- How we can help
- Home Care
- Education First
- Baby Steps
- Child Accident Prevention
- Adult Nursing Services
- Specialist Nursing
- Tissue Viability & Wound Care
- Continence & Stoma Care
- Palliative & End of Life Care
- District Nurse Procedure for Visitors to the Island
- Rapid Response & Reablement
- MECSH Programme
Expert help and advice for incontinence and stoma care
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.
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.
Educating home care staff to reduce the number of UTIs
It has been identified that nearly half of residents in care homes in England are frequently prescribed antibiotics based on the use of routine urine dip sticking. FNHC has adopted guidance from the NHS with the scheme ‘To Dip or Not to Dip’, which is a patient-centred approach to improve the management of UTIs in the care home environment. The outcomes are to ensure the appropriate use of antibiotics and a reduction in potential health infections.
This is being achieved by implementing an evidence based clinical process for use by home care staff who identify, record and share the patient’s clinical symptoms of UTIs with their GP. The toolkit, which will be used by home care staff to diagnose and manage UTIs in nursing home residents, includes a patient assessment tool, an education and e-learning package, posters and resources on how to keep hydrated and how to recognise UTIs.
Areas in England that have introduced the ‘To Dip or Not to Dip’ approach have shown a reduction in:
- The proportion of residents who had an antibiotic for a UTI by 56%
- The number of antibiotic prescriptions by 67%
- The number of residents prescribed antibiotic prophylaxis by 82%
- Unplanned hospital admissions for UTIs, Urosepsis and Acute Kidney Injury
- Calls to GP practices for inappropriately diagnosed UTIs.