Behind the Rituals
All posts from: March 2012
What is the best time of day to remove a urinary catheter? What do you think?
Traditionally patients would have a trail removal of urinary catheters at 6am. This allows time during the day for the patient to pass urine or to receive appropriate treatment if they go on to develop urinary retention.
Some urology wards remove urinary catheters at midnight. This allows the bladder to fill while the patient is asleep so they pass urine when they wake up. If they have problems with urinary retention these can be identified and managed earlier in the day.
One suggested advantage of the trail removal at midnight is earlier discharge from hospital and improved bed management. However, there appears to be very little evidence to support either approach or the outcome for patients.
How should nurses address patients and is it appropriate to ask to use first names? What do you think?
We will be discussing this on twitter using #patientnames
The recently published Dignity Code by the National Pensioners Convention, says that older people should be addressed formally, rather than by their first name.
Last week Delivering Dignity, a report from the Commission on Dignity in Care for Older People, also highlighted problems with the language used to describe patients. It criticised the use of terms such a bed blocker, or referring to patients by their conditions for example as “the stroke”.
Should nurses always address patients as Mr/Mrs/Miss/Ms unless invited to use their first name?
Does CBT really help patients? What do you think?
Cognitive behavioural therapy (CBT) is a safe and effective remedy for women suffering from the side effects of breast cancer treatment, according to research.
The issue is explored in CBT ‘can safely cut breast cancer side effects’. Nursing Times. 15 February 2012.
What makes the best bedside manner? What do you think?
You can continue this conversation on twitter using #bedsidemanner
Patients often perceive that a clinician has spent more time at their bedside when they sit rather than stand, according to nurse researchers from the University of Kansas Hospital.
The issue is explored in: Bedside interaction ‘better when clinicians sit’. Nursing Times. Published online 15 February.