Coloplast and SBH 

Coloplast has partnered with our friends at Spina Bifida Hydrocephalus Queensland to provide free Coloplast Care Nursing Support Services for continence care.

 

 

We can provide the following specialised services:

Continence Services provided by a Coloplast Clinical Nurse Consultant (in clinic setting or via telehealth)

 

-Teaching and training in the use of intermittent catheters (for bladder emptying issues) and Peristeen transanal irrigation (for bowel incontinence and constipation);

- Product demonstrations and sampling (intermittent catheters, bags and sheaths/ condom drainage). Coloplast does not offer a continence solution with pads or absorbent undergarments;

- Health and lifestyle education (prevention and management of infections; maintaining bladder health and routine when working/ travelling/ engaging in leisure activity);

- Pre planning/ review support for NDIS participants using intermittent catheters, indwelling devices, sheaths, drainage bags or bowel products. Unable to assist with reviews of pad usage; and

- Review of sheaths (external condom drainage) and drainage bags.

Continence services provided by a Coloplast Clinical Nurse Consultant (via Telehealth only): 


- General bowel enquiry regarding faecal incontinence or constipation.

- General urinary concern- urgency; frequency; going to the toilet regularly overnight; leaking before getting to the toilet.

Services not provided by a Coloplast Clinical Nurse Consultant:

 

 - The Coloplast Clinical Nurse Consultant is not an NDIS provider and is therefore unable to conduct a formal ‘Continence Assessment’ ahead of NDIS review meetings. However, the Coloplast Clinical Nurse Consultant can provide a letter of justification and a product estimate to take to meetings (more often than not, this is all that is required). The Coloplast Clinical Nurse Consultant will refer customers appropriately if an assessment is required.

- The Coloplast Clinical Nurse Consultant is unable to provide general continence in-home carer training or ongoing catheter care. This can all be funded by NDIS when accessing services from a registered NDIS provider.

An accredited Clinical Nurse Consultant is available to assist you by providing Coloplast Care Nursing Support Services in the management of your continence in the below clinics.

Clinic locations

Ipswich Clinic

MS QLD Wellbeing Centre

University of Southern QLD

11 Salisbury Road, Boiler House,

Q Block, Ground floor

Lutwyche Clinic

MS QLD Wellbeing Centre

616–638 Lutwyche Road

Lutwyche, QLD, 4030

South Brisbane Clinic

MS QLD Wellbeing Centre

Suite 1/27 Mount Cotton Road

Capalaba, QLD, 4157

Sunshine Coast Clinic

MS QLD Office

*Within the community services building

100 Sportsmans Parade,

Bokarina, QLD, 4575

Toowoomba Clinic

MS QLD Wellbeing Centre

10 Russell Street

Toowoomba City, QLD, 4350

Woolloongabba Clinic

Spinal Life Australia Office 

109 Logan Road,

Woolloongabba, QLD, 4102

Telehealth (via Skype or phone).

If you have another condition or live in another location, please click here

Need to see a specialist

Living with continence issues is not always straightforward. While many people have good continence habits, there will be times when you may develop issues that get in the way of living life the way you want. It isn’t always easy to know if you need help to solve the problem from your GP or Specialist Nurse or if you can resolve the issue yourself.

 

As a team of Coloplast Clinical Nurse Consultants, we are passionate about working with people to promote healthy continence habits to maximise sustained success in continence care. We will provide you with qualified medical support, where you can explore your concerns, look at which solutions are available and which will suit your specific needs - empowering you to take control of your health to live the life you want. Our Coloplast Clinical Nurse Consultants will always refer you back to a specialist if need be.

Meet our Clinical Nurse Consultant Irene Kemp

My name is Irene and I am the Coloplast Continence Clinical Nurse Consultant for Queensland. My clinical experience is predominantly in Spinal Cord Injuries (acute and rehabilitation), but my passion throughout my 18 year career as a Registered Nurse, has always been about empowering people with disabilities to embrace and create new lives following catastrophic injury or illness.

