Taking a Look at Urinary Incontinence

Anticholinergics are used to address an overactive bladder and can be helpful with urge incontinence. Mirabegron is used to treat urge incontinence, it relaxed the bladder muscle which can increase the amount of urine the bladder can hold it may also assist with emptying the bladder more completely. Alpha blockers used in men with urge or overflow incontinence, this helps relax the bladder neck muscles and the fiber muscles in the prostate making it easier to empty the bladder. Topical estrogen comes in the form of a cream, a ring or a patch that may help tone and rejuvenate the tissue of urethra and vaginal areas. Factors that increase the risk of incontinence are gender; women are more likely to have incontinence due to pregnancy, childbirth, menopause and normal anatomy of the female body. Men with prostate problems can have incontinence issues as well. Age, as we get older, the muscles of the bladder become weaker and the amount of urine the bladder can hold decreases. Being overweight puts pressure on the bladder and surrounding muscles which weakens them. Other diseases such as neurological and diabetes may increase the risk of incontinence. A simple UTI is treated with a common antibiotic usually given for one to seven days depending on the amount and type of bacteria in the urine. Frequent UTI’s may require low-dose antibiotics for six months or more,

Difficulties with continence can affect an individual’s self-esteem, health and their day to day activities. Incontinence sufferers have been known to lose self-esteem and confidence and even withdraw from their usual circle of friends and family. The fear of being found out can make an individual feel ashamed of their condition. These feelings as a whole can impact negatively on an individual’s life. If the incontinence is due to a urinary infection, this could cause intimacy issues, leading to fear of rejection from a spouse. Family outings or sports activities may be affected due to fear of

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.

Incontinence can affect individuals mentally as well as physically, it can have a negative effect

Father gets up once during night to empty his bladder and mother reports problems with bladder leakage from stress incontinence(Johnson family, personal communication, June 24, 2012).

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).

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

Urinary incontinence is a frustrating medical condition. You never know when a sneeze or burst of laughter will cause your bladder to leak. The wetness leaves you uncomfortable and worried about odor. One solution is to wear adult diapers, but you may hate the way they feel and look under your clothing. A better option is to seek treatment from your doctor. Here are some of the treatments he or she may try.

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

The patient in the case study would most likely have mixed incontinence. The two forms of incontinence the patient would suffer from are transient and functional. The patient is currently taking Lasix 80 mg by mouth every 12 hours and would this would be the contributable factor for transient incontinence. Functional incontinence in this case would be from the patient being unable to make it to the toilet because he needs two people to assist him when moving. If the patient was not taking the Lasix, he would still most likely suffer from functional incontinence. The patient has also had an intraoperative left cerebrovascular accident (CVA) which can also be a factor for incontinence but there is not enough information given to make that determination. Although, a CVA can be a factor for incontinence it is not always the cause. The Lasix 80 mg twice a day combined with the patient not being able to go to the toilet on his own would lead to a diagnosis of mixed incontinence (Ebersole & Hess’, 2014).

Stress urinary incontinence (SUI), a clinical subset of urinary incontinence, is an underdiagnosed issue that increases with age and is more commonly found in women than men.4 Stress incontinence is characterized by urine leakage due to increased abdominal pressure from coughing, laughing, and sneezing.4 It can be diagnosed after obtaining patient history and doing a physical examination.4

The services will be provided to the clients in the Chicago's northwest suburban community. The main target group would be people who are 18 and older with one or more urinary related issues; including age and postpartum incontinence. The Urinary Continence and Wellness Clinic Services will adopt an approach to service that embraces a philosophy of respect for, and partnership with, people receiving services. A client centered urinary continence service

Rantell, the author of the article entitled, “Assessment and Diagnosis of Overactive Bladder in Women,” said that women used to believe that urinary frequency during the daytime is a normal part of living and of aging (2013). He discussed that there are diseases that mimic OAB symptoms, therefore, it is important to perform further assessment and examination to refrain from the risk of under-diagnosing, misdiagnosing, and even from performing invasive treatments for OAB which may not be needed (Rantell, 2013). In the study done in Europe, the overall prevalence of OAB, which includes men and women was 16.6%; thus, will even increase by 24% in the coming 20 years (Rantell, 2013). He suggested that a thorough physical assessment and complete family and medical history must be practiced by healthcare providers in order to overcome OAB and to improve diagnosis and treatment (Rantell, 2013).

A urinary tract obstruction will occur when there is an interference in the flow of urine through the urinary tract. When a obstruction occurs in either female or male urinary tract, there will be ab back flow of urine back into the kidneys. One of the many consequences that this condition causes is dilation of the structures distal to the obstruction, greatly increases the risk for infection, and will cause damage to the function of the kidneys (Huether, 2017, p. 747). There are two different types of obstructions that can occur: anatomic or functional. When an anatomic obstruction occurs there will be changes within the urinary system and this is known as obstructive uropathy. Along with these two types of obstructions, they can either occur

6. Menefee SA 1 , Chesson R, Wall LL. Stress urinary incontinence due to prescription medications: alpha-blockers and angiotensin converting enzyme inhibitors. Obstet Gynecol. 1998;91:853-4.