Optimal Bladder Management Following Spinal Cord Injury: Evidence, Practice and a Cooperative Approach Driving Future Directions in Australia.

作者: Denise May Goodwin , James Brock , Sarah Dunlop , Louise Goodes , James Middleton

DOI: 10.1016/J.APMR.2018.04.030

关键词:

摘要: Abstract We examined spinal cord injury (SCI) catheterization practices in Australia to understand practice patterns and consistency with research evidence. A national facilitated discussion forum was held during the annual Australian New Zealand Spinal Cord Society conference attended by 66 delegates. Initially, presentations were given on latest laboratory examining bladder changes following SCI; an overview of evidence-based recommendations indicating that intermittent is best practice; results a single-center audit demonstrated substantial delay transition between acute SCI catheterization. The ensuing covered current both inpatient units community highlighted gaps evidence practice, considerable variation centers settings. Reported challenges implementing included social, economic, resource factors. disconnect hospital also identified as important barrier long-term uptake SCI. 3 proposed activities: (1) explore health greater depth across local communities through audits standardized biochemical analysis; (2) determine behavioral drivers (3) develop knowledge translation strategy better align clinical guidelines.

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