1. health and fitness
2. disease
3. incontinence

Issue No: 14
the magazine for ISC users
select
IN THIS ISSUE:
Medical Matters - how to manage and avoid Urinary Tract Infection
New LoFric® PrimoTM - perfectly packaged to suit your lifestyle
Advice on travelling with ISC
Welcome to this bumper
issue of Select 14...
Turn to pages 8 and 9 to see the
new LoFric® Primo™ – perfectly
packaged to suit every lifestyle!
LoFric Primo provides a discreet and
convenient catheter that is clinically
proven to be safe over long-term
use. An integral handling aid helps
you to avoid touching the catheter
surface, significantly reducing the
risk of infection.
This issue focuses on travelling and
lifestyle with ISC, with Medical
Matters, pages 4 and 5, providing
advice on managing and avoiding
UTI, along with some useful tips
when travelling.
Introducing our
growing
Select team
To ensure we provide the best service possible and deal with your
orders and queries as quickly as possible, we have expanded our
Customer Service Team.
If you have any feedback regarding
this issue or have a subject you
would like to read more about,
please call the editorial contact
number below, or write to us at the
freepost address.
We hope you enjoy this issue.
Editorial Contacts
Rachael
Chapple
Liz
Bloxham
Debbie
Harris
The new service team includes (from left to right) Laura, Becky, Anneliese, Cindy and, in the
warehouse Phil and Pete.
Mary White, our Independent Clinical Nurse Specialist, will be able
to offer you support and advice via our helpline. Please call if there is
anything you would like to discuss in confidence.
A discreet, reliable service
Freephone: 0800 652 3350
Freepost:
Astra Tech Select
Freepost SWC 1804
Stonehouse
GL10 3BF
E-mail:
select@astratech.com
Website:
www.astratechuk.com
PUBLISHERS NOTICE:
Whilst every effort is made to publish accurate information in the
Select Magazine, Astra Tech Ltd can not be held responsible for
misrepresentation by third parties. We recommend that readers
check all advice and techniques contained in this magazine with
their GP or Continence Advisor before changing any practice.
2
As the manufacturers of LoFric®
Astra Tech have produced ISC
catheters for over 20 years. As
such, we are able to provide a
specialist service for ISC users.
Whilst we are well-known for
providing a service for ISC users,
we are happy to supply you with
any continence appliances that
you require, including indwelling
catheters, leg bags, sheaths and
stoma equipment.
If you would like us to supply
any non-LoFric products, please
call us, or send an e-mail and we
will be pleased to discuss your
requirements.
Select User Comment I write to express my appreciation of the excellent service
provided by staff at Astra Tech during the past two years. From the ladies who answer the
phone to the driver who delivers the goods I have found everybody to be friendly and
helpful and deliveries always arrive on the day promised. A first class operation – thank you.
Accessories - As well
as our range of
complimentary
accessories available
through Select, such
as bags, wet and dry
wipes, travel packs,
mirror, etc., we stock a variety of low priced
items which you might find useful for your
continence needs.
Whiz UCD – Is a new
clinically proven
device that can
automatically capture
a mid-stream urine
sample for women.
Using Whiz UCD
will enable faster, more effective
treatment as the risk of your sample being
contaminated is greatly reduced.
Available through Astra Tech: 5 for £5.99
(incl. VAT).
See page 10 for information on Whiz ATD
Penis Holder –
This medical
device assists with
all types of male
urethral
catheterisation and
helps with ISC by holding the penis in
position.
Available through Astra Tech: £2.00 each
(incl. VAT)
...
Patients get their
supplies promptly
and discreetly…
PROFESSIONAL LETTER Thanks to
Select, our busy Urology department is
able to ensure discharged patients get their
supplies promptly and discreetly by a
reliable, friendly service. We have a storage
pack, to keep all our LoFric and Select
information together, so teaching the
patient and making sure they get all the
information they require is simple as well.
With many patients being unable to easily
get a prescription from their doctor’s
surgery, having Select obtain it for them is
fantastic and the patient knows they just
have to call the freephone number and
everything will be done for them.
Urology Nurse Specialist, North East
Select User Comment Thank you
for Issue 13 of the Select Magazine.
I enjoy reading the letters and I especially
enjoyed little Kathryn’s story. I am at the
other end of the age group now, 90 years
old, but since I have been receiving
the catheters life has been very good.
I spent most of 2002 in and out of urology
departments and wards but eventually
my consultant told me I would be suitable
for ISC and I have never looked back.
Thank you for your wonderful service,
so polite and efficient.
The new LoFric® Hydro-Kit™ II
will be available on prescripti
on
from 1 July 2005 - call 0800
652 3350
for more information
...
More channels of communication
www.astratechuk.com
The Astra Tech website brings together all the information you need about
intermittent self catheterisation and the wide range of LoFric catheters
available. Details about the latest Select services and back issues of the Select
Magazine can be downloaded.
