Urinary Incontinence Research Paper

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,

"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.

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

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).

Some medications can be inserted into the anus (rectally) as a suppository. They may contain active ingredients that are meant to have a local effect.

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

Due to weaken immune system, declining organ function, poor sensory perception, and multiple prescribed and over the counter medications, and comorbidities elderly patients are at risk for infections. For many elderly patients the possibility of developing an infection is extremely high, on account of hospitalization or living in long-term care facilities. The most common type of infection acquired in these facilities is urinary tract infections. A urinary tract infection most likely affects the bladder or urethra; more serious urinary tract infections occur in the kidneys. There may be symptoms such as urinary urgency or frequency, but in other cases there are no symptoms at all. This urine infection is caused by gram-negative sepsis.

There are many successful options for control of urinary incontinence which include nursing interventions in the form of behavioral therapy, pharmacological agents, and surgical treatment.

On February 20, 2018 the claimant was treated by Dr. Robert Lai for urge and stress incontinence. She reported an excellent response to Myrbetriq with respect to urgency but still had issues with stress urinary incontinence. Surgery was discussed with the claimant but she chose pelvic floor physical therapy first (Ex.

Treatment depends on the cause and severity of fecal incontinence. It may include dietary changes, medicine, bowel training, or surgery. More than one treatment may be necessary for successful control. Treatment may include:

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 accidental or unwanted leakage of urine causes by a loss of bladder control. (www.womenhealthmatters.ca). The need

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.