Expert help and advice for incontinence and stoma care

BLADDER CANCER AWARENESS MONTH - MAY 2017

 

Bladder cancer is the 7th most common cancer in the UK

3 – 4 times more common in men than women

In Jersey there are 50 - 60 bladder cancer related operations per year

With 20 - 30  new diagnosis per year

 

 

Risks: Increasing age - Smoking - Exposure to certain industrial chemicals

 

Symptoms:

Blood in the urine

Frequency in passing urine

Pain/difficulty when passing urine

Frequent infections

 

75 – 80% of bladder cancers are treatable but ignoring initial symptoms could result in the cancer invading the muscle layer of the bladder and further spread, meaning no cure is possible. Hence any visible blood seen in your urine see GP immediately.

Diagnosis:  Telescopic examination of the bladder is the gold standard of detection, with ultrasound and CT for staging.

 

Bowel Cancer

There is an increase in people under the age of 50 being affected by bowel cancer

It is the 4th most common cancer

  

Each year, around 20 people die in Jersey from bowel cancer. An average of 60 new cases occurs amongst islanders annually.

Evidence shows the bowel screening programme, (Flexi-sig programme) can, within 10 years or so, reduce the incidence - number of new cases - of bowel cancer, and deaths caused by it - by around 50%.  If all those who are eligible for screening come along and have the test, every year our new programme will prevent 5 to 6 people from being diagnosed with bowel cancer in the future. 

What are the risk factors of Bowel Cancer?

  • Age: Bowel cancer can occur in younger people but 8 out of 10 people who get cancer of the bowel are over the age of 60. 
  • Previously having a bowel polyp 
  • Personal history of chronic bowel inflammation: Ulcerative colitis and Crohn's disease will slightly increase the risk of developing bowel cancer. 
  • Diet: A diet that is high in red meat and fat and low in vegetables, folate and fibre may increase the risk of bowel cancer. 
  • Lack of exercise: Moderate exercise may help prevent bowel cancer. 
  • Obesity: Being overweight or obese may increase the risk of bowel cancer. 
  • Smoking and alcohol: Although not as strong a risk factor as for other cancers, smoking may also increase the risk of bowel cancer, particularly in heavy drinkers. Alcohol consumption may increase risk, especially in those with low levels of folate in their diet. 
  • Family history: Fewer than 1 in 10 cases of bowel cancer are due to an inherited gene defect. However, there are certain families who have an increased risk of developing bowel cancer due to a variety of conditions including familial adenomatous polyposis (FAP) and hereditary non-polyposis colon cancer (HNPCC). 

The lifetime risk of cancer is that It affects 1 in 15 men and 1 in 17 women 

 

We have specialist Nurses who are trained to deal with patients with incontinence and assist with the maintenance of stomas after abdominal surgery.

The team also provide education, support and advice to the other members of our community nursing team to ensure that nursing practice is current and evidence based.

 

Continence services

Incontinence is an extremely debilitating and potentially embarrassing condition that is common amongst people of all ages, but particularly amongst women and older people. It can restrict employment, educational and leisure opportunities and lead to social isolation, affecting both physical and mental health.

Our specialist nurse will plan and document care, assisting the patient’s individual needs and identifying problems, including counselling and liaising with other nurses, doctors and health care professionals to provide consistent and integrated care.

Stoma care

Sometimes, during surgery, it may be necessary for a surgeon to form a ‘stoma’ on the wall of your abdomen, which will allow waste to pass out of your body effectively.

In Jersey, unless you have a urinary stoma, the stoma care nurse and the ward nurses will help maintain your stoma for the first three months of treatment. Thereafter, one of our specialist nurses will be on hand to assist you.

She will show you how to clean your stoma and how to change the bag. She will also give you hints and tips on how to manage the stoma yourself at home. Their expert advice will help you to build confidence and make you aware of the different types of appliances (bags) that are available to you.

We understand how life changing a stoma operation can be and our dedicated nurses will provide you with the time and resources needed to adjust to these changes.

 

  • Will I be referred to FNHC if I need these services?
  • I have a family member with incontinence – can I call the team for advice and to access the service?
  • I have a problem with my catheter - What should I do?

Yes, most probably by the colo-rectal team or the urology team at Jersey Hospital. Those needing continence assistance are usually referred by their GP. 

We only accept referrals to our District Nursing team from another professional which could include the following

 

  • Primary Care (GPs, Practice Nurses, Pharmacists, Dentists, Optometrists)
  • Adult and Older Adult Social Workers
  • Hospital anyone, e.g. physios, OTs
  • Specialist Community Nurses
  • Mental Health Services
  • Therapists working in the Community
  • Homecare Providers who are on the Approved Provider Framework
  • Rapid Response and Reablement Team
  • Hospice
  • Voluntary and Community Sector organisations
  • Residential and Nursing Homes
  • Housing
  • Environmental Health
  • Public Health

 

 

Between 8am and 11pm you should in the first instance contact FNHC on 445076 and a District nurse will aim to visit you within 2 hours and treat you in your home. Outside of these hours please contact the out of hours, on call GP or your own on-call GP.

 

We appreciate that a blocked catheter can become painful if left untreated and that many of you perceive this to be an emergency. Analysis of attendances to the Emergency Department has shown that the average length of time spent in the department by patients with catheter problems is 3 hours. As many FNHC calls are responded to within an hour you should receive a more timely and convenient service by contacting FNHC in the first instance.