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11:40 - 11:50
ESPUN S7-2
(O)
OUR EXPERIENCE OF A NURSE LED DYSFUNCTIONAL VOIDING SERVICE: AN
INNOVATIVE APPROACH TO ENGAGE WITH CHILDREN IN A CLINIC SETTING
Cheryl JENNINGS
1
, Anju GOYAL
1
and Yvie MORLEY
2
1) Royal Manchester Children's Hospital, Paediatric Urology, Manchester, UNITED KINGDOM - 2) Royal Manchester
Children's Hospital, Therapeutic Specialised Play, Manchester, UNITED KINGDOM
PURPOSE
To demonstrate since introducing the bladder workbook patients have become more focused on their bladder training.
MATERIAL AND METHODS
The Manchester Children's Hospital has a well-established nurse led lower urinary dysfunction service. Children with
overactive bladder symptoms, voiding postponement and dysfunctional voiding are all assessed in clinic. Children attend
for an initial assessment where a detailed history is taken, flow studies and bladder scans are performed. The child is
followed up in clinic two weeks following initial assessment and then every four weeks.
Previously to the bladder workbook difficulty was found in engaging patients to complete a 24hr bladder assessment for
two weeks.
Since September 2013 each child has been provided with a bladder diary workbook which is a unique tool devised by
Clinical Nurse Specialist and Play Specialist.
RESULTS
All patients are completing workbooks therefore a relevant pathway is assigned to each patient thus reducing the
timescale to discharge.
CONCLUSIONS
The bladder diary has enabled the child to engage and participate in the bladder training. The child becomes more aware
of his/her body with the implementation of voiding strategies and the importance of documentation throughout.
The Nurse Specialist works in collaboration with children and families with the aid of a very effective tool.
Compliance from both child and family has been shown via application of techniques discussed within the programme,
also completion of a detailed diary within the workbook.