2.10 Bladder & Bowel Flashcards
3 types of neurogenic bladder/bowel
Uninhibited, reflexic, areflexic
Uninhibited bladder symptoms
Sensation but no control, urgency, frequency
Uninhibited bladder treatment
Timed voiding
Reflexic bladder causes
Upper motor neuron damage (SCI above T12)
Reflexic bladder symptoms
Intact bulbocavernosus reflex, incomplete emptying, unable to sense fullness
Reflexic bladder treatment
Intermittent cath, suprapubic triggers
Areflexic bladder causes
Lower motor neuron damage (below T12)
Areflexic bladder symptoms
Flaccid/atonic, incontinence due to overflow
Areflexic bladder treatment
Intermittent cath, Crede or Valsalva
DIAPPERS causes of incontinence (D)
Delirium
DIAPPERS causes of incontinence (I)
Infection
DIAPPERS causes of incontinence (A)
Atrophic urethritis or vaginitis
DIAPPERS causes of incontinence (P&P)
Pharmacology
Psychological disorders
DIAPPERS causes of incontinence (E)
Endocrine disorders
DIAPPERS causes of incontinence (R)
Restricted mobility
DIAPPERS causes of incontinence (S)
Stool impaction
Uninhibited bowel causes
Brain injury, CVA
Uninhibited bowel symptoms
Smearing, impaired awareness of urge, sudden urge incontinence, sphincter intact, bulbocavernosus reflex intact
Reflexic bowel causes
SCI above T12
Reflexic bowel symptoms
Complete emptying, constipation, impaired awareness of urge, intermittent incontinence, reflex arc intact, sphincter intact, bulbocavernosus reflex intact
Areflexic bowel causes
SCI below T12
Areflexic bowel symptoms
Frequent leakage/incontinence, no awareness of urge, sphincter flaccid, absent bulbocavernosus reflex