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Innovating for Continence: Enhancing Quality of Life with Research Findings

Explore the latest research findings on incontinence and practical approaches for its management and treatment. Attend the 1st International Conference on Nursing Care in Astana, Kazakhstan, to share ideas and technologies. Understand common emotional reactions and clients' needs, effective coping strategies, and communication tools. Discover non-invasive treatments, including pelvic floor exercises, pessaries, medications, and lifestyle modifications.

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Innovating for Continence: Enhancing Quality of Life with Research Findings

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  1. Translating Research into Practice Diana Hankey-Underwood, MS, WHNP-BC, CRNP 1st International Conference on Nursing Care Astana, Kazakhstan

  2. Chicago conference Innovating for Continence. International attendeesshare ideas and new technologies to help people with Incontinence. Research/Developments

  3. What is Incontinence • We can leak urine, gas, stool, mucous or blood. Words used in an English medical office are: • Urinary incontinence • Bowel, anal or fecal or faecal incontinence • Bloody or mucous discharge

  4. Common Emotional Reactions Personal Shame Societal Taboo Depression, Anger Withdrawal, Isolation

  5. Stories your patients believe

  6. According to Research, What do clients with incontinence want? • Make “seeking help easier”, • Make day-to-day life more manageable, • Help finding out total costs, • More knowledge about causes and the effects of lifestyle. • Quality of life was considered by far the most important outcome.

  7. Patients think the worse thing would be to have an embarrassing episode Research shows that the worst thing would be A fall while rushing to toilet Skin breakdown, Isolation and shame

  8. The practical daily aspects of how to stay clean, the emotional aspects of embarrassment and anxiety, loss of a sense of independence; issues of femininity and masculinity, the mental aspects of confusion over who to tell and when, and how to continue to have a normal life are draining. How do I know? Because research says so! BASHFUL

  9. Emotions • For a few people, there is also a spiritual aspect, if the distress becomes so significant that it interferes with their relationship with others. Grumpy

  10. Effective Coping & Communication Finding the way from Grumpy to Happy

  11. Design of Patient Assessments Creation of Bladder Diary & Assessments Consideration of outcome measurements

  12. Communication Tool

  13. A useful research tool

  14. Am I the only one? • Urinary Incontinence is COMMON. It affects 38% of women over the age of 60. • Many men have to deal with it after prostate cancer treatment • VERY common after stroke. • 16% of the men and women who have urinary incontinence ALSO suffer from fecal incontinence. • 50% of younger women deal with this for about 5 years after each birth. • Half of these can be cured with lifestyle changes, others can improve quality of life tremendously even with non invasive means.

  15. Having poor eyesight is common. Should this doctor get his eyes corrected, or try to hide the fact that his eyes are ‘not working perfectly?” Reality: We can’t correct everyone’s eyes to 100%, but we can make dramatic improvements in almost everyone’s eyes. The same is true with incontinence! What is common is not always normal

  16. Understand a common issueDrooping Pelvic Floor +Low Estrogen Coughing Obesity Fibroids 1. Tailbone 2. Uterus 3. Bowel 4. Bladder 5. Hammock-like pelvic floor 0

  17. Pessary Use • A pessary can lift the uterus and put a little pressure against the urethra to give it the right angle to close it. • Pessaries have been used since ancient times, and work surprisingly well. • The are soft and some are designed to stay in place during sex, others are designed to come out just like contact lenses.

  18. Learn About Non Invasive Treatments • Pelvic floor exercises- Kegels & Rolls;Biofeedback Weighted Cones; Products; Magnet, etc. • Pessaries • Diet Modifications • Medications • Lifestyle Modifications/Medication Routines • Timed Voiding & Bladder Training (handout) • Electrical Stimulation

  19. New for Urinary Incontinence

  20. New for Fecal Incontinence Other treatments: Polyethylene glycol (PEG) and bowel management programs ,

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