Skip main navigation

Sharing ideas for service improvement

Watch this video with clinician Kate Boyce talking about practical ideas to improve continence services.
Unfortunately the way a lot of home care services are set up people, the carers will go in and get the person up and they sit on the toilet when they get up. They get them washed and then they give them their breakfast and leave and shortly after that, that person needs a bowel movement and they can’t go. So you can get into a vicious circle with it. So the person holds back, becomes constipated, gets laxatives and then they’re no longer able to hold on because of the effect of the laxatives and they become faecal incontinent.
I work quite a lot in supporting and advising home care staff and I’ve managed to persuade them to try a more flexible approach in some cases, where they’re spending longer in the morning, so they get them up and go to the toilet and then give them their breakfast and still there doing other things in time to take them to the toilet when their bowels need to move and they’ve actually found that this is working, which is great because getting the message across from hearing other people saying that this actually works, we really need to start doing it, is a powerful message.

Now it’s your turn to share ideas for service improvement.

Your task

Watch this video with clinician Kate Boyce talking about practical ideas to improve continence services.

If you feel that services are letting people down, give examples of what you can do, or are doing, to address this.

If you already have good or excellent support services in place, share your journey towards this with fellow learners.

This article is from the free online

Understanding Continence Promotion: Effective Management of Bladder and Bowel Dysfunction in Adults

Created by
FutureLearn - Learning For Life

Our purpose is to transform access to education.

We offer a diverse selection of courses from leading universities and cultural institutions from around the world. These are delivered one step at a time, and are accessible on mobile, tablet and desktop, so you can fit learning around your life.

We believe learning should be an enjoyable, social experience, so our courses offer the opportunity to discuss what you’re learning with others as you go, helping you make fresh discoveries and form new ideas.
You can unlock new opportunities with unlimited access to hundreds of online short courses for a year by subscribing to our Unlimited package. Build your knowledge with top universities and organisations.

Learn more about how FutureLearn is transforming access to education