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Bladder Control in Elders with Cognitive Impairments

presented by Cindy Neville

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Satisfactory completion requirements: All disciplines must complete learning assessments to be awarded credit, no minimum score required unless otherwise specified within the course.

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Accreditation Check:
Bladder control problems, including urinary incontinence, affect up to 70% of elders in senior living environments, and may impact 80% or more of elders with dementia. Urinary incontinence can cause tremendous burden on elders and their caregivers, and is often a key factor in a caregiver’s decision to move an elder into a skilled nursing environment. Physical and occupational therapists play critical roles as team members and sometimes as primary providers in the care of elders with dementia. This course will demonstrate and explain evaluation and intervention strategies for bladder control problems in elders with cognitive impairments with a live patient and caregiver case study. Clinicians will learn key interventions to improve bladder control in elders, and will develop strategies for supporting caregivers and other providers, including nurses and nursing assistants, in their roles managing incontinence in this population.

Meet Your Instructor

Cindy Neville, PT, DPT, WCS

Dr. Cynthia Neville is a certified Women's Health Clinical Specialist (WCS) and Clinical Faculty at the University of North Florida, Department of Physical Therapy where she teaches classes in anatomy of the pelvis and pelvic floor and topics in women’s health physical therapy. She practices in private clinical practice at SmartBody Physical Therapy in Jacksonville,…

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Chapters & Learning Objectives

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1. Unique issues surrounding incontinence care in elders with cognitive impairment and dementia

This chapter will include a summary of relationship between dementia and incontinence as well as unique issues