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Encounters of Nothingness
Published in Usva Seregina, Astrid Van den Bossche, Art-Based Research in the Context of a Global Pandemic, 2023
The void is the “domain of the non-existent.” Its experienced as an immensely hostile object, a terrifying space, or place of nameless dread. The void is an active tension, a constant orientation toward suffering/becoming/being. Its unbound, dimensionless, and unexpected (Barad 2012). Its undefined and its qualities cannot be fully known. Any experience with the void implies total annihilation, an overwhelming fear of annihilation, or an annihilating psychological withdrawal. The fear of the void is a catastrophic form of existential anxiety constantly itching beneath the façades of human existence. The verb to void means to evacuate, which echoes the experience of the state of void – when a total emptying out, collapse, or depletion occurs (Emanuel 2001). Bergson (1998) claims that the underlying meaning of phrases with the words “nought” or “void” is to capture the feelings of malaise underlying the subject's reaction to the substituted reality they now apprehend. Comparisons can be drawn here to the experiences and feelings accompanying the sudden existential jolt caused by the Covid-19 pandemic and initial lockdown.
Urinary Tract Infection (UTI)
Published in S Paige Hertweck, Maggie L Dwiggins, Clinical Protocols in Pediatric and Adolescent Gynecology, 2022
Instruct about improved voiding habitsPlace patient on voiding schedule, with voiding 3–5× per dayUrinate with legs apart to prevent reflux of urine into vaginaAvoid bubble baths or irritants to the perineumWipe front to back after bowel movementsIf sexually active, instruct to void after intercourse
Meeting personal needs: elimination
Published in Nicola Neale, Joanne Sale, Developing Practical Nursing Skills, 2022
Based on limited evidence, bladder training may be helpful for the treatment of urinary incontinence (Wallace et al. 2009). Bladder training aims to increase the interval between voids so that continence might be regained and is widely used for the treatment of urinary incontinence (Wallace et al. 2009). For example, the person might initially be asked to go to the toilet every hour. This is then gradually extended by half an hour at a time. NICE (2019) recommends that, for women with overactive bladders, with or without urge incontinence, bladder training for a minimum of 6 weeks should be offered. Education of individuals and carers, use of a continence chart and continuous encouragement are all important elements. Carers need to praise to build up confidence and reinforce behaviour and they should be patient and understanding.
Cost-effectiveness analysis of hydrophilic-coated catheters in long-term intermittent catheter users in the UK
Published in Current Medical Research and Opinion, 2023
Hannah Baker, Brooke Avey, Line Overbeck Rethmeier, Stuart Mealing, Marie Lynge Buchter, Márcio Augusto Averbeck, Nikesh Thiruchelvam
Methods used to assist emptying of the bladder for those who are unable to void naturally are transurethral or suprapubic indwelling catheters and intermittent catheters (ICs)3. According to the EAU guidelines and the National Institute of Health3,4, intermittent catheterization, whenever possibly aseptic, is the gold standard. “Clean” intermittent catheterization, popularized by Lapides et al.5, was found to be the safest method for bladder emptying, with the lowest potential for urological complications in patients with a SCI6. Despite this, UTIs are still a common complication seen in catheter usage, in a retrospective study with a 12-year follow-up, chronic or recurrent urinary tract infections were present in 42% of patients performing clean intermittent self-catheterization7.
The effects of gestational diabetes on lower urinary tract symptoms of pregnant women: a case-control study
Published in Journal of Obstetrics and Gynaecology, 2022
Adem Yavuz, Semra Kocaöz, Pınar Kara, Emre Destegül
Lower urinary tract symptoms (LUTS) include specific pathological conditions such as bladder and pelvic floor dysfunction and cystitis (Harlow et al.2018), and are classified under three main headings as storage, excretion and post-void symptoms. In the storage phase of the bladder, LUTS is seen as urinary incontinence (UI), frequency, urgency, nocturia, nocturnal enuresis and bladder tenderness. Symptoms such as weak, bifurcated and intermittent urination, difficulty or hesitancy in urination, and dribbling (or drop-by-drop) urination due to slow flow in the last stage of urination, may occur during the excretion phase of the bladder. Post-void symptoms are incomplete bladder emptying (urinary retention) and dribbling after micturition. In addition, LUTS include symptoms related to sexual intercourse and pelvic prolapse, as well as genital and lower urinary tract pain (Abrams et al.2003).
Management of non-obstetric traumatic vulvar haematoma: a retrospective review of 33 cases
Published in Journal of Obstetrics and Gynaecology, 2022
Mi Sun Kim, Hyun Jung Lee, Eunhui Joo, Sukho Kang, Mee-Hwa Lee, Hyeon Chul Kim
Conservative management usually includes rest, ice-pack application, sitz bath, analgesia, and close observation. When the patient was unable to void, an indwelling urinary catheter was inserted, and bladder drainage was continued until the swelling resolved. For surgical management of the vulvar haematoma, an incision was performed over the maximum bulging point, near the vaginal orifice. All blood clots were removed manually (by finger) or suctioned to reduce pressure necrosis and infection risk. In most cases, the surface showed diffuse bleeding of the venous origin. In cases of an active bleeding vessel, we managed haemostasis using a Bovie cautery or suture. Then, primary closure of the haematoma cavity was performed without making a dead space. Most cases had no drain inserted. After primary closure, compression using packing gauze was performed at the operation site. An indwelling urinary catheter was inserted after anaesthesia, and intravenous antibiotics were administered after surgery in most cases.