If you would like to contact us concerning an order, with a query or any
suggestions, you can e-mail our team on select@astratech.com. If you
would like to send in a letter for a future issue of the magazine, please send
to Liz Bloxham.
Ordering has never
been easier!
Quick ordering…
Simply place your order by sending a
prescription or just call our freephone number
and talk to one of the friendly Select advisors.
Confidential processing…
Your order is entered into your account on the
Select computer system which updates your
details (all of which are stored confidentially
and are only accessed by our Select team).
Efficient despatching…
Your order is sent to our warehouse where
your catheter and accessory requirements
are carefully boxed ready for delivery.
Rapid delivery…
All customer boxes are collected daily from
the warehouse at 5pm for next day delivery.
These are taken to a local depot, allocated by
region and then taken to a depot in your area.
Your order will then be delivered to you by our
carrier the next day*.
Discreet packaging…
To ensure that your delivery remains
anonymous, we use a non-medical national
carrier. All deliveries are made in discreet plain
brown boxes so that no one else will know
what they contain.
First deliveries…
To ensure that you have stock when you arrive
home, your initial order is often arranged by
the hospital on your discharge – remember
that we still require a prescription to cover this.
*If you order before 3pm, we will try to ensure next day
delivery (excluding weekends and Bank holidays). If your
delivery is delayed for any reason, we will let you know at
the earliest possible time.
3
Medical Matters
Urinary Tract Infection in
Intermittent Self Catheterisation
Author: Alison Bardsley, Continence Advisor & Services Manager, Witney Community Hospital
Intermittent self-catheterisation (ISC) is a means of treating people with bladder emptying
problems, reducing the risk of infection and greatly improving the lives of many people. In spite
of undertaking ISC some people find that they are prone to recurrent Urinary Tract Infections (UTI),
with women more prone than men. This article provides some hints and advice to help you.
What is Urinary Tract Infection (UTI)?
A UTI is an infection anywhere in the
urinary tract, which includes the organs
that collect and store urine and release
it from your body (the kidneys, ureters,
bladder and urethra).
Bacteria are often present in urine with no
symptoms, but there is not always a need to
treat unless you develop flu-like symptoms.
Most infections arise from bacteria travelling
up the urethra (the bladder opening) into the
bladder, (however it is worth remembering
that we are immune to our own bacteria and
that infection through the blood stream is
rare). Large volumes of static urine within
the bladder can allow bacteria to colonise.
Urinary tract infection is usually prevented
through the bladder providing a ‘washing
out’ mechanism by normal emptying.
If bacteria enters the urethra, subsequent
efficient voiding expels the bacteria.
For people undertaking ISC this ‘washing
out’ does not take place, allowing bacteria
to enter and remain in the bladder. Female
anatomy can make it difficult for some
women to undertake self catheterisation and
sometimes a UTI can be caused by a woman
trying to locate the correct orifice and
transferring bacteria from the bowel.
The most common cause of UTI is
Escherichia coli that originates from the
bowel. Sexual intercourse is often linked with
UTI and some studies have indicated a link
with spermicidal agents and diaphragms.
•
•
•
•
•
4
Frequency - desire to pass urine more
often than usual, although you may find
that you pass only small volumes.
Urgency - urgent desire to void, you may
feel that you will lose control.
Pain - a burning sensation in the urethra
(the opening from the bladder) when
passing urine.
•
•
•
When travelling it is advisable to carry
catheters that have their own water.
source to avoid using local water supplies
After using the toilet, always wipe from
front to back, especially after a bowel
movement.
Wear cotton underwear and loose-fitting
clothes so that air can keep the area
dry. Avoid tight-fitting jeans and nylon
underwear, which trap moisture and can
help bacteria grow.
Tips for preventing UTI
•
For those carrying out ISC, avoid having
excessive volumes of urine within the
bladder as this can cause infection.
Frequency of catheterisation is very
individual and dependent on each
persons needs.
A useful guide is to try to empty your
bladder every 4hrs and keep your
residual urine less than 500mls.
•
•
What are the symptoms of a UTI?
•
Pain in the lower abdomen or the back.
Fever and a feeling of being generally
unwell.
Cloudy urine or blood in the urine.
It is not uncommon for patients starting
to perform ISC to experience a small
amount of bleeding, either in the urine
or at the tip of the catheter. However
bleeding is not normal if a person has
been catheterising for some time.
•
•
It is advisable to drink plenty of fluids
every day (around 2000 – 2500mls or
3-4 pints).
Hand washing may not always be
possible, so carrying alcohol hand rubs
or wipes may be useful. There is little
evidence that washing the genital area
before each catheterisation is necessary
and washing this area once a day with
mild soap and water is usually all that is
required. Excessive washing can damage
the bodies natural defence area and
can make the skin sore. People who are
prone to infections may find it helpful
to wash the genital area after a bowel
motion. Extra washing may be required
for women during menstruation.
Women should aim to void (or
catheterise) within 10-15 minutes
following sexual intercourse to expel
any bacteria.
