Overactive bladder (OAB) is defined as abnormal urinary symptoms in absence of a urinary tract infection or other pathology. Prevalence has been found to increase with age. Thirty percent of U.S. Adults age 65 or older was found to have OAB. OAB poses a significant burden on elderly patients. Increased urination at night is the biggest burden that the elderly population experience. OAB not only creates a burden on the elderly population, but it also creates a burden economically. This article is about a study conducted that examines the potential benefits of diagnosing and treating elderly adults with overactive bladder. Methods This study used data from the OAB recontact study, which is a cross sectional self-reported internet study. In this study two comparisons of diagnosed relative to not diagnosed, and treated compared with those never treated. Among the elderly population 211 were diagnosed with OAB. In addition, 140 …show more content…
never treated elderly respondents had a significantly lower odds of having urge stress or mixed incontinence. Better health outcomes among elderly is directly associated with diagnosis and treatment. Treating OAB not only is important for the health of the elders, but it is also proven to be important economically. It is estimated that it cost $17,477 for non-treated patients vs. $9,670 for patients that were treated. Overall the findings highlight the importance of managing OAB symptoms in the elderly adults to decrease the burden of this condition for both the elderly and the economy. Recommendations for further studies The limitations of this study may be limited to inaccuracies, because all responses were self-reported. A recommendation for further studies could collect data directly from the patients chart. Obtaining information directly from a patient’s chart eliminates the subjective data, and makes the information obtain more reliable and
Incontinence is one of the major problems faced by the elderly. Nurses can play a significant role in discovering continence problems (Lea R.et.al.2007). Urinary incontinence is the unintentional passing of urine. It is a very common problem and is thought to affect more than 50 million people in the developed world.(NHS.UK). To identify the problem and provide necessary treatment at the early stage, a thorough physical assessment is necessary.
First, neurological disorders can occur, as seen with Alzheimer’s disease and Parkinson’s disease, which can lead to neurogenic bladder (“Neurology/Neurogenic Bladder,” 2017). Next, physiological disorders can occur as seen with enlarged prostate in men or shortening of the urethra in women (Jaipaul, 2017). Anticipating the above changes appropriately will aid in understanding what leads to urinary retention in older adults, the resulting need of catheterizations, and the CAUTIs that can follow. Having a foundation to build on, it would be beneficial to explore what nurses can do prevent urinary tract infections in patients who require catheterization.
Urge incontinence is defined within the context of overactive bladder syndrome. The overactive bladder is characterized by bothersome urgency (a sudden and strong desire to urinate that is not easily deferred) (Abrams et al, 2002). Overactive bladder is typically associated with frequent daytime voiding and nocturia, and approximately 37% will experience urge urinary incontinence (Stewart et al, 2003).
The purpose of this paper is to present an analysis of a quantitative article using Melnyk & Fineout-Overholt’s (2015) rapid critical appraisal (RCA) for a randomized clinical trial. Topics included are the validity of the research, results of the research and how the information can be applied to the clinical care of my own patient population.
2011). Incontinence is defined as the complaint of any involuntary loss of urine (urine incontinence) or faecal material (faecal incontinence) or both (double incontinence) (Abrams et al. 2009). Incontinence is a widespread problem in all healthcare settings (Du Moulin et al. 2008; Macmillan et al. 2004). Figures produced by Macmillan et al. (2004) studies on the prevalence of incontinence varied but prevalence was estimated between 10% and 15% for faecal incontinence measured in community-dwelling adults and up to 46% for urinary incontinence measured in older, home-care patients in Du Moulin et al. (2008) studies results. This shows that there is a huge amount of patients at risk for IAD due to them having the risk factor of incontinence. Therefore the prevention of IAD should be paramount in the care of any patients or clients who are at risk for
Asymptomatic patients would have functional impairment such as, dementia, urinary, and bowel incontinence. According to Urinary Tract Infections in the Elderly: Symptomology and Prevention, classic signs and symptoms of a urinary tract infection includes; dysuria, urgency, frequent urination, flank pain, suprapubic pain, fever, cloudy urine, urine with foul odor, recent onset of urinary incontinence. In elderly patients with a urinary tract infection may exhibit signs of altered mental
Based on this idea, Eyer et al. (2009) conducted a study to identify clinical characteristics and
Mr. Davy Jones is a 60-year-old man that presents incontinence, nocturia, difficulty urinating, and a weak stream when urinating. The patient visited the clinic on 03/01/2017 after experiencing these issues for approximately two months. He is experiencing fatigue with not being able to achieve adequate sleep during the night due to nocturia. He is complaining of bladder always feeling full after voiding. Patient has had multiple UTI’s that was treated with antibiotics and was successful with medicinal treatment.
The article “Considering the prominent complaint as a guide in medical therapy for overactive bladder syndrome in women over 45 years” that Sarah wrote about was interesting. One questions that comes to mind would what was the existing symptoms that the women had from mild, moderate or severe incontinence before the treatment and how did the medication help with those different severity levels of incontinence? Also what is the effect that different ethnic backgrounds experience different symptoms from the medications? To figure out the first question we would need to separate the women into 3 different groups and within those groups we would separate them into the two different medication groups to find out it the medications help depending
Accessible multidisciplinary services including assessment (urodynamics investigation where appropriate), diagnosis and management for people with urinary incontinence and other bladder dysfunctions.
Urinary incontinence is the involuntary leakage of urine, which means a person urinates when they do not want to. (82 Testa) Urinary continence occurs when control over the urinary sphincter is either lost or weakened. According to the Canadian Continence Foundation, incontinence affects over 3.3 million Canadians including men and women of all ages. (http://www.canadiancontinence.ca/EN/what-is-urinary-incontinence.php) Urinary incontinence is a much more prevalent in the elderly population due to the combination of age-related changes that affect urinary wellness in older adults and risk factors. A study released in 2013 based on Canadian Community Health Survey- Healthy Aging reveals out of an estimated 512,000 older adults, about 12% of the population aged 65 or older reported urinary incontinence. Women were more likely than men experience the condition (14% vs. 9%), and older adults 85 or older were more prone to urinary incontinence. Urinary incontinence in older adults can negatively affect the quality of their life through both physically and psychosocially. Urinary
For many people, getting older can be difficult because of fear. They worry about what could happen to them or what type of diseases they might develop later on. To become a more mature adult is a stage of life that each individual will experience in a certain point. Statistics shows that eighty-eight percent of those of sixty-five years of age and older have at least one chronic health condition such as diabetes, dementia, Parkinson’s disease or cancer. (ezinearticles.com). This scholarly essay will focus mainly on urinary incontinence (UI) which is a common health problem that elderly may have.
The Article the end from the beginning re (de)finding Aboriginality written by Michael Dodson explores the notions on how Aboriginal people have been represented and perceived by the early settlers. Michael Dodson makes a critique on the language from previous historians. They Mention in the beginning that the Aboriginal people were seen as Noble savages from the prehistoric beasts, blood thirsty, cunning ferocious” that they even fell in the classification of blood types which gives an idea of an animal like classification, scientific based and based purely on Age and descent. ( Dodson, 2003: 19-20). Michael Dodson Argues the question as to how can the colonisers understand all the aspects of the indigenous people if they
The bladder and urinary tract depict the epitome of various old age associated conditions. Urinary incontinence otherwise known as loss of bladder control is a common problem associated with aging. Besides old age, diabetes and other conditions also contribute to incontinence. Other common conditions include menopause for women and enlarged prostate for men.
One limitation of the study is its design. Because the study is correlational in nature, cause and effect relationships cannot be established. The study also did not take into account the social support of the patients and their