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Published on: October 25, 2024
Continence nursing: a whole person approach
Donna L Thompson1, Diane A Smith
1Fair Acres Geriatric Center, Lima, Pennsylvania, USA.
Holistic Nursing Practice
|February 16, 2002
Summary
Urinary incontinence management involves a comprehensive approach, including behavioral therapies like bladder retraining and pelvic muscle exercises. Advanced treatments like biofeedback and electrical stimulation can improve outcomes for this common condition.
Area of Science:
- Urology
- Gerontology
- Physical Therapy
Background:
- Urinary incontinence (UI) presents significant medical, social, psychologic, and economic challenges.
- Effective continence management necessitates a sensitive, comprehensive, and holistic strategy.
- UI profoundly impacts patients' quality of life and daily functioning.
Purpose of the Study:
- To outline a comprehensive approach to continence management.
- To detail assessment strategies for urinary incontinence.
- To review various treatment modalities for urinary incontinence.
Main Methods:
- Assessment includes focused physical examination and comprehensive history.
- Evaluation considers factors impacting continence: cognition, functional ability, and quality of life.
- Review of behavioral therapies, biofeedback, electrical stimulation, medications, and devices.
Main Results:
- Behavioral therapy encompasses diet modification, toileting programs, bladder retraining, and pelvic muscle re-education.
- Biofeedback and electrical stimulation aid in pelvic floor muscle identification, recruitment, and strengthening.
- Medications and devices like pessaries offer additional treatment options.
Conclusions:
- A holistic and individualized approach is crucial for managing urinary incontinence.
- Multifaceted treatment strategies, including behavioral and physical modalities, can improve patient outcomes.
- Addressing the complex nature of UI is essential for enhancing quality of life.
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