 

Within my role at Coloplast, I provide specialist clinical education to Queensland Customers; their families, carers and health care professionals on optimal bowel and bladder management solutions. I have a current and evolving knowledge of funding streams available to individuals living with disability, and an appreciation of the challenges that can be faced when entering into; or transitioning from an existing funding scheme.

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Good to know

Learn more about Spina Bifida and bladder problems

Spina bifida and bladder problems

Children born with spina bifida will generally experience bladder and bowel incontinence to a certain extent, regardless of the spinal level at which the defect occurs. Learn more about spina bifida and bladder problems
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Spina bifida and bladder problems

Most children with spina bifida will experience bladder dysfunction known as neurogenic bladder, which means they have a decreased ability to control their bladder. A neurogenic bladder can lead to either spastic bladder and or flaccid bladder, which is why spina bifida children need a good bladder management programme.

Flaccid bladder

The most common type of bladder dysfunction in spina bifida is flaccid bladder. This is when the bladder overstretches allowing extremely large amounts of urine to be stored before being expelled. The bladder can stretch to hold as much as 2000 ml of urine, which can lead to leakage. Very often when you have spina bifida, flaccid bladder usually occurs in combination with a sphincter muscle that does not open to the urethra.

Spastic bladder

This is when the bladder is very rigid, which means that it is unable to stretch and therefore cannot hold as much urine as normal. On top of this, the bladder may not empty completely, which increases the risk of a urinary tract infection, as the residual urine acts like a pool in which bacteria can grow.

Typical symptoms of spastic bladder are:

  • The need to empty your bladder frequently
  • Uncontrolled leakage
  • Spontaneous emptying

Find out more

Learn more about spina bifida and how to take care of your bladder.

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taking care of your bladder with Spina Bifida

Taking care of your bladder

Continence is a complex issue that has both physical and social elements. For the parents, everyday activities, such as shopping or trips on public transport, can require careful planning so that there is a toilet on the route. How to take care of your bladder
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Taking care of your bladder

Social impact of urinary incontinence

Most children with spina bifida cannot urinate naturally. Your child may not have any control over when he/she urinates and may not be able to completely empty his bladder. Incontinence also has social impacts on both the child and family.

For the child, incontinence can lead to social embarrassment and exclusion by peers e.g. they may miss out on sleepovers and school trips. They may not be able to wear ‘trendy’ clothes if they wear diapers, which is again restrictive and alienating. Distress and feelings of ‘worthlessness’ can be common in children and young people with incontinence. For the parents not only is careful planning of everyday activities important but they may also experience their own feelings of anxiety and embarrassment.

Why is emptying the bladder properly so important?

Urine is excess water and waste products from the body. Urine is produced in the kidneys (1) and then transported to the bladder (2). The urine leaves the bladder via the urethra (3).

If your child’s bladder is not emptied regularly, it can cause infections. These start in the bladder but can move back to the kidneys and cause serious damage – and sadly sometimes even death. Even small amounts of urine left in the bladder can cause infections. As a rule, the bladder should be emptied at least 4-6 times a day.

Emptying your child’s bladder with a catheter

Catheterisation is when you empty the bladder using a thin plastic tube called a catheter which is an easy and painless way to help your child urinate. The catheter is pushed gently into the urethra, where the urine comes out, to empty the bladder. This is done at least 4-6 times a day. Until your child is around 5 years old, you will need to help him empty his bladder. Although it may seem difficult at first, most people soon get used to it.

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Frequently asked questions about Spina Bifida

Frequently asked questions

Find answers to the most commonly asked questions about spina bifida and issues related to bladder and bowel management in children. FAQ's about spina bifida
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Frequently asked questions

This FAQ is intended as a guide to commonly asked questions. Please always consult your healthcare professional regarding spinal cord injuries. 

Bladder management

Why does spina bifida cause bladder problems?

