The role of the specialist nurse in bladder and bowel dysfunction
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The Role of The Specialist Nurse In Bladder and Bowel Dysfunction PowerPoint PPT Presentation


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The Role of The Specialist Nurse In Bladder and Bowel Dysfunction. Angela Patterson Lead Clinical Nurse Specialist Bladder and Bowel Dysfunction South Eastern Trust. Background. Affects more than 6 million in the UK Affects all age groups Can have devastating consequences

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The Role of The Specialist Nurse In Bladder and Bowel Dysfunction

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The Role of The Specialist NurseIn Bladder and Bowel Dysfunction

Angela Patterson

Lead Clinical Nurse Specialist

Bladder and Bowel Dysfunction

South Eastern Trust


Background

  • Affects more than 6 million in the UK

  • Affects all age groups

  • Can have devastating consequences

  • Costs to the NHS 353.6million (1998)

  • More cost effective to treat than contain

  • 80% can be cured - RCOP

  • Conservative treatments should be first line option (NICE and SIGN guidelines)

  • All clinics are Nurse Led


Episodes of Care

Aims of service are to alleviate bladder and bowel dysfunction and

incontinence through treatment

  • Almost 1800 new referrals = over 3,500 FTF contacts

  • Majority of clients below 65 – 73.5%

  • Ages range from 13 years – no upper limit

  • Referral criteria

  • Referrals received from wide spectrum of sources

  • 73.6% of all clients seen did not require containment products – significant savings for Trust.

  • Community based service with in reach to acute hospitals


Quality of Life

  • Incontinence can lead to social isolation and depression.

  • Withdrawal from sexual activity.

  • Feelings of shame, frustration, stigmatised.

  • For older adults, can be deciding factor in long term care placement

  • Direct correlation between falls, fractures and hospital admission -females over 65: 19 – 42% have falls of these 4 – 9% will sustain fractures. Cost to NHS 1.4 million per day

  • Loss of skin integrity – pressure ulcers caused by poor continence care 1.4 – 2.1 Billion per year.

  • Treatment restores self esteem, confidence, self belief, independence, return to normal activities

  • Reduces safety concerns

  • Efficient use of resources


Improved Patient Experience

  • Satisfaction survey conducted twice yearly

  • Results show 100% satisfaction with

  • Staff Attitude

  • Communication Skills

  • Privacy and Dignity

  • Treatment and Care

  • Patient experience

  • Service User Group: Flowline


Improved Patient Safety

  • Successful treatment will result in improved safety outcomes.

  • Treatment will prevent incontinence dermatitis and loss of skin integrity

  • Involved in pass it on collaboration with tissue viability colleagues

  • Involved in creation of SRC guidelines and catheter care bundles in conjunction with infection control colleagues - PFA


Access to Services

  • All Clinics are nurse led - held in variety of community settings (6 locations)

  • Clinic appointment times are flexible to suit client needs

  • Domiciliary visits can be arranged as required

  • On discharge patients given contact number for on-going support with option of self referral if required in the future


Achievement of Service Objectives

  • To change culture from containment to treatment – passive to proactive - MDT

  • To ensure team is safe and effective in what we do – outcome measures / USS

  • To ensure team is providing good value for money – UDS / onward referral rate less than 10% - efficient use of Consultant time.

  • To achieve efficiency savings through improved data collection and monitoring


Thank You For Listening

Any Questions?

[email protected]


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