Women 's Waterworks : Evaluating An Early Intervention For Incontinence Among Adult Women

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

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

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.

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).

In order to obtain an in depth knowledge of the subject of perineal massage in the intrapartum period, an extensive amount of literature needed to be investigated, this was done by accessing the University electronic database, which accessed a vast amount of sources. A search was performed using CINAHL (Cumilative Index to Nursing and Allied Health Literature). CINAHL searches a variety of health journals from around the world. By searching using key words a significant amount of literature was sourced. In order to narrow down the results the search was repeated but key words were combined, this was to access results that were more specific to the subject area. Though this database was useful and provided a vast amount of literature, few of the articles were actually research based, therefore those ones were excluded.

Humans are supposed to to to the bathroom four to six times a day. The pressures of life force us to clench and hold it in. Two kidneys, two europhras, a bladder, two ureters, and a urethra make up the urinary system. Urine comes from the kidneys by mixing water and other wastes. Then they go to the ureters and into the bladder. The bladder inflates like a balloon when full. The sphincter opens up when the bladder is full and the urine goes to the external urethral sphincter. You are able to control the opening and closing of that area and that is how you hold your pee. It will weaken or overwork your muscular slang which could lead to bad side

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

I do not have problems with incontinence so I am able to recognize when I do need to go to the bathroom.

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).

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.

I suspect I would have tried to contract my lower extremities as tight as I could, danced a little, and prayed as I am doomed. I begin to think this is an uncomfortable way to live, I could not imagine what it would be like to have an accident in my pants as an adult. I would much rather want to stay at home and become an introvert to avoid the embarrassment. It is suggested, urinary incontinence which is an involuntary loss of bladder control is a condition affecting approximately 25-37 elderly Americans. Studies suggest there are strategies to exist to promote continence by behavioral changes such as exercising one’s floor muscle (Sims, Browning, Lundgren-Lindquist, & Kendig, 2011). Last, at 6:45 I was in pursuit of the restroom, this time I was in close proximity, yet I moved pretty quickly to reach my destination taking no chances. In consistent flight worrying about this needless behavior is a real live struggle. I would have to live around the toilet. This can’t be good. What is most problematic about having continence issues is the not knowing when, where, and how which can affects my daily activities. Study determined continence problems present limitations and avoidance of routine activities such as bending, reaching and stooping. It has also been associated with problems of daily activities such as dressing, eating, getting in and out of bed, and walking