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Ostomy Care01:24

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Introduction
An ostomy is a surgical procedure that creates an artificial opening from the intestines to the outside of the body, allowing for the rerouting of effluent. This opening is known as a stoma. A stoma usually protrudes above the skin surface, appearing pink or red, moist, and round, and it lacks nerve sensations.
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Assessment of the Rectum and Anus01:25

Assessment of the Rectum and Anus

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Evaluating the rectum and anus plays a crucial role in conducting a thorough physical examination of the gastrointestinal system. Although it may be uncomfortable and often embarrassing for the patient, it holds immense diagnostic value, particularly in detecting gastrointestinal diseases and abnormalities. This guide will explain how to perform this assessment using inspection and palpation methods.
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Standard Precaution01:26

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Standard precautions are the minimum infection control safeguards used while caring for all patients, irrespective of their disease condition. They help prevent the spread of common infectious microorganisms to healthcare workers, patients, and visitors in all healthcare settings.
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Pharmacological therapies for IBS-C are designed to alleviate abdominal discomfort and enhance bowel function. In patients with IBS-C, fiber supplements may help soften stools and decrease straining, but may also lead to increased gas production and bloating. Osmotic laxatives like milk of magnesia are frequently used to soften stools and increase stool frequency in IBS-C patients. In addition, two drugs approved for use in severe IBS-C adult cases are linaclotide (Linzess) and lubiprostone...
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Suctioning the Oropharyngeal Airway01:25

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In preparing for oropharyngeal airway suctioning, a nurse must gather all necessary equipment, including a suction unit with tubing, a prepackaged suction kit, sterile gloves, water or saline for irrigation, a water-soluble lubricant, and additional personal protective equipment (such as a gown, mask, and goggles) to control infections.
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Parentral Nutrition: Centeral and Peripheral Parental Nutrition01:27

Parentral Nutrition: Centeral and Peripheral Parental Nutrition

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Parenteral Nutrition (PN) delivers essential nutrients directly into the bloodstream, bypassing the digestive system. It is commonly used for individuals with severe digestive disorders or conditions that prevent normal nutrient absorption.
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Provider Practice Patterns Regarding Over-The-Counter Continence Devices.

Ukpebo Omosigho1, Edwin W Holt2, Shivani Murarka3

  • 1Department of Obstetrics and Gynecology, Division of Female Pelvic Medicine and Reconstructive Surgery, Vanderbilt University Medical Center, Nashville, TN, USA. uomosigh@gmail.com.

International Urogynecology Journal
|February 28, 2024
PubMed
Summary
This summary is machine-generated.

Many clinicians are unfamiliar with over-the-counter (OTC) continence devices for stress urinary incontinence (SUI). Barriers include lack of training and discomfort, hindering recommendations for these low-risk, accessible SUI management options.

Keywords:
Continence devicesFemale incontinenceFemale pelvic medicineOver-the-counter productsStress urinary incontinence

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Area of Science:

  • Urology
  • Gynecology
  • Pelvic Floor Medicine

Background:

  • Stress urinary incontinence (SUI) management often includes conservative options like vaginal inserts and continence devices.
  • Current practice patterns regarding the recommendation and use of these devices are not well-documented.

Purpose of the Study:

  • To investigate clinician counseling patterns for over-the-counter (OTC) continence devices.
  • To identify perceived barriers preventing clinicians from recommending these devices.
  • To assess clinician familiarity with available OTC continence devices in the USA.

Main Methods:

  • A cross-sectional study utilizing an anonymous electronic survey.
  • Survey distributed to OB/GYN, Urology residency, and FPMRS fellowship programs.
  • Multivariate logistic regression analyzed factors associated with recommending OTC devices.

Main Results:

  • 64% of respondents were familiar with any OTC continence device.
  • 60% of clinicians regularly treating SUI reported recommending OTC devices.
  • Trainees and general OB/GYNs were less likely to recommend OTC devices.
  • Key barriers included lack of training (70%) and forgetting them as an option (15%).

Conclusions:

  • Low clinician familiarity and discomfort pose barriers to recommending OTC continence devices.
  • Increasing clinician awareness of these accessible, low-risk SUI management tools is crucial.
  • Addressing these barriers can improve patient access to conservative SUI treatments.