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Incontinence (Age related changes (Decreased bladder tone and elasticity,…
Incontinence
Age related changes
Decreased bladder tone and elasticity
Loss of bladder holding capacity
Urge to void occurs at lower bladder volumes
Increased urine production at night
Changes in collagen content and sensitivity of muscle receptors
Less muscle tone and elasticity
Treatments
Bladder suspension
Artificial sphincter
Kegel exercises
Scheduled toileting
Improve sphincter contraction
Causes
Joint diseases
Stroke
Immobility
Multiple schlerosis
Obesity
Types of urinary incontinence
Over flow
Urethral obstruction, disorders of bladder, spinal cord injury
Functional
Dementia, head injury, stroke
Urge
Nervous system disorder, UTI, bladder obstruction
Stress
Relaxation of pelvic floor muscles, urethral trauma
Types of fecal incontinence
Neurogenic
Anorectal
Symptomatic
Overflow
Interventions
Behavioral
habit training
Prompted voiding
Bladder training
Drug
Anticholinergics
Estrogen
Surgical
Catheter
Nursing assessments for diagnosis
Patient should participate in treatment
Determine patients concerns regarding condition
Ensure patient understands condition
Determine past problems which may be associated with incontinence
Care Plan
Ensure patient understands management of condition
Continent voiding with appropriate support
Improved control of urine flow and decreased episodes of involuntary voiding
Decreased social isolation and improved self concept
Prevalence
5-25% of adults note leakeage once a week
5-15% of adults experience leakage daily
15-69% of women in US experience urinary incontinence
5-24% of women in US experience severe urinary incontinenece
Definition of incontinence
involuntary passing of urine and/or feces
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