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Knowledge Centre

Our aim is for the Clinidirect Knowledge Centre to become a leading information resource for healthcare professionals, patients and carers.

The Clinidirect Knowledge Centre currently provides information and articles on a range of topics in a series of informative chapters.

Overtime new resources will be added to provide educational support in a range of different media formats.

Evolution of bandaging – past and present
A bandage is an important medical textile product used in wound management and its reference stretches back thousands of years (Thomas 1998). In one form or another, bandages and dressings have been in use since prehistoric times, with plant materials and strips of animal hide being used to treat wounds, which were later replaced with the use of woven and hand knitted fabrics.
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Indwelling urinary catheters
This weeks three common questions relate to indwelling urinary catheters.
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Eczema and Asthma – The link to Junk Food
A worldwide study sampling half a million children and teenagers concluded that consuming fast food more than three times a week was linked to allergic illnesses. Researchers examined the link between diet and three conditions:
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Glossary
Urology, Uro-Gynaecology & Gynaecological glossary & some common abbreviations
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References
List of references used
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Conclusion
The educational material provided has been carefully collated, acknowledging the need for all healthcare professionals involved in continence and urology care to embrace available evidence in order to improve the quality of patient outcomes and to drive forward the provision of cost-effective care.
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Addressing Common Indwelling Catheter Problems
Patient safety has become the cornerstone of care and preventing healthcare- associated infections remains a priority.⁶⁰ NICE(2012) CAUTIs compromise patient safety and they account for 80% of hospital acquired infections.⁸² Pellowe C 2009 In community settings a prevalence rate of 8.5% was found in 3 Primary Care Trusts⁸³ Getliffe K & Newton T, 2006
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Drainage Systems
It stands to reason that if a catheter has been inserted using sterile equipment and an aseptic non-touch technique, then a sterile drainage bag should be connected to the catheter in order to maintain a 'closed link' drainage system.⁶⁴ NCGC 2012 This is significant in the prevention of infection although the potential for bacteria to enter the system via other areas remains
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Suprapubic Urinary Catheterisation
Suprapubic catheterization involves the insertion of an indwelling catheter through the anterior abdominal wall and into the dome of the bladder as opposed to the urethral route.⁷⁵ Dixon et al 2010
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Indwelling Urinary Catheterisation
Indwelling urinary catheters are also known as self-retaining Foley catheters. Foley catheters, named after their inventor, Fredrick Foley, in the 1930's were originally designed to achieve haemostasis of the prostatic bed following surgery. The design incorporated an inflatable balloon towards the tip of the catheter so that it could be inflated and retained in the bladder for the purpose of continuous drainage of urine into a collection bag.
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Intermittent Urinary Catheters
Over the last few years, the use of intermittent catheters for patients unable to completely empty their bladder has increased. This is not a new procedure and is believed to have been undertaken some 3000BC years ago for short-term relief when voluntary urination was not an option or was proving to be difficult.
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Catheters and Catheterisation
NHS Institute for Innovation and Improvement: Harm-free Care “Harm free care” is part of the Quality Innovation, Productivity & Prevention (QIPP) programme implemented by the national QIPP Safe Care workstream. Its aim is to eliminate harm in patients from four common conditions: • pressure ulcers • falls • urinary tract infections in patients with a catheter • new venous thromboembolism (VTE)
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Treatments/Management Options
It is imperative that patients should be carefully and thoroughly assessed and preliminary investigations undertaken, eg urinalysis, to ensure that the appropriate treatment and management options are considered.
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What is a Wound?
A wound simply is an opening of the skin. Medical definitions include a break in the epidermis or dermis that can be related to trauma or to pathological changes within the skin or body.
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