The role of the occupational therapist in continence care.
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Biomedical subjects
Publications and source records attributed to Julie Vickerman.
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Reduced mobility, physical weakness or other disabilities can all contribute to continence problems (McIntosh, 1998). The ability to transfer from a bed or chair to a commode may be a critical factor in deciding whether patients can be discharged home or into residential care. Also, patients--particularly women--may be prescribed continence pads simply because they cannot access the toilet or commode rather than having a diagnosed bladder condition.
Chorley & South Ribble Primary Care Trust's multiprofessional continence service was established in 2000 (Pomfret, 2001). An integral part of this service development was the creation of a community-based, hand-held urinal library. There are 28 female hand-held urinals available in the UK and many more for males. Some of the urinals are available on prescription and others have to be purchased by the patient. The urinal library allows patients in the community to use the urinals before they are prescribed or buy them, because it is only by using them that they will know that the product will be suitable. The service is proving to be hugely successful.
Julie Vickerman describes some of the male urinals currently available, and highlights how appropriate assessment and provision of products can improve the quality of life for male patients with continence problems.
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