It's never too late

Article Abstract:

A continence adviser discusses why and how she set up a continence programme for people with learning disabilities. Clients see a urologist and are referred to her if they meet certain criteria, including ability to use the toilet but are not totally continent, or has regressed from continence to incontinence, or the client and carer are keen to take part. Mentally handicapped people can all make progress with continence training, especially if medication is given to overcome bladder instability. However, treatment should begin when they are children and not when they are adults.

Health aspects, Personal narratives, Nurses, Urinary incontinence, Learning disabilities, Learning disorders

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Consent to treatment in bowel interventions: Some legal issues

Article Abstract:

The necessity of the patient's consent for the bowel intervention treatment and the legal issues that can arise due to bowel interventions are discussed. Bowel interventions are invasive and distressful for the patients and hence the practitioners are becoming increasingly concerned about the risk of litigation and accusations of abuse.

United Kingdom, Patients, Patient care

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Living with an artificial bowel sphincter

Article Abstract:

Patients with faecal continence problems can be helped with a new artificial sphincter designed to mimic the function of the natural anal sphincter. The new device requires manual operation, and patients must be well-motivated and counselled before surgery.

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