A consensus statement on when to start clean intermittent self-catheterization: An untapped resource?

Background: Clean intermittent self-catheterisation (CISC or ISC) is used by patients/carers to empty the bladder if needed. Sometimes the urethral lumen leading out of the bladder is blocked; sometimes, the bladder (detrusor) muscle itself or the autonomic motor nerves innervating the bladder are damaged, resulting in a failure of the detrusor muscle to work, leading to a failure of the bladder being able to empty adequately. Prior consensus as to the indications and timing of CISC has yet to be provided.

The Implementation Effectiveness of a Freely Available Pediatric Cancer Pain Assessment App: A Pilot Implementation Study.

Background: Pain Squad is an evidence-based, freely available iOS app designed to assess pain in children with cancer. Once research-based technologies such as Pain Squad are validated, it is important to evaluate their performance in natural settings to optimize their real-world clinical use.

Objective: The objective of this study was to evaluate the implementation effectiveness of Pain Squad in a natural setting.

Pain in Children With Cancer: Prevalence, Characteristics, and Parent Management.

Objectives: Pain is a common and distressing symptom of pediatric cancer, as reported by both children and their parents. Increasingly, children with cancer are cared for as outpatients, yet little is known about how parents manage their cancer-related pain. The aim of the current study was to examine pain prevalence and characteristics, and the pharmacological, physical, and psychological pain management strategies used by parents to manage their child's cancer pain.

Establishing a bowel dysfunction service within primary care.

Seeking professional help for the symptoms of incontinence is extremely difficult for many people. Even patients consulting a hospital specialist for bowel problems have difficulties reporting faecal incontinence as one of their symptoms (Johanson and Lafferty, 1996).