Using tampons rather than pads will
help to prevent contamination during
menstruation.
If you think you have an infection
•
•
•
•
Start to drink more water (drink a glass
as often as possible).
Take some tablets that you would use for
a headache, eg: aspirin or paracetamol.
This will help to reduce any fever or
temperature.
Try to rest and keep warm, a hot water
bottle is often useful.
Take a specimen of urine to your doctor
and arrange to have it tested as soon as
possible.
Although urinary tract infections are
not generally life threatening, they can
cause considerable distress. The nature of
conditions and illnesses that require people
to undertake Intermittent Self Catheterisation
means that a UTI can cause hospitalisation.
If conservative and preventative measures
are unsuccessful a prophylactic (preventative)
course of antibiotics may be prescribed by
your GP. Your continence advisor, Urology
nurse or community nurse can help you with
individual advice concerning catheterisation
and to enable you to carry out catheterisation
wherever you may need to.
If you do not have the name of a Urology
nurse or continence advisor in your area
and would like to get in touch with one,
please phone The Continence Foundation
for information on:
0845
345 0165
(9.30am to 1.00pm)
I find it very
comforting to read
the personal letters…
PERSONAL STORY I have been
using LoFric H20 for quite a few
months now and have noticed that I
do not suffer from as many infections
since the change from basic catheters.
I have quite a few problems with my
back and when it gets too bad I have to
have a permanent catheter fitted which
can be quite debilitating and limits
my choice of clothes. Intermittent self
catheterisation makes such a difference
to my physical and mental state. I also
find it very comforting to read the
personal letters in your magazine as
at times I do get a bit depressed and it
makes such a difference knowing that
other people have the same problems.
Thank you for your great service.
Editor’s Comment: Our sincere thanks
to this writer for sending their personal
story. Please write to us with your own
news and views – just a short letter will
do. All names and personal details are held
in absolute confidence.
Since then I have had
only one infection …
PERSONAL STORY For reasons
unknown, about 5 years ago my
bladder ceased to empty itself
satisfactorily. I struggled along,
very incontinent etc., but because
I was otherwise an extremely healthy
person and every test I seemed
to have came across as ‘normal’,
I just got on with taking antibiotics
and coping.
Eventually a test proved I was
retaining urine and I was taught to
self catheterise. That was in January
2004. Since then I have had only
one infection (which I was able to
get through without medication)
and I have been dry and comfortable
ever since.
Whilst I find it hard to accept that
such a fundamental bodily function
as being able to wee properly has
been taken from me (everything else
works well!) your product has meant
that I can lead a very active, healthy
life. I think your product is a lifesaver.
Thank you.
5
Good travelling means
careful p
Be wise and check out your travel insurance
If you are travelling abroad, it is recommended that you find out how you would obtain essential medical
supplies or treatment while in that country. The level of emergency medical cover available to UK
residents varies greatly around the world.
A very informative website to visit is
the Department of Health site at
www.dh.gov.uk Go to Policy and
Guidance and look at Health Advice for
travellers anywhere in the world and you
can view each countries agreement.
There are three catagories:
1. European Economic Area countries –
to obtain medical treatment either free,
reduced or repayable on insurance you
will require a completed E111 form.
This form will soon be replaced with
the European Health Insurance Card
which will automatically be issued to
those who apply for the new E111
form and request the card. More
information on each country and the
Card are available on this site.
2. Reciprocal agreement countries –
specific information on what each
of the forty countries will provide,
including Australia, New Zealand
and Russia.
3. Countries with no health care
agreements with the UK – this includes
Canada, the United States, Turkey, most
of Asia, India and the Far East as well as
Africa and Latin America.
A journey that involved six
different flights and a stay
in a hot climate
PERSONAL STORY Thank you all for the amazingly helpful
service and information so freely given. I would like to tell you of a
journey taken by my wife and I to the French West Indies, to visit a
daughter working there. Before planning this journey which involved
six different flights and a stay in a hot climate, I was obviously
worried as to how your equipment would work, I worried about
water, use, disposal of used kit and so on.
You reassured me that people travel the world with the same condition
without hesitation. I found this correct having catheterised at everything
from 37,000 feet to small boats without problem, and rarely needed to
make use of your LoFric H20 catheters. The bottle of water is very small,
fits well into your excellent travel pack and is usually sufficient, though
a problem was encountered at Charles de Gaulle airport (Paris) when
I needed to ‘go’ between flights and found the loo locked!
A word of advice to users, never run short of the necessary equipment
and always have clean water available – a little goes a long way –
it’s so easy.
6
For all overseas travel you are strongly
advised to take out full medical insurance
to cover the cost of treatment, including
those countries with which the UK has
health care agreements. For disabled
travellers, it is essential to check what
is actually covered, and that you shop
around, as costs can vary dramatically.
