Incontinence Flashcards
Normal age related change in the urinary system
decreased capacity
Normal age related changes to the gastrointestinal system
decreasesd peristalsis
What is incontinence
involuntary passage
Incontinence is caused by
illness
medication
disorders
These affect 3 ..... nervous system damage muscle control decreased sphincter functions ( fixable) urgency
additional factor that is specific to fecal incontinence
stool can change consistency and that can affect incontinence
Describe the impacts of incontinence may have on a client
psychological -depressed, isolations, affect relationships, stigma
IAD- incontinence associated with dermatitis (maturation)
Infection
IAD is….
response to your perineal to exposure of urine and feces
IAD looks like
edma redness itchy painful open sore
Describe 5 types of Urinary Incontinence
- urge or overactive bladder
- functional incontinence - physical cant get there fast enough or cognitive cant remember where the bathroom is
- Over flowing incontinence - bladder over fills
- stressing incontinence- pregnant, sneezing, laughing, lifting
- mixed incontinence- you have more than one type
List some common bladder irritants:
sugar, chocolate, chili, spicy food, carbonated beverages, tomatoes, vinegar, aspartame
Urinary obstruction
Obstructions in the urinary track
Dribbling
passively leakage of urine
Nocturia
urination at night ( waking up to go to the bathroom)
Normal bowel movements
3x daily to 1 every 3 days
Risk urinary incontinence
pelvic floor weakens cognition obesity medications recurrent UTI constipation
Risk factors for fecal incontinence
cognition functions reduced mobility medication diet muscle weakness neurological control
impaction …
solid immobile feces in the rectum
3 things to assess a person with incontinence
xrays ultra sound history physical exam bladder study urine study to eliminate infections cognitive assessment
manage incontinence
- pelvic floor exercise
- psychological support
- life style, bladder training, dietary changes, stimulants medications
- medication
- continence techniques
- Botox injections
- Surgery when conservative treatments don’t work