The bladder, which stores urine, is controlled by the nervous system. Because spina bifida causes nerve damage, bladder function may be affected. Some people find that they need to urinate more frequently or urgently, some experience urine leakage whereas others experience difficulty emptying the bladder.

How can bladder problems affect my child’s health?

If your child’s bladder is not emptied regularly, it can cause infections. These start in the bladder but can move back to the kidneys and cause renal damage. Even small amounts of urine left in the bladder can cause infections. Alternatively, if your child cannot control the urge to urinate, he or she may leak involuntarily. Controlling your child’s bladder problems will help them to stay healthy and grow with confidence. Talk to your healthcare professional about how to manage your child’s bladder.

What is a catheter?

The catheter is a slim, flexible tube that is inserted into the bladder through the urethra to allow the urine to drain.

What is clean intermittent catheterisation?

Clean intermittent catheterisation is an effective bladder management technique based on the regular and complete emptying of the bladder using a sterile catheter. It requires thoroughly washed hands and good personal hygiene. The clean technique should be used by the parent helping the child, the child them self or both in the home setting.
If required, clean intermittent catheterisation is typically introduced immediately after birth to prevent kidney damage. Initially the parents will have to do the procedure but when capable, the child should take over the responsibility. 

Can I use adult catheters on my child?

Catheters are available in different sizes and lengths including paediatric sizes, which are designed specifically for children.

How often should I empty my child’s bladder with a catheter?

Your doctor or nurse will start by making a bladder emptying schedule for your child. Bladder emptying is normally done 4-6 times each day. You do not need to empty your child's bladder at night if it is done just before bedtime.

Does it hurt my child?

No. Your child might feel some pressure when the catheter goes in. If your child is not comfortable or if it is difficult to slide in the catheter, take a short break. Encourage your child to relax by taking a deep breath or cough. Talk to your doctor or nurse if your child finds it painful.

Can I just empty my child’s bladder in the morning and in the evening?

No. You should follow the schedule your doctor has given you. As a rule, the bladder should be emptied at least 4-6 times a day. Can I give my child less to drink and empty his bladder less often? No. It is very important that your child drinks enough. This keeps the urinary system clean and healthy. 

What if the urine looks cloudy or dark and smells funny?

Your child may have an infection. Talk to your doctor or nurse.

What if there is blood on the catheter when I pull it out?

It is normal to see small spots of blood on the catheter. If they are small and your child is not in pain, you should not worry. If there is bleeding or if your child finds it painful, talk to your doctor or nurse. 

 

Bowel management
What is bowel irrigation?

Bowel irrigation is where water is introduced into the bowel using a rectal catheter. The water stimulates the bowel and flushes out the stool, leaving the lower half of the bowel empty. Before starting bowel irrigation you should always consult a doctor or a nurse to get proper instructions in use. 

From what age can my child use bowel irrigation?

Your child can start irrigating from the age of 3 years. Bowel irrigation is not recommended for children under 3 years of age. Read more about Coloplast’s bowel irrigation system, Peristeen®. 

How can my child get started using bowel irrigation?

In order for you child to start,, you need to get a prescription from your GP or nurse. You must also always consult an experienced specialist healthcare professional before starting up the irrigation procedure and you and your child must receive thorough instruction from a healthcare professional before using this product.

If you irrigate, can you still go on holiday? 

Yes, but you should remember to bring your irrigation kit and lots of disposable catheters. They may not sell them everywhere. If you are going to use the kit abroad, use bottled or cooled boiled water in places where the tap water is not safe to drink. Remember in different time zones your child’s body may take a while to get used to a new routine. Different types of food can also affect the bowel.

What should I do if my child leaks between irrigations?

If your child experiences bowel leakage between irrigations, it may be due to insufficient emptying of their bowel due to constipation or hard stool. Alternatively, they may be using too much water during irrigation. Contact your doctor or nurse to help you adapt to your bowel plan. A Peristeen® Anal Plug may help if the problem persists.

Find out more

Read more FAQ's on bladder issues. Read more FAQ's on bowel issues.

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