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Practical Solutions for Nocturnal Enures...is
Nocturnal Enuresis, or incontinence at night, is more prevalent than we may think, and it is a problem for people across the entire lifespan - not just the very young and old. In this revealing nursin...g lecture, Norah Bostock explains the causes of this dysfunction, discusses the physical and psychosocial impacts on the indvidual, and provides some practical advice on management.
Chapter focuses on urinary incontinence including its types, causes, assessment and treatment Includes a discussion on retention of urine including its types, signs and symptoms, causes and mor...e Explains cystitis, ureteric obstruction and urinary fistulae Provides suggestions for living with urinary difficulties A healthy adult is normally continent of urine, can hold between 300 and 600 ml of urine in the bladder, and passes urine approximately 6-8 times in 24 hours. Urinary difficulties associated with gynaecological cancer include urinary incontinence, retention of urine, cystitis, ureteric obstruction, and urinary fistula. A loss of bladder function and control increases the difficulty of dealing with cancer and its treatment. This chapter looks at these urinary problems and the methods used in their treatment.
Concentrates on the four major types of urinary incontinence: stress, urge, overflow and functional Guides on how to assess urinary incontinence, taking into account past medical or surgical hi...story and more Informs on popular treatment programs to decrease the episodes of urinary incontinence Addresses the issue of faecal incontinence and how it can be properly assessed and managed Incontinence has serious implications for people with dementia, and is often the main reason for admission to a residential aged-care facility (Fonda et al.1994). This chapter addresses the complex issue of incontinence and dementia and informs nurses about the different types of incontinence and how they can be managed, assessed and treated.
Being continent, that is, being able to store and pass urine and feces at socially acceptable times and places, is a complex and important human skill. It is one of the first skills of independent liv...ing that we learn as small children and certainly a developmental milestone that causes great joy and excitement for our parents. One of the reasons that being incontinent becomes a negative experience is because it implies a ‘step backwards,’ a loss of this independence and maturity. Add to that the fact that we are talking about a bodily function that involves excrement, which is linked with dirt and subject to strict social rules and taboos, and we have a complex health problem. This chapter provides a broad review of the topic, and suggests management plans that are effective for older people in the community setting.
Incontinence in Aged Care Environments
Incontinence is frequently encountered by nurses and personal carers, particularly in aged care. Cleaning up the mess and keeping a person comfortable is certainly an important part of the nurses’ a...nd carers’ role, however, it is also important to understand what incontinence is, who it affects, why it happens and what can be done about it. Understanding these issues, and implementing effective management plans can show that it is possible to improve, and even cure, a person’s incontinence problem. In some cases, incontinence can even be prevented. This chapter reviews the prevalence and causes of incontinence, and suggests how effective assessment can lead to a range of management options that can significantly improve the quality of life of the incontinent older person.