Incontinence

Question 1

Normal age related change in the urinary system

Answer 1

decreased capacity

Question 2

Normal age related changes to the gastrointestinal system

Answer 2

decreasesd peristalsis

Question 3

What is incontinence

Answer 3

involuntary passage

Question 4

Incontinence is caused by

Answer 4

illness
medication
disorders

These affect 3 .....
nervous system damage
muscle control decreased 
sphincter functions ( fixable)
urgency

Question 5

additional factor that is specific to fecal incontinence

Answer 5

stool can change consistency and that can affect incontinence

Question 6

Describe the impacts of incontinence may have on a client

Answer 6

psychological -depressed, isolations, affect relationships, stigma
IAD- incontinence associated with dermatitis (maturation)
Infection

Question 7

IAD is….

Answer 7

response to your perineal to exposure of urine and feces

Question 8

IAD looks like

Answer 8

edma
redness
itchy 
painful 
open sore

Question 9

Describe 5 types of Urinary Incontinence

Answer 9

1. urge or overactive bladder
2. functional incontinence - physical cant get there fast enough or cognitive cant remember where the bathroom is
3. Over flowing incontinence - bladder over fills
4. stressing incontinence- pregnant, sneezing, laughing, lifting
5. mixed incontinence- you have more than one type

Question 10

List some common bladder irritants:

Answer 10

sugar, chocolate, chili, spicy food, carbonated beverages, tomatoes, vinegar, aspartame

Question 11

Urinary obstruction

Answer 11

Obstructions in the urinary track

Question 12

Dribbling

Answer 12

passively leakage of urine

Question 13

Nocturia

Answer 13

urination at night ( waking up to go to the bathroom)

Question 14

Normal bowel movements

Answer 14

3x daily to 1 every 3 days

Question 15

Risk urinary incontinence

Answer 15

pelvic floor weakens 
cognition 
obesity
medications 
recurrent UTI 
constipation

Question 16

Risk factors for fecal incontinence

Answer 16

cognition functions
reduced mobility
medication
diet 
muscle weakness
neurological control

Question 17

impaction …

Answer 17

solid immobile feces in the rectum

Question 18

3 things to assess a person with incontinence

Answer 18

xrays
ultra sound
history
physical exam
bladder study
urine study to eliminate infections 
cognitive assessment

Question 19

manage incontinence

Answer 19

1. pelvic floor exercise
2. psychological support
3. life style, bladder training, dietary changes, stimulants medications
4. medication
5. continence techniques
6. Botox injections
7. Surgery when conservative treatments don’t work