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BARRIERS TO ACCESSING SUPPORT FOR URINARY INCONTINENCE - Coggle Diagram
BARRIERS TO ACCESSING SUPPORT FOR URINARY INCONTINENCE
Interpersonal Factors
1.2 Inconvenience & Behaviour Adaptations
Protective garments
Behaviours and lifestyle adaptations (i.e., crossing legs, using toilets prior to provocative activities, using toilets after activities, changing clothing)
Avoiding provocative activities
1.3 Lack of Time
Busy lifestyle and lack of time
Push it aside
Human givers and children to care for
1.1 Lack of Knowledge
Of UI symptoms, pelvic floor musculature, and support services
Lack of language or narrative to describe symptoms
No knowledge of PFP
No resources or discussions in the prenatal period
Misinformation on social media
Feelings of embarrassment, discomfort, and shame while feeling vulnerable in the postpartum period
Stigma
PFP is intimate and invasive
Stressful
Cost
PFP expensive due to specialized service
Prioritization of finances and insurance coverage
Lack of insurance coverage or limited insurance
Reliance on others for funding
Normalization of UI Symptoms
Reinforced thoughts
"Normal" as we age
"Normal" after having children
Conversations with family and friends reinforce misconceptions
State they cannot do something due to peeing their pants
Make jokes about it
Makes UI seem inevitable and permanent
Mainstream media
Health Systems
4.1 Lack of Availability of Services
Clinic availability
Long wait times for referrals and appointments
Rural/remote areas lack specialized services and practitioners
Policies and Procedures
Referral pathways
Failure to discuss UI and services
Lack of resources
4.2 Lack of HCPs Knowledge
Lack of resources and conversations with patients
OBGYN and Midwife Education
Reluctance to refer
Inaccurate information on PFP
Unsure of effectiveness and evidence for use
Physiotherapist Attributes
Lack of individualized programs
Values of patient not reflected in therapist
Lack of supportive care