Urinary Incontinence And Loss Of Bladder Control

"There’s a huge stigma around incontinence despite it being so common," she says. "I would urge anyone with symptoms to come forward as it’s more than likely that we can sort out the problem and really improve their quality of life."

This reflection case study will be discussing urinary continence management using Gibbs reflective framework (Gibbs,1988). This will include what is urinary incontinence management, the pathophysiology of urinary incontinence after stroke, how continence affect patient and current clinical practice and the role of the nurse and multi-disciplinary team within continence management. Also using the evidence based research and national guidelines.

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

Urinary incontinence is very common following a stroke with 40-60% of hospitalised patients experiencing it in the acute phase, 25% on discharge and one third of survivors experiencing ongoing problems at one year (Barrett 2002, Kolominsky-Rabas et al.2003).Bladder and bowel problems are common following a stroke and can have a huge impact on physical and psychological aspects of quality of life, for both patients and carers. Health care professionals can do much to help improve and manage incontinence problems in stroke patients and this starts with a good understanding of key issues. Mobility and manual dexterity problems can compound bladder and bowel symptoms because they can make toileting access difficult, other problems such as visual disturbances, dysphagia and cognition also contribute indirectly to continence difficulties. There is evidence that professional input through structured assessment and management of care, together with the involvement of specialist continence nursing services, may reduce urinary incontinence and related symptoms after stroke. Bladder and bowel care requires active management –this includes a written personalised plan, taking into consideration required assistance, personal needs and goals. This essay is an overview on the importance of timely nursing assessment and management of urinary incontinence

“Oh, this is awful,” Jenny muttered to herself. She was sitting on the toilet with a pair of very wet panties and slacks around her ankles. Jenny never knew when it would hit―this need to urinate quickly. She would find herself running to the bathroom like a woman possessed and then usually not making it in time. “It also seems like I’m peeing all the time,” she said. “This is getting old really fast,” she thought, as she continued trying to squeeze the urine out of her panties using quantities of toilet paper.

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

Patient's decision-making is influenced by several factors. Patients may change their decisions, from accepting or refusing treatment depending on the available treatment options. The capacity of the individual to make informed medical decisions can differ as the patient's status changes cognitively, emotionally, and/or physically and as the proposed treatment interventions change. Treatment refusal is a common situation faced by clinicians. Patients do not usually refuse the medical advice if the advice is of good intention. When patients refuse an advice, it indicates some underlying reasons related to the patients or family, factors associated with the physician as well as social and organizational issues.

Urinary Incontinence (UI) is defined as the involuntary passing of urine. This can easily be confused with the disease that causes an excessive amount of urine, known as polyuria. Urinary incontinence is the loss of bladder control that causes leakage ranging from small amounts to large amounts and can be an extremely uncomfortable feeling for the animal as well as an annoyance for the pet owner. Depending on the cause, there are many different options to help control this condition. According to the College of Veterinary Medicine of Illinois, 90 percent of patients respond to most medications. All pet owners should be aware of the type of animal it affects, the different causes of the condition, how it affects the animal,

Fecal incontinence is the inability to control your bowels. When you feel the urge to have a bowel movement, you may not be able to wait until you can get to a restroom. This can cause you to have accidents.

You may feel frustrated if your child is one of the many who have difficulty maintaining bladder control. But it's not your fault, and certainly not your child's fault. While they may have properly applied daytime bladder control, keep in mind that this is in large part a voluntary process. At night, however, despite the child's best

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.