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Promoting continence: simple strategies with major impact.

Dorothy B Doughty1

  • 1Emory University WOC Nursing Education Center, Room AT 732, 1365 Clifton Road NE, Atlanta, GA 30322, USA. ddoughty@emory.edu

Ostomy/Wound Management
|January 9, 2004
PubMed
Summary

Urinary incontinence affects many women but is often undertreated. Nurses can improve bladder health and continence through education on fluid management, pelvic exercises, and lifestyle changes, benefiting most patients.

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Area of Science:

  • Urology
  • Nursing
  • Public Health

Background:

  • Urinary incontinence is a prevalent condition, particularly in women, yet frequently underreported and undertreated.
  • Patient and healthcare provider misconceptions limit treatment options, often overlooking conservative interventions.

Purpose of the Study:

  • To highlight the crucial role of nurses in managing urinary incontinence.
  • To advocate for the implementation of primary continence restoration strategies.

Main Methods:

  • Review of current understanding of urinary incontinence management.
  • Emphasis on nurse-led patient education regarding bladder health strategies.
  • Identification of patients requiring specialized referral versus those amenable to primary interventions.

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Main Results:

  • Nurses can effectively teach bladder health strategies, including fluid management, voiding intervals, and pelvic muscle exercises.
  • Primary continence restoration strategies, such as addressing reversible factors and providing specific instructions, significantly improve bladder function.
  • Most patients with urinary incontinence can benefit from these accessible interventions.

Conclusions:

  • Nurses are pivotal in reducing the incidence and improving the management of urinary incontinence.
  • Simple, nurse-delivered interventions can lead to substantial improvements in bladder function and patient continence.
  • Empowering nurses with primary continence restoration strategies enhances patient outcomes and quality of life.