Overactive bladder: a challenge for primary care

The important role that members of the primary health care team play in the treatment of urinary incontinence is widely recognized (Department of Health (DH), 2000). Incontinence within the general population is increasing and is known to be an embarrassing and distressing condition. It remains a taboo subject that is difficult to talk about even with a trusted health professional. As a result patients suffer from social isolation and a reduction in self-esteem. Members of the primary health care team are well placed to raise awareness about the treatment options. Nurses' involvement in the treatment and management of incontinence is set to increase (DH, 2001). This article aims to review the types of incontinence and the treatment options available to members of the primary health care team. The 'National Service Framework for Older People' (DH, 2001) has set us the task of establishing integrated continence services by 2004. This provides nurses with the opportunity to work in partnership to target this distressing and embarrassing condition.