MEDICA
L
VALIDAT
ION CE
RTIF
ICATE
IMPORT
ANT PA
TIE
NT INFO
RMATIO
N
A Medical
Validation Certificate is a useful
addition at passport control
Travelling abroad can be a nervous experience for anyone,
but if you are carrying medical supplies it can turn into
a difficult experience. Astra Tech is pleased to provide a
Medical Validation Certificate that should help to make
things easier at airports and borders. The document is in five
languages and gives information on the products you are
carrying and the reason for them. This information may help
if you are required to explain the products to anyone.
We also include a list of contact details for the Astra Tech
offices around the world, so if you encounter any difficulties
whilst abroad you will have a direct contact number for
that country. The certificate is available free of charge and
fits inside your passport for easy access and storage.
Please call our helpline or e-mail for your copy.
lanning
try this
Around the world
with confidence
PERSONAL STORY I went along to
my doctor’s in response to an invitation to all
over 60’s, to have an ultrasound scan to check
for aortic aneurism, unaware of any problems.
The nurse doing the scan asked, much to my
surprise, if I needed to void my bladder, as it
was very full. As an attempt to do so did not
significantly empty my bladder, I was referred
to the local hospital Urology Department.
After a brief consultation with the Registrar
I was shown a video of some people using ISC.
This was followed by using a LoFric catheter
for the first time, after emptying my bladder in
the normal way. The result, to my amazement,
was 1.74 litres drained off (I lost 4lbs in weight
– without any effort!).
I was then given a packet of LoFric catheters
and told to use them daily – preferably twice
daily. Obviously not too happy about this,
I was also given a card and told that if I had
any difficulties I was not to hesitate to get
in touch. (My doctor daughter’s comment
was “no worse than using contact lenses”!).
All this was in September 2002. I am still using
the catheters very easily and no longer suffer
from an over-filled bladder.
A bonus is that I no longer get up in the night
as I had for more than ten years. In this time
I have travelled for three months around
Europe in my motor home and round the world
for another three months including stops in
Tahiti, New Zealand, Australia, Singapore and
Delhi. LoFric catheters have been easily used in
all these places and also in airports and at least
twice on board flying aircraft. So far, I have
never experienced any problems. Supplies have
always arrived and they are excellent. Carefully
following the instructions I was given at the
outset, I have never had any trace of infection.
travel check list
Here are some tips and hints that you may
find useful when you are travelling:
•
Water Basic rule – if it is not safe to
drink, don’t use it for ISC. If you do not
trust the quality of water, use bottled
water, saline or sterile water. With the
availability of catheters with their
own water supply this should not be
a problem.
•
Deliveries If you are travelling in the
UK, we can send your supplies to your
holiday address to save you carrying
them with you.
•
Aeroplanes We always recommend
that you take as much equipment as
possible in your hand luggage, so that if
your suitcase goes elsewhere you will not
be left without your products. This also
avoids your products being subjected to
extreme temperatures within the hold.
LoFric® Primo™ has an integral handling
aid as well as sterile water, so it is more
hygienic than a standard catheter.
You could also use LoFric® Hydro-Kit™,
which comes with both a water sachet
and a urine collection bag.
•
Drinking You should always drink at
least 6 – 8 glasses of liquid a day, but be
aware that in a warmer climate you must
keep your fluid levels up, which should
also reduce the risk of UTIs.
•
Bowel habits Continue to eat a well
balanced diet with plenty of fruit and
vegetables to ensure regular bowel
functions - this makes it easier to empty
your bladder completely.
•
Catheters Make sure you take a
sufficient number of catheters with
you when you are away from home.
If you are travelling abroad, we can
supply you with a medical validation
certificate or you can ask your doctor for
a letter stating that the catheters are for
emptying the bladder; which may make
things easier with customs officials.
Sometimes an indwelling catheter can be
used short-term, eg for long journeys or
holidays if ISC may be difficult.
Any change in product must be discussed
with your healthcare professional.
Make sure your catheters are always
stored in a cool, dry environment away
from direct sunlight. Keep LoFric in the
foil pack as much as possible.
If you are concerned about the weight
or size of your hand luggage, we
suggest you call your airline to request
extra space for your medical equipment,
as they may be able to give you an
additional allowance.
Pre-book a seat near the toilet if you
will need to go regularly.
•
Infections If you get regular urinary
tract infections (UTIs) or are concerned
that you may get one whilst away, your
doctor may give you antibiotics to take
with you so that you can take immediate
action if you develop an infection.
•
Toilets Remember to carry change with
you abroad as in many countries you
have to pay to use the toilet.
Take your Medical Validation Certificate
out and about with you as it may help
you gain access to restricted toilets if
required.
If you are travelling in the UK, you may
find it useful to obtain a RADAR guide,
for the location of public toilets and a
key for disabled facilities.
For additional information,
see Page 14 on how to obtain
Incontact’s ‘Travelling with
Confidence’ booklet.
