Class Notes (839,091)
Canada (511,184)
Health Sciences (2,117)
Lecture

Incontinence and Intellectual Impairment.doc

3 Pages
65 Views

Department
Health Sciences
Course Code
Health Sciences 2711A/B
Professor
Aleksandra Zecevic

This preview shows page 1. Sign up to view the full 3 pages of the document.
Description
Incontinence and Intellectual Impairment The 4 Giants of Geriatrics: - Clusters of chronic diseases with diminished possibility for recovery, afflicting most very old people 1. Incontinence - The involuntary and inappropriate passage of urine and/or feces or a loss of bladder control 2. Immobility 3. Instability 4. Intellectual Impairment: • Delirium • Dementia • Brain failure (malfunction of all or nearly all of the brain) Normal Bladder Function • Normal average amount of urine secreted - 100 ml per hour • Sensations of bladder states: – Fullness – 300 ml, 3 hours after fluid intake; easily suppressed – Discomfort of full bladder – 600 ml, after 6 hours – Desperation – 750 ml or more; irresistible desire to urinate, leaking starts Incontinence • Symptoms: – Leakage of urine during exercise, laughing, coughing, sneezing or lifting – Inability to hold urine until you get to a toilet – Urine dribbles after urinating – Smell of urine on clothes or in the house – Lifetime option for some is diapers (lucrative industry) Prevalence • Up to 25 million adult Americans • 1 in 3 persons over the age of 60 • Twice as common in women than in men • Frustrating, embarrassing, debilitating condition (wakes you up, restricts activities, irritates skin, affects quality of life) • Only 25% seek help usually after 4 (men) – 6 (women) years • 1 in 8 people over the age of 65 suffer from it • 14% of women and 9% of men age 65 and over suffer from it • 22% of women and 19% of men age 85 and over suffer from it Incontinence occurs when: - muscles of the bladder suddenly contract and the sphincter suddenly relaxes - due to weakening of the pelvic floor muscles because of pregnancy, childbirth, menopause, overweight, enlarged or removed prostate - muscles of the pelvic floor stretch during pregnancy and childbirth; if the muscles don’t shrink back afterwards, they become weaker and can eventually lead to incontinence - prolapse – when the vaginal wall collapses, or weakens with age, so that the bladder can no longer be supported by it and as a result the bladder begins to fall into the vagina 6 Types of Incontinence: SUFTOM 1.) Stress - most common. Urine leaks during lifting, coughing, sneezing, laughing, exercise. - Caused by overstretched pelvic muscles due to child bearing. 2.) Urge - Nerves controlling the bladder are overactive and involuntary action of bladder muscle occurs. Happens in sleep, after drinking water, when hearing running water… 3.) Functional - Untimely urination due to other medical conditions that impair thinking, moving or communicating such as Alzheimer's disease or severe arthritis that prevents a person from reaching a toilet. 4.) Transient - temporarily leakage occurs due to an acute infection or medication. 5.) Overflow - Enlarged prostate constricts the urethra preventing complete bladder emptying. - Rare in women. Bladder overflows has urine leaks out 6.) Mixed - usually stress and urge incontinence together Treatments include: • Kegel Exercise • Electrical stimulation to pelvic muscles • Biofeedback to track bladder
More Less
Unlock Document

Only page 1 are available for preview. Some parts have been intentionally blurred.

Unlock Document
You're Reading a Preview

Unlock to view full version

Unlock Document

Log In


OR

Join OneClass

Access over 10 million pages of study
documents for 1.3 million courses.

Sign up

Join to view


OR

By registering, I agree to the Terms and Privacy Policies
Already have an account?
Just a few more details

So we can recommend you notes for your school.

Reset Password

Please enter below the email address you registered with and we will send you a link to reset your password.

Add your courses

Get notes from the top students in your class.


Submit