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Aims and Objective: To explore the experiences of community patients living with a urethral catheter and those caring for them. Background: Living at home with an indwelling urethral catheter often results in consequences that create a double-edged burden: first, on patients and their relative carers and second, in terms of unscheduled community nurse service “out-of-hours” provision. Design: One-to-one interviews were conducted with patients living at home, their relative carers, qualified community nurses, augmented home carers and healthcare assistant. Quantitative data in relation to frequency, duration and reason for visits were extracted from the community nurse “out-of-hours” service database. Results: Quantitative data showed that 20% of all community nurses unscheduled “out-of-hours” visits were triggered by an indwelling urethral catheter consequence. Qualitative data revealed that health and social care staff felt knowledgeable and skilled in urethral catheter management. Conversely, patients and relative carers felt poorly equipped to manage the situation when something went wrong. The majority of patients described the catheter as being a debilitating source of anxiety and pain that reduced their quality of life. Conclusion: Urethral catheter complications are frequent and impact seriously on quality of life with informal carers also affected. Community nurses experienced frequent unscheduled visits. Patients often feel isolated as well as lacking in knowledge, skills and information on catheter management. Having better urethral catheter information resources could increase patient and relative carer confidence, encourage self-care and problem solving, as well as facilitate meaningful consistent dialogue between patients and those who provide them with help and support. Relevance to Clinical Practice: Better patient information resources regarding urethral catheter management have potential to improve patient and relative carer quality of life and reduce service provision burden. [ABSTRACT FROM AUTHOR]

The article reports on the mastery of vocabulary by the eight-grade students. It contains a table that shows the words used in popular text in United States history that was compiled by the author to determine the vocabulary words used by the students. Moreover, students must know more than the words of his history textbook for there is a special vocabulary attached to each of his others studies that includes words not mentioned in the history texts. Thus, eight-grade students who complete his work successfully must possess at least ten to fifteen thousand words.

The article presents information on the language-teaching problem with reference to Helen Keller, a deaf and blind girl. The article offers methods that Keller adopted to take command over English language. She is considered as the most interesting character form an educational point of view. The article discusses Helen Keller's book "Story of My Life," which includes as a supplement an account of Keller's education that solves the problems of teaching the mastery of the mother-tongue to all children. The article states that Keller's teacher Miss Annie Sullivan, who had been blind for many years and later regained her sight, spent 6 years at the Perkins Institution for the Blind in Boston and became a great teacher and educator. The article also offers various short extracts that Miss Sullivan used to train Keller.

The article elaborates the flaws in the teaching of English subject in common schools. One cause of confirmed failure is external to the school itself, more or less permanent. It is found in the heterogeneous character of swarming emigrant population, which poses problems as far as language and literature are concerned. Another cause for poor work in English also is also external to the school system, though partly. This cites the survival in home and in school of an ancient false tradition as to the culture value of a knowledge of technical grammar. The third, and the last cause for the general weakness in English work, is the eventual result from the second just stated. This concerns teachers who have not prepared themselves to teach language as art at all.

The article reveals the common errors in the teaching of English language in the U.S. First, is the incorrect use of the two first or the first two, the author provides a list as might be made by the pupils omitting merely the location of the citations. Second, is the incorrect use of comparative or superlative in speaking of two or more.

The article reports on the observation of education system by an English teacher in the U.S. Why some English teachers has taken their face value pronouncements of any and little textbook that assumes to give a rule. Other English teachers not aware that they have same duty and right as other teachers that look into the field covered in their own line of work.

Presents answers to queries related to education. Opinion on the use of adverb and an adjunct in a sentence; Criticism of an expression that occurred in the April 19, 1883 issue of "The Journal of Education."

Presents questions from readers of the "Journal of Education," including where to find a copy of "The Reply to Lord Byron's Farewell to his Wife."