incontinence Flashcards
is continence something you’re born with
no its learned
continence depends on
mental motivation mobility dexterity medical
any involuntary loss of urine
incontience
involuntary loss on effort or exertion
stress incontinece
urine loss with change of posiiton
postural incontinece
combination of stress and urge incontinece
mixed
functional incontinene
inability to get to bathroom
bladder outlet obstruction
overflow incontience
risks for incontience
immobile / reconditioned lung disease overweight eating disorder sports LBP, chronic consitipation
do women with diastasic rectus abdominus have weaker PFM or more PF dyfunction
no
function of PF
support, stability, sphincter, sex, pump
normal PF tone
can voluntary and involuntary contract and relax
underachieve PF
can’t do voluntary
overactive PF
can’t relax
dyssnergy
contraction when cued to relax and vice versa
what determines urethral structural stabiltiy
vag to urethra to ani connection
what type of nerve is pedestal
senor (feels full), motor (contract relax)
and has autonomic functions - sympathetic fibres
whats sympathetic
parasymptathic for
storage
emptying
which parasympathetic nerves for bladder
S2-4
sympathetic fibres for bladder from
hypogastric plexus T11-L2
whats the sympathetic fibres do
sensory (pain) and Moto (close and filling)
normal void time
2-4 hours
treatment for pelvic organ prolapsed
PFM exercises
pessary
surgery
problems with surgery
high rate of reoccurrence
does abdominal hypopressive for POP help
no
incontinence questions to ask
nature of leakage (when did it start, is it at night, warning signs)
triggers
tretments
safety (have you fallen)
what can you do to help overactive bladder
PFM training
behaviour (fluid management, timed voiding, meds)
modalities
common triggers for urgency
sight of toilet
key in door
running water
thinking about it
hoot retrain bladder habits
reduce irratants (tea) void before going home / regular time retrain PFM
urge suppression techniques
calm - take breaths sit down rub back of thights get busy self talk
bladder irrantants
caffeine alc vitamin c chocolate spices
how much fluid a day
6-8 cups