7
Perfectly pa
The new LoFric Primo™ is innovatively designed to give total confidence
for people who practice catheterisation. With an integral water-pocket and
handling aid for non-touch, hygienic catheterisation, it’s ready to use when
you are. LoFric Primo combines the most documented catheter in the world,
together with a discreet and convenient packaging.
Simple...
LoFric Primo is easy to prepare
and requires very little effort to use. The design means that it
can be opened in a number of different ways to suit individual
needs and circumstances - whatever your level of mobility or
dexterity, LoFric Primo offers a complete solution.
Small...
LoFric Primo is small, flexible and
discreet. It is designed to keep the water separate
from the catheter. As well as protecting the integrity of the
catheter coating, the other advantage of this design is that
the catheter packaging remains soft, pliable and foldable.
This means that LoFric Primo can be carried easily and
discreetly in a pocket or bag.
Safe...
When using a catheter, hygiene is
more important than many people think. Not touching the
catheter surface is a great advantage, but it is difficult to insert
a catheter without touching it. The packaging of LoFric Primo
has a built-in handling aid for a firm grip and greater control,
without directly touching the catheter. Despite being more
convenient and easier to handle, it significantly decreases
the risk of bacterial contamination of the catheter.
8
NEW
ckaged
to suit your lifestyle
Quick and easy to
use! So much
cleaner than my
previous catheter.
A much more discreet
product...even the box
takes up less space!
Protecting the surface
integrity for your safety
To ensure that there is no
degradation of the unique
catheter surface before
use, a separate integral
water-pocket is included in
the LoFric Primo package.
Exceptional comfort
with UrotonicTM Surface
Technology
Once wet, the unique
Urotonic surface has
extremely high waterretentive properties
that make the catheter
exceptionally comfortable
during insertion and
withdrawal.
‘
I would happily
recommend this product
to everyone as a more
convenient way of
dealing with ISC
Hygienic non-touch
catheterisation
Reducing the risk
of infection to a
minimum is the key to
healthier long-term self
catheterisation
– that’s why
LoFric Primo
includes an
integral
handling aid.
No compromises...
LoFric Primo provides a discreet and convenient
catheter that is clinically proven to be safe over
long-term use. Why choose between safety and
convenience when LoFric Primo offers both?
For more information or to request a free
sample please call freephone
0800 652 3350
or visit www.lofric.co.uk
9
Welcome to the world
of the handcyclist !
... by Dave Abrutat
Any cyclist will know what it is like to
race over long distances, at maximum
speed. The burning lungs, the heavy
heart and mind-numbing pain.
Imagine doing a race on a bike just
using your arms... welcome to the
world of the handcyclist!
The sport of handcycling has recently
evolved into a top sport for disabled and
able-bodied athletes alike. It is one of the
most exhilarating and toughest sports for
athletes confined to wheelchairs.
Handcycles are propelled with the arms,
shoulders, chest, back and sometimes
torso depending on the level and nature
of the riders disability. There are two
forms of handcycle, one that attaches to
a wheelchair and the other, a standalone
recumbent bike. The wheelchair
clip-ons as they are known are useful
as recreational and mobility aids.
Handcycling in the UK is overseen
by the United Kingdom Handcycling
Association (HCAUK), supported by
Astra Tech for 2005. The organisation
oversees all aspects of handcycling from
racing, recreational riding, to access
legalities on cycle networks.
is for disabled atheletes. It combines
speed, high level competition, stamina,
endurance and the vagaries and
dedication that comes with constant
training. For me it’s the next best thing
to traditional cycling.’
‘The sport of handcycling as far as I am
concerned is the best sport there
www.ukhandcycling.com
Cyclefest 2005 – Sunday 7 August
Astra Tech is delighted to be supporting
the HCAUK for 2005 and are this year
sponsoring Cyclefest 2005, a celebration
of cycling, set to be one of the biggest
cycling festivals in recent times.
Cyclefest 2005 is being held at the
Castle Combe rack track and will see a
multitude of bike designs, from tandems
to recumbents and handcycles.
The events are open to amateur riders
and international racers alike, the
races are being held to entertain the
broad spectrum of cycling. Races will
commence at 8.30 am but around
midday there will be a fun duathlon
(run-bike-run), which is aimed at
the less-than-serious athletes and for
corporate teams to compete against
each other in a multi-discipline event.
There will also be an opportunity to
‘come and try it’ off the track.
If you would like to come along
and try this sport, HCAUK will have
a number of handcycles available
throughout the day.
For more information on the HCAUK
or to obtain an entry form for Cyclefest
please contact Dave Abrutat:
Tel: 01242 703379
e-mail: abrutat@blueyonder.co.uk
Introducing the Whiz ATD …
Part of the Whiz family, the Whiz ATD
(All Terrain Urine Director) is a hygienic,
easy-to-use external device that helps women
to pass urine discreetly and confidently
without fuss. The Whiz is small, nonintrusive and can be used sitting or standing,
indoors or outdoors. It is simply held against
10
the body – nature and gravity do the rest. We
can dispense the Whiz ATD, so send in your
prescription - Product Code ATD 2002.1. You
can also purchase Whiz ATD direct from
the manufacturer for £6.80 each. For further
information or if you wish to place an order
visit www.whizaway.com
The Dolphin Club!
