Breaking the Chains of Incontinence

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Breaking the Chains of Incontinence

• Presented by
• Cheryl Dalbec RN
• Linda Buttle RPT

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Urinary Incontinence

• Definition Incontinence is a condition in
• which involuntary loss of
  urine
• is a social or hygienic
  problem
• and is objectively
• demonstrable.

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MythsPeople who are incontinent are

• Very old
• Feeble
• Senile
• Totally dependent
• No longer in control

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Facts

• If individuals lose only one or two drops of
  urine when they dont want to, thats considered
  incontinence!

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Facts

• Incontinence can affect anyone at any age of
  either sex!

• 1 in 4 women - of these approximately 1/3 will
  develop chronic problems.
• 1 in 10 men
• 1 in 5 seniors
• 50 of those in long term care facilities.

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Facts

• Incontinence is not an inevitable result of aging
  but a potentially reversible disturbance.

• It is not a disease but a symptom of some
  underlying problem such as weak pelvic muscles,
  endocrine problems(Diabetes), neurological
  problems(MS), injury, surgery, medications

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Facts

• Despite the prevalence of incontinence, the
  condition is highly misunderstood and
  underreported. Approximately 45 of people
  experiencing symptoms never report them to their
  health care professional.

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Let us now look at the different types of
incontinence and their symptoms . . . . .
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Stress Incontinence

• Involuntary loss of urine during coughing,
  sneezing, laughing or any other activities that
  increase abdominal pressure.

• Loss of small to moderate amount of urine
• No loss of urine at night
• No urgency
• Voluntary frequency

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Urge Incontinence

• Involuntary loss of urine with a strong desire to
  void

• Inability to postpone voiding
• Urgency
• Frequency
• Night time voiding

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Overflow Incontinence

• Involuntary loss of urine due to distention of
  the bladder

• Hesitancy
• Straining to void
• Poor/intermittent stream
• Dribbling, frequency
• Frequent infections
• Large residual urine
• Night time voiding

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Functional Incontinence

• The involuntary loss of urine that is a result of
  factors outside the lower urinary tract such as
  chronic impairments of physical and cognitive
  functioning.

• Impaired mobility/dexterity
• Impaired mental function
• Psychological problems
• Environmental considerations

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Iatrogenic Incontinence

• Involuntary urine leakage resulting from
  treatment by any health care practitioner.

• Constipation
• Sedation
• Confusion
• Frequency
• Surgical procedure
• Infection
• Prolonged immobilization

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The following are suggestions of conservative
treatments or what you can do to reduce or
eliminate the symptoms.
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Lifestyle choices

• Reduce or eliminate caffeine
• Reduce or eliminate alcohol
• Drink 6 to 8 glasses of water daily
• Quit smoking
• Weight control
• Follow a healthy diet high in fibre

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Exercise

• Pelvic Floor
• Abdominals
• -Recti abdominus
• -Obliques

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Exercise

• Pelvic Floor
• Where is it?
• Why?
• How often?
• How can I do that?

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Exercise

• Pelvic Floor Where is it?
• Between the pubic bone and the sacrum.

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Exercise

• Pelvic Floor Why?
• These are the muscles that are stretched with
  pregnancy and child birth.
• These muscles are weakened by straining with
  constipation.
• These muscles are often forgotten- out of sight
  out of mind

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Exercise

• Pelvic Floor How often?
• Ideally exercises should be done - 100 times
  a day!!!!!!

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Exercise

• Pelvic Floor How do I do that?
• Begin in a small way lying on your back with
  your knees bent
• Do 5 repetitions twice a day.
• Progress to a sitting or standing position
• Gradually increase the repetitions

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Exercise

• Pelvic Floor continued
• Incorporate these exercises into your daily
  living while sitting and standing.
• For example while brushing your teeth, while
  stopped at a red light or watching the news

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Exercise

• Abdominals

Obliques
Rectus
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Exercise

• Abdominals
• Recti abdominus Obliques

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Timed Voiding

• This is a regularly scheduled pattern of voiding
  where the intervals between voiding are gradually
  increased.
• It reduces irritability of the bladder
• Reverses bad habits
• No longer needing to camp out by the bathroom
  promotes freedom and independence once again.

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Medical Treatment

• MedicationsAntispasmodicsEstrogen

• Surgical InterventionBladder suspensionCollagen
  injectionPessariesImplanted sphincters

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Urinary Incontinence

• It is not an inevitable result of aging or
  childbirth
• It is a sign of an underlying medical problem
• It can be effectively cured or managed.
  
• Contact us for more information
  623-7962 ext 297

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Give us a call 623-7962 ext 297