COMMON TYPES OF INCONTINENCE Refer to Assessment Form to assist with Care Plan TYPE RESULTING SYMPTOMS NURSE REFER TO G.P. TO EXCLUDE/TREAT Cough Loss of urine with cough, sneeze, Complete Assessment Form Stress Urinary Incontinence exercise usually a dribble or squirt Complete Frequency Volume Chart Vaginal Atrophy (SUI) – (Oestrogen treatment Urinalysis/treat if UTI patches/cream) Fluid intake (1500-1800mls daily) Complaint of involuntary Standing up from sitting without Urinary Tract Infection feeling the need to go to the toilet Avoid caffeinated fluids (reduce these slowly) leakage (urine) on effort or Vaginal/Bladder/Bowel Double voiding exertion or on sneezing or Avoid constipation treat if appropriate Prolapse coughing (I.C.S. 2002) – Post Prostatectomy Dribble Review side effects of medication Due to:- Pelvic Floor Exercise Sheet Discourage Smoking Childbirth Medication for SUI in combination Advice on weight loss Menopause with P.F.E. Avoid heavy lifting Overweight REFERRAL/ADVICE Pelvic Floor Exercises Chronic cough Urology Bladder Re-training Post Prostate Surgery Gynaecology Physiotherapy Frequency Complete Assessment Form Anticholinergic medication Urge Incontinence Urgency Complete Frequency Volume Chart Enlarged Prostate Nocturia Complaint of involuntary Urinary incontinence leakage accompanied by or REFERRAL/ADVICE ALL OF THE ABOVE PLUS immediately preceded by Check urine volumes to exclude retention Urology – bladder scan Gynaecology urgency (I.C.S. 2002) Double voiding Bladder & Bowel Clinics Due to:- Monitor diabetic blood sugar levels Infection Individualised toileting program Obstruction Urinals Male/Female Detrusor Instability – Urinary Sheaths Neurological Lesion
COMMON TYPES OF INCONTINENCE Refer to Assessment Form to assist with Care Plan TYPE RESULTING SYMPTOMS NURSE REFER TO G.P. Stress Urinary Incontinence (SUI) Complaint of involuntary leakage (urine) on effort or exertion or on sneezing or coughing (I.C.S. 2002) Due to:- Childbirth Menopause Overweight Chronic cough Post Prostate Surgery Loss of urine with cough, sneeze, exercise – usually a dribble or squirt Standing up from sitting without feeling the need to go to the toilet Complete Assessment Form Complete Frequency Volume Chart Urinalysis/treat if UTI Fluid intake (1500-1800mls daily) Avoid caffeinated fluids (reduce these slowly) Double voiding Avoid constipation – treat if appropriate Review side effects of medication Discourage Smoking Advice on weight loss Avoid heavy lifting Pelvic Floor Exercises Bladder Re-training TO EXCLUDE/TREAT Cough Vaginal Atrophy (Oestrogen treatment patches/cream) Urinary Tract Infection Vaginal/Bladder/Bowel Prolapse Post Prostatectomy Dribble Pelvic Floor Exercise Sheet Medication for SUI in combination with P.F.E. REFERRAL/ADVICE Urology Gynaecology Physiotherapy Urge Incontinence Complaint of involuntary leakage accompanied by or immediately preceded by urgency (I.C.S. 2002) Due to:- Infection Obstruction Detrusor Instability Neurological Lesion Frequency Urgency Nocturia Urinary incontinence Complete Assessment Form Complete Frequency Volume Chart ALL OF THE ABOVE PLUS Check urine volumes to exclude retention – bladder scan Double voiding Monitor diabetic blood sugar levels Individualised toileting program Urinals – Male/Female Urinary Sheaths Anticholinergic medication Enlarged Prostate REFERRAL/ADVICE Urology Gynaecology Bladder & Bowel Clinics
Common%20types%20of%20Incontinence.docx