Summer Events…
There are lots of activities being organised for children of all ages, throughout the
summer holidays this year ... here are some ideas you may like to try.
For every bear that
ever there was…
The National Trust will be
hosting a series of Teddy
Bears Picnics at many of
their properties across
the country. There will be
stories and music if you go
down to the woods today
... if you are interested in
joining the teddy bears,
contact The National Trust
via their website:
www.travelengland.org.uk
Get lost!
Did you know there are
61 mazes in England?
Fun for you and a quiet
rest for the grown ups!
You can find details of
your nearest maze on the
National Trust Website
www.travelengland.org.uk
Down on the farm…
There are a number of
farms in cities throughout
England, which you and
your parents can visit usually for free. You can
get a list of farms to visit by
sending a self-addressed
envelope to:
Jo Saddler, Administrator,
Federation of City Farms &
Community Gardens,
The Green House, Hereford Street,
Bristol, BS3 4NA
Telephone: 0117 9231800
Fax: 0117 9231900
email: jo@farmgarden.org.uk
You can also get a list of
country farms by writing
to the:
Public Affairs Department,
National Famers Union,
164 Shaftesbury Avenue,
London, WC2H 8HL
Left, right and
straight ahead…
NB - The information shown here was correct at time
of going to press. It is recommended that you call the
location in advance.
This is a game you can
play on foot, in a car or
even on your bike! At every
crossroad, each member
of the family in turn can say
whether you go left, right,
or straight ahead. The trick
is to get thoroughly lost
so that you can discover
new places. Don’t forget
to take a map so you can
get home.
I spy with my
little eye…
Why not play a game of
‘I spy’ to see how many
of these items you can tick
off during your journey?
a tree
a cow
a bus
traffic lights
a hat
shopping bags
a bird
an aeroplane
11
As the manufacturers of LoFric®, Astra Tech
is committed to finding even quicker
and simpler solutions…
... without
What is Astra Tech?
The roots of what is Astra Tech today, go
back to the 1940’s, working closely with
healthcare professionals and providing
a source of information. Our business
has been focused on medical devices and
implants in the therapy areas of urology,
odontology, surgery and radiology.
As a company within the AstraZeneca
group, we have access to significant
resources in research, legal,
environmental and patent issues. LoFric
is an example of Astra Tech’s goal of
integrating medical research and modern
material technology. Today, we are the
world leaders in our field and view this
as an excellent platform for the future.
What does our research mean
to you?
Keeping well and avoiding infection is
extremely important. For people who are
using a catheter three to five times a day, it
can mean the difference between falling ill
or staying healthy. The greater the friction
between the catheter and the urethra,
the greater the risk of trauma. Several
studies show that injuries usually become
visible only after some years of catheter
use. As the need can often be long-term,
you must be sure that the catheter is
proven for safety over life-long use.
Today, intermittent catheterisation with
LoFric is a recognised and established
form of therapy, but this has not always
been the case. The introduction of LoFric,
along with active co-operation with
healthcare professionals and researchers,
led to the breakthrough of intermittent
catheterisation, dramatically improving
the user’s quality of life.
Over twenty years ago, when LoFric
was introduced it revolutionised the
use of catheters for ISC. It was the first
hydrophilic catheter on the market and
is today, supported by more scientific
research than any other intermittent
catheter. Currently we have over
twenty five published studies*, many
of which demonstrate reduced risk of
complications over long-term use.
* Documentation available on request.
12
The world’s only catheter with
Urotonic™ Surface Technology
LoFric is the only catheter with Urotonic
Surface Technology – a unique surface
layer that makes the catheter more
comfortable to use. The secret behind
this is a chemical process that makes
the surface layer isotonic to urine.
This means that the saline level in the
catheter’s surface layer is the same as
that in urine and therefore in the urethra,
resulting in extremely low friction.
Development
Why LoFric?
Bakke et al studied 170 patients
(84 men and 86 women).
After a mean follow-up of 8.8 years,
there were no cases of urethral stricture
or epididymitis.
Future
A complicating factor is that many
people performing ISC have little or no
sensation and therefore cannot rely on
pain as a warning system. For you, our
documentation is both a security and
a guarantee that you will not be injured
by the catheter.
The important long-term
evidence
The long-term safety of LoFric has
been evaluated in two major studies
(Sullivan et al 1995; Bakke et al 1997).
The new LoFric Primo for convenient
and safe ISC, ensures no compromise
between long-term safety and short-term
convenience. Astra Tech have invested
over £30million in a new state-of-the-art
manufacturing plant that guarantees both
quality and production meet the high
expectations of our end users.
Our commitment
Astra Tech will continue to develop
and improve their products in
response to the changing needs of users.
