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pelvic floor muscle trainig for stress urinary incontinence for eldery…
pelvic floor muscle trainig for stress urinary incontinence for eldery lady in hospital setting
OVERVIEW
most common type of incontinence
underactive pelvic floor muscles (PFM)
involuntary loss of urine on effort such as lifting, sneezing, laughing
with increase intra-abdominal pressure = increase bladder pressure which overrides the pressure generated from the sphincter, hence leakage
common causes are weak PFM, impairde nerve supply or excess fluid intake
leakage big or small
FACTS
in depth subjective assessment
objective assessment
PFM using digital, observe, biofeedback or US
weight
leakage quantification
bladder diary
bladder function testing
weight of client
PFM testing to look at strenght, endurance, coordination, tone
treatment
education
teach KNACK
change modifiable impacts
PFM training focussing on quick activation. Progress REPS, Endurance, Fz and resistance as able
BENEFITS
provide accurate education to clients
being able to refer to specialist and knowing what they do
starting with a correct PFM contraction which can be taught in hospital
provide support and understanding for clients
improve quality of service offered in hospital
being able to look at other modifiable factors by using the multidisciplinary team
FEELINGS
highly specialised field
overwhelmed
at a generalist level, I feel that most of the information that I provide to the client was correct. Education can be improved on
DIFFICULTIES
can be hard to explain
not easy for elderly clients to grasp
uncomfortable for clients to talk about
feeling like they have to put up with it, part of ageing, unable to change
no access to specialised equipment
OPPORTUNITIES
sift through information provided to find information that can be used on a generalist level in hospital setting
update handouts for clients
short inservice for RNs and allied health staff