incontinence Flashcards

1
Q

is continence something you’re born with

A

no its learned

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2
Q

continence depends on

A
mental
motivation
mobility
dexterity
medical
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3
Q

any involuntary loss of urine

A

incontience

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4
Q

involuntary loss on effort or exertion

A

stress incontinece

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5
Q

urine loss with change of posiiton

A

postural incontinece

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6
Q

combination of stress and urge incontinece

A

mixed

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7
Q

functional incontinene

A

inability to get to bathroom

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8
Q

bladder outlet obstruction

A

overflow incontience

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9
Q

risks for incontience

A
immobile / reconditioned
lung disease
overweight
eating disorder
sports
LBP, chronic consitipation
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10
Q

do women with diastasic rectus abdominus have weaker PFM or more PF dyfunction

A

no

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11
Q

function of PF

A

support, stability, sphincter, sex, pump

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12
Q

normal PF tone

A

can voluntary and involuntary contract and relax

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13
Q

underachieve PF

A

can’t do voluntary

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14
Q

overactive PF

A

can’t relax

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15
Q

dyssnergy

A

contraction when cued to relax and vice versa

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16
Q

what determines urethral structural stabiltiy

A

vag to urethra to ani connection

17
Q

what type of nerve is pedestal

A

senor (feels full), motor (contract relax)

and has autonomic functions - sympathetic fibres

18
Q

whats sympathetic

parasymptathic for

A

storage

emptying

19
Q

which parasympathetic nerves for bladder

A

S2-4

20
Q

sympathetic fibres for bladder from

A

hypogastric plexus T11-L2

21
Q

whats the sympathetic fibres do

A

sensory (pain) and Moto (close and filling)

22
Q

normal void time

A

2-4 hours

23
Q

treatment for pelvic organ prolapsed

A

PFM exercises
pessary
surgery

24
Q

problems with surgery

A

high rate of reoccurrence

25
Q

does abdominal hypopressive for POP help

A

no

26
Q

incontinence questions to ask

A

nature of leakage (when did it start, is it at night, warning signs)

triggers
tretments
safety (have you fallen)

27
Q

what can you do to help overactive bladder

A

PFM training
behaviour (fluid management, timed voiding, meds)
modalities

28
Q

common triggers for urgency

A

sight of toilet
key in door
running water
thinking about it

29
Q

hoot retrain bladder habits

A
reduce irratants (tea)
void before going home / regular time
retrain PFM
30
Q

urge suppression techniques

A
calm - take breaths
sit down
rub back of thights
get busy
self talk
31
Q

bladder irrantants

A
caffeine 
alc
vitamin c
chocolate 
spices
32
Q

how much fluid a day

A

6-8 cups