Class 10: Urinary incontinence- incontinence

how many adults in the us have urinary incontinence

25 million

9-12% of all adults

mostly women

urinary incontinence causes

"DRIP"

D- delirium, dehydration, depression

R- restricted mobility, rectal impaction

I - Infection, inflammation, impaction

P - polyuria, polypharmacy

bladder irritants

Nicotine

Caffeine

Alcohol

Certain acidic fruits — oranges, grapefruits, lemons and limes

All fruit juices except cranberry

Carbonated drinks

Chocolate

Artificial sweeteners

Spicy foods

risk factors for incontinence

older individuals (at highest risk)

cognitively impaired (dementia)

women are more susceptible

diabetes

immobility

pregnancy

neurologic disorders

medications

diabetes

smoking

stress incontinence

the inability to control the voiding of urine under physical stress such as running, sneezing, laughing, or coughing

stress incontinence s/s

Urine loss with exertion, coughing, lifting or sneezing

Usually involves small amounts of urine.

increased pressure on bladder during pregnancy

Stress incontinence treatment

Exercises to strengthen pelvic floor muscles (Kegel exercises)

surgery

Drug therapy

absorbant pads

Urge incontinence (overactive bladder)

Occurs when the bladder contracts randomly, causing a strong, sudden urge to urinate that is followed by urine leakage.

urge incontinence s/s

Abrupt and strong urge to void

difficulty holding urine

increased frequency

nocturne

urge incontinence treatment

prompted voiding, toilet q2h

pelvic flood exercise

medications

overflow incontinence

involuntary loss of urine associated with overdistention and overflow of the bladder

obstruction or lack of detrusor muscle

overflow incontinence s/s

over distended bladder

urinary retnetion

urinary obstruction

bph

overflow incontinence treatment

surgery

catheterization

absorbant pads

medication

Types of incontinence

stress, urge, overflow, reflex, functional

side note!!

on the test Jenna said that someone can have two types of incontinences

example: someone can have stress and urge at the same time based on s/s of the question and if its select all that apply

reflex incontinence

emptying of the bladder without the sensation of the need to void

nerve issues

example: every time the bladder is at 100ml of urine it automatically empties with no warning

reflex incontinence treatment

medication

neuromodulation

surgery

catheterization

absorbant pads

functional incontinence

the person has bladder control but cannot use the toilet in time

example: dementia, mobility issues, physical disabilities

functional incontinence s/s

not being able to reach toilet in time even though they know they have to go

functional incontinence treatment

catheterization

absorbant pads

home modifications

physical or occupational therapy

assistive devices

nonrestrictive clothing (no belts or buttons)

iatrogenic/transient incontinence

sudden urination due to outside factors like medication

due to acute illnesses, infections, and medications

once cause is removed, incontinence won't happen anymore

once incontinence is recognized, you should get

descriptions of problems

medical history/regimen

voiding history

intake and output

urinalysis and urince culture

general interventions to prevent incontinence

generous fluid intake

maintain regular void habits

maintain good hygiene

reduce consumption of bladder irritants

prevent utis

maintain skin integrity