to urge incontinence	p. 70
Standard statements relating to overflow incontinence	p. 71
Treatment options	p. 73
Stress incontinence care pathways	p. 74
Bothersome rating	p. 75
Suggested standard statements	p. 75
Urge incontinence care pathway	p. 79
Bothersome rating	p. 79
Suggested standard statements	p. 82
Overflow incontinence care pathway	p. 83
Bothersome rating	p. 85
Suggested standard statements	p. 86
Key summary points	p. 87
Bowel care pathway	p. 89
Physiology of the bowel	p. 89
Suggested standard statements	p. 91
Key summary points	p. 103
Involving patients and other experts	p. 105
Involvement of users	p. 105
What is patient involvement?	p. 107
The Expert Patients Programme	p. 109
User groups	p. 110
Who to involve	p. 111
When to involve users	p. 111
How many users?	p. 112
How to involve users	p. 112
Questionnaires	p. 114
Content validation	p. 115
Focus groups	p. 118
How can user involvement be undertaken locally?	p. 120
Focus groups	p. 121
Patient shadowing	p. 122
Patient diaries	p. 122
Discovery interviews	p. 123
Critical friends groups	p. 123
Key summary points	p. 124
Resources	p. 125
Organisations offering support to patients, carers and professionals	p. 126
Organisations that provide information and advice about equipment	p. 130
Companies providing educational material	p. 131
Educational literature	p. 133
Website resources on care pathways and patient involvement	p. 134
Information sheets for patients	p. 137
Information sheets for staff using pathways	p. 157
References	p. 185
Index	p. 193
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Continence Care Pathways

Summary

Author Biography

Table of Contents

Supplemental Materials