WUTH publication: Factors with the management of incontinence and promotion of continence in older people in care homes

Citation: Journal of Advanced Nursing  2014, 70(3), 476-96
Author: Flanagan L, Roe B, Jack B, Shaw C, Williams KS, Chung A, Barrett J
Abstract:  AIM: Review of intervention studies of associated factors with incontinence as the primary outcome in older people in care homes to identify and inform practice and future research.
BACKGROUND: Incontinence is highly prevalent among care home populations. Previous reviews of descriptive and intervention studies have used urinary incontinence as the primary outcome.
DESIGN: Systematic review and narrative summary.
DATA SOURCES: Electronic searches of English empirical studies undertaken using MEDLINE and CINAHL from January 1966-May 2010. All relevant empirical designs were selected from MEDLINE highly sensitive search strings from the Cochrane Incontinence Review Group, modified to exclude surgical and pharmacological studies REVIEW METHODS: The PRISMA statement was followed and established methods for systematic review to produce a narrative summary.
RESULTS: Nine studies identified relating to associated factors with the management of incontinence in care homes. Factors included economic data, skin care, exercise studies, staff quality and prompted voiding adherence and the promotion of continence by the management of dehydration and incontinence.
CONCLUSION: Managing incontinence and promoting continence in care homes is complex, requiring time and cost-efficient management procedures to contain the problem and deliver quality, achievable care. When developing and designing systems of care in care homes, it is important to also recognize the impact of associated factors. As with any healthcare intervention programme, resources are required to implement the protocols. Economic evaluation studies are limited, with further studies warranted alongside preventative studies to maintain long-term continence in these populations.

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WUTH publication: Regular observations: safe airway management.

Citation: British Journal of Nursing. 2013, 22(10), 554
Author: Pritchard MJ

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Primal pictures

Now available: 3D anatomy models, images and videos

Anatomy TV (Primal Pictures) – is now available to all staff until the end of March 2014.

The subscription includes:

·         Human Anatomy Regional Series - Interactive 3D anatomy models, MRI sections, clinical slides, text and videos. 9 regional titles are included; Head & Neck, Spine, Shoulder, Hand, Thorax & Abdomen, Pelvis, Hip, Knee, Foot & Ankle.

·         Interactive Functional Anatomy - Covers the whole body with over 80 muscle function animations

To access simply go to http://www.anatomy.tv and sign in using your NHS Athens account.

Please let us know what you think of this new resource.

WUTH publication: Steroid induced central serous chorioretinopathy in giant cell arteritis

Citation: Case reports in ophthalmological medicine. 2013. Epub 2013 Jun 11.
Author: Grixti A, Kumar V
Abstract: Giant cell arteritis (GCA) is an ophthalmic emergency which requires early diagnosis and treatment with high dose systemic corticosteroids in order to prevent permanent visual loss. However, systemic corticosteroids have significant ocular side effects including cataract formation, raised intraocular pressure, and less commonly, central serous chorioretinopathy (CSCR). We report a case of visual loss secondary to CSCR complicating corticosteroid therapy in GCA. When assessing patients with systemic conditions such as GCA or other vasculitic process, who complain of visual loss which is getting worse on corticosteroid treatment, clinicians should consider other causes such as CSCR as part of the differential diagnosis. Extra caution should be exercised in such cases as increasing the dose of corticosteroids might aggravate CSCR resulting in further visual loss.

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WUTH publication: Transconjunctival sutureless haptic fixation of posterior chamber IOL: a minimally traumatic approach for IOL rescue or secondary implantation

Citation: Retina (Philadelphia, Pa).2013, 33(3), 657-60
Author: Prasad S

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