We are committed to finding even better,
quicker and simpler solutions, without
compromise.
compromise
Astra Tech
supports the only
national childhood
continence charity.
ERIC (Education and Resources for
Improving Childhood Continence) is the
only national charity providing support to
children, families and health professionals
in the field of childhood continence.
Over the past eighteen years ERIC has
achieved significant successes, including
the publication of the first minimum
standards of practice for treating
nocturnal enuresis, and constipation and
soiling. For many years we have been
delighted to receive the support of
Astra Tech, particularly through
our relationship with Mary White,
Independent Clinical Nurse Specialist.
With the generous support and funding
by Astra Tech, ERIC has been able to
benefit from Mary’s expertise for several
years and on many levels throughout
the organisation.
Mary’s unique experience and knowledge
of working for children with neurological
problems and those with learning
disabilities has been vital in helping
ERIC develop its services for children
with special needs, including her
contribution to the training materials
and publications available.
More recently, Mary co-authored the
booklet ‘We Can Do it! Helping Children
who have learning Disabilities with Bowel
and Bladder Management: A guide for
parents‘ . We were delighted when this
booklet won a Highly Commended Award
at the British Medical Association, Medical
Book Awards in 2003. Mary also provides
vital support to the ERIC Helpline team
by advising on clinical issues and keeping
them abreast of developments in the
wider continence field.
Mary White, Continence
Nurse Specialist, has
worked on a consultancy
basis for Astra Tech for
over ten years. Mary has
provided Select users and
patient organisations
with tremendous support
and advice.
ERIC continues to work with Mary to
improve the lives of all children and
families, a partnership that would not
be possible without the ongoing support
of Astra Tech. We are extremely grateful
for their commitment to ERIC and we
look forward to Astra Tech and Mary
playing an ongoing part in helping
ERIC achieve future success.
ERIC has a national Helpline:
0117-960 3060
(10am and 4pm, Monday – Friday)
and a website
www.eric.org.uk
13
ASSOCIATIONS
Back-Up Trust volunteers
share their wheelchair skills for
maximum independence
Maximising your independence as a
wheelchair user can be an uphill struggle.
Proficiency in wheelchair skills is one of
the key things that will enable you to
lead an active and independent life.
The Back-Up Trust, who support people
with spinal cord injury, have teamed up
with Astra Tech who are funding the
scheme to offer peer-to-peer wheelchair
skills training in spinal units across the UK.
Three hour sessions are led by long term
wheelchair users who are able to share
tips and advice from first hand experience.
Although inpatients do receive skills
training as part of their rehab, these new
sessions offer a unique chance to learn
from other experienced chair users.
Back-Up is currently piloting the scheme
at three spinal units with a view to
nationalising it over the next two years.
We were delighted to have the opportunity
to run a session in Glasgow on 16th
December. Twelve inpatients at the Queen
Elizabeth National Spinal Injuries Unit
took part in the session which covered
techniques for tackling curbs, ramps,
thresholds and even stairs as well as more
basic skills like back-wheel balancing.
Dave Ball, a Back-Up Trust Peer Wheelchair
skills trainer says ...
New booklet from Incontact
The holiday season is fast approaching
and many of you will, no doubt, be
planning your break. However, if you
have a bladder or bowel problem, you
might be worrying about how you can
deal with your problem whilst you are
away from home.
Incontact has produced a new booklet
called ‘Travelling with Confidence’.
14
‘
I broke my back ten years ago and as
part of my rehab at Stoke Mandeville
I learnt wheelchair skills from the able
bodied physiotherapists. But some of the
key learning I have acquired has been from
my peers, partially within the spinal unit
but for the main part during Back-Up
activities - I learnt how to best descend
steep slopes (the same method works well
for any slope) on my first Back-Up ski trip
in 1996. I now teach that to all those who
attend my sessions and use it several times
each day! I can honestly say that the vast
majority of people I have met on these
courses have gone away with at least one
lesson learned and for many it will make
a huge impact to their lives.
’
Written with input from Incontact
members, this booklet gives information
and advice about coping with a bladder or
bowel problem when going on holiday, for
a day out or on a business trip.
‘Travelling with Confidence’ is available
free to people with bladder or bowel
problems and their carers.
To order your copy, please phone
Incontact on 0870 770 3246,
or email info@incontact.org.
Alternatively, the booklet can be
downloaded from www.incontact.org.
Similar sessions have been held at Stoke
Mandeville in November 2004 and the
Oswestry unit in February 2005.
Feedback from participants to date has
been overwhelmingly positive and it
appears that we have struck a winning
formula. Quoting a few enthusiastic
participants, “it was fantastic being shown
how to use a wheelchair by wheelchair
users”, “the session gave me more
confidence and showed what is possible
with time”, and “the best thing was that
we were taught by our peers”.
The next scheduled date is 9 June 2005 at
the Stoke Mandeville Unit - to find out
more, contact Sean at The Back-Up Trust on
020 88751805
or email sean@backuptrust.org.uk
or visit www.backuptrust.org.uk
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Astra Tech is proud to support many associations and organisations
NEWS FROM THE
CONTINENCE FOUNDATION
National Continence Awareness
Week 2005
This year’s Awareness Week will run
from 12-18 September. The aim of these
annual campaigns is to publicise the help
that is available for people with bladder
and bowel problems. The theme this year
is ‘The Overactive Bladder’. To mark the
campaign, we will launch a leaflet for the
general public which defines the various
symptoms of an overactive bladder
(urgency, frequency, nocturia and urge
incontinence) and provides summaries
of the treatment options available.
Our Campaign Supporters will receive
a free supply of leaflets and other
promotional materials, such as posters and
stickers, to distribute in their communities
(GPs’ surgeries, libraries, sports centres,
etc.). Please contact us if you would like
to register as a supporter.
‘Well Behaved Bowel’ Leaflet
Back in Print
Our short leaflet about maintaining
healthy bowel habits is available once
again. Send an SAE for a single copy.
They are also available in bulk at £3.00
for 50 and £4.80 for 100 including p&p.
Pelvic Floor Diagram back in stock
We have also reissued an A4-sized cross
sectional diagram of the male and female
pelvic regions. This laminated teaching
aid illustrates all the key anatomical
details, which are clearly labelled.
This is available for £1.00 including p&p.
Diagnostic Wheel revised and
re-issued
Our quick reference tool offering a guide
to appropriate treatment and referral for
all major forms of incontinence has been
updated and reprinted. It is an ideal
educational resource for continence
course leaders and students. The Wheel
is available for £5.00 including p&p.
NB - Cheques to be made payable to
‘The Continence Foundation’.
The Continence Foundation, 307 Hatton
Square, 16 Baldwins Gardens, London,
EC1N 7RJ
Tel: 0207 404 6875
Helpline: 0845 345 0165 (9.30-1.00)
E-mail: continence.foundation@dial.pipex.com
Website: www.continence-foundation.org.uk
HEALTHY
LIVING
ROADSHOW
The first in the 2005 series of Healthy Living Roadshows was held at the
Newport Hilton and was once again a great success. Astra Tech have been
working with the Spinal Injuries Association since the launch of the Roadshow
in July 2003, bringing specialist information on living a healthy lifestyle to
people with a spinal cord injury.
Here are what previous attendees had to say:
‘
The main issues of interest to
me were the bowel and bladder
management sessions. It was good
to see others in similar situations and
that it is all down to the individual.
I also brought a couple of carers with
me and its been very interesting for
them to talk to other carers and to find
out what they offer in other areas.
I found the bladder session very
informative, there was a lot I didn’t
know in that respect, so I learned quite
a lot. I’d give the day 11 out of 10!
’
‘
It’s been a very interesting day,
it has made me ask a lot of questions
about my condition and how I manage
it. It’s also been interesting to find
out some information on the products
available.
‘
’
The informal atmosphere of the
day has been very positive and
helped people to open up and ask
a lot of questions. I have learnt a lot
from others.
’
The next Roadshow will be at the Hilton Hotel, Newcastle Gateshead on
Monday 18 July 2005 - please contact us for more information:
freephone
0800 652 3350
15
Would you like to know more?
Please tick the subjects below that are of interest. You can cut out the reply slip or,
if you prefer, contact one of our Select team who can advise you on registration,
ordering and how to obtain your prescriptions.
How to contact us for more information…
Call freephone
0800 783 7027
Write freepost
Astra Tech Select, Freepost SWC 1804, Stonehouse, GL10 3BF
E-mail
select@astratech.com
Reply
Simply tick the subjects that you are interested in, cut out the form and
send it to the Select freepost address.
ISC Catheters & Catheter Kits
LoFric® PrimoTM
LoFric®
I would like a free LoFric Primo sample - please confirm size required: ch __
LoFric® Plus
LoFric® Cath-KitTM
LoFric® Female 15cm
LoFric® Dila-CathTM
LoFric® Hydro-KitTM
LoFric® Insti-CathTM
Select Service
Home Delivery Information Pack
Healthy Living Roadshow (See Page 15)
I am interested in attending a Roadshow in 2005
Previous Features
Spina Bifida & ISC Issue 13
Working Bladder Issues 6 & 7
The Prostate Gland Issue 12
Spina Bifida Issue 5/Summer 2000
Incomplete Bladder Emptying Issue 11
ISC & Spinal Injuries Issue 4/Spring 2000
Multiple Sclerosis Issue 10
Multiple Sclerosis Issue 3/Winter 1999
Spinal Injuries Issue 9
Coping with MS & Focus on ISC Issue 2/Autumn 1999
ISC Lifestyle Issue 8
Multiple Sclerosis Issue 1/Spring 1999
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Address:
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Astra Tech Select, Freepost SWC 1804, Stonehouse, GL10 3BF
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