Related Experiment Video
Updated: May 9, 2025
03:26
Detrusor Underactivity Model in Rats by Conus Medullaris Transection
Published on: August 28, 2020
2.0K
Specialist Practices for Managing Persons Living with Dementia and Urinary Incontinence
Shweta A Chawla1, Krista L Harrison2,3, Louise C Walter2,4
1School of Medicine, University of California, San Francisco, 533 Parnassus Ave, San Francisco, CA, USA. shweta.chawla@ucsf.edu.
International Urogynecology Journal
|April 29, 2025
Summary
Physician practice patterns differ when treating persons living with dementia (PLWD) and urinary incontinence (UI). Cross-specialty learning can improve care for PLWD and their caregivers.
Area of Science:
- Geriatric Medicine
- Urology
- Gynecology
- Dementia Care
Background:
- Persons living with dementia (PLWD) frequently experience urinary incontinence (UI).
- Physician practice patterns for managing UI in PLWD across different specialties are not well understood.
- Understanding these patterns is crucial for optimizing care for PLWD and their caregivers.
Purpose of the Study:
- To assess and compare the practice patterns of urologists, gynecologists, and geriatricians in treating PLWD with UI.
- To identify opportunities for interdisciplinary collaboration and support for PLWD and caregivers.
Main Methods:
- A cross-sectional study utilizing a vignette-based questionnaire distributed to members of SUFU, AUGS, and AGS.
- Statistical analyses (ANOVA, Chi-squared) were used to compare responses between specialties.
- Thematic analysis was employed for qualitative free-text responses.
Main Results:
- Respondents included 55 urologists, 173 gynecologists, and 45 geriatricians.
- Urologists and gynecologists were more likely to use specific medications and treatments for UI and less likely to discontinue cholinesterase inhibitors compared to geriatricians.
- Geriatricians prioritized alleviating caregiver burden, and preparedness to care for PLWD with UI varied significantly by specialty (37% urologists, 29% gynecologists, 61% geriatricians).
Conclusions:
- Significant differences exist in how urologists, gynecologists, and geriatricians approach the treatment of UI in PLWD.
- These variations highlight the need for cross-disciplinary education and collaboration.
- Improved interdisciplinary communication can enhance the comprehensive care of PLWD with UI and support their caregivers.
Related Concept Videos
01:30Specialized Care Centers and Settings-I
889
Specialized care settings or centers are situated in convenient locations within the community and offer care to a specific group or population. They consist of daycare facilities, mental health facilities, rural health facilities, educational institutions, industries, shelters for the homeless, and rehabilitation facilities.
Daycare centers
They provide several functions. Some facilities care for healthy newborns and children whose parents work, while others are medically focused and care for...
Daycare centers
They provide several functions. Some facilities care for healthy newborns and children whose parents work, while others are medically focused and care for...
889
01:30Dementia
64
Dementia is a collective term for cognitive disorders primarily affecting memory, thinking, and reasoning. It is not a specific disease but a syndrome, with Alzheimer's disease being the most common cause, accounting for approximately 60-80% of cases. Other types include vascular dementia, Lewy body dementia, and frontotemporal dementia. Dementia affects millions worldwide, particularly older adults, though it is not a normal part of aging.
The progression of dementia is generally gradual....
The progression of dementia is generally gradual....
64
01:30Irritable Bowel Syndrome III: Medical and Nursing Management
113
Managing Irritable Bowel Syndrome (IBS) involves a multifaceted approach, including lifestyle modifications, dietary changes, and medication.
113
01:30Specialized Care Centers and Settings-II
676
Rural Health Centers
Rural health centers are specialized care facilities in remote locations with very few medical personnel. The primary care providers who run the centers are mostly Registered Nurse Practitioners. Here, emergency treatment is provided to critically ill or injured patients before they are transferred to the closest hospital. Fortunately, due to advancement in technology, many rural healthcare facilities and professionals have easy access to diagnostic and treatment...
Rural health centers are specialized care facilities in remote locations with very few medical personnel. The primary care providers who run the centers are mostly Registered Nurse Practitioners. Here, emergency treatment is provided to critically ill or injured patients before they are transferred to the closest hospital. Fortunately, due to advancement in technology, many rural healthcare facilities and professionals have easy access to diagnostic and treatment...
676
01:26The Micturition Reflex
268
Urination, or micturition involves the coordination of the bladder's detrusor muscle and two sphincters to ensure controlled bladder emptying.
The process begins with bladder filling, where the bladder wall stretches as urine accumulates. This stretching activates the urine storage reflex, mediated by the sacral spinal segments and the pontine storage center. Efferent sympathetic impulses stimulate the detrusor muscle to relax and the internal urethral sphincter to contract, facilitating...
The process begins with bladder filling, where the bladder wall stretches as urine accumulates. This stretching activates the urine storage reflex, mediated by the sacral spinal segments and the pontine storage center. Efferent sympathetic impulses stimulate the detrusor muscle to relax and the internal urethral sphincter to contract, facilitating...
268
01:23Urinary Bladder
222
The urinary bladder is a hollow, muscular sac that temporarily stores urine before it is expelled from the body. It can hold approximately 600 mL of urine prior to micturition. The bladder is retroperitoneal and located behind the pubic symphysis in the pelvic floor.
In males, the bladder is situated in front of the rectum, while in females, it is positioned anterior to the vagina and uterus. The bladder floor contains an inverted triangular area called the trigone, defined by the two ureteric...
In males, the bladder is situated in front of the rectum, while in females, it is positioned anterior to the vagina and uterus. The bladder floor contains an inverted triangular area called the trigone, defined by the two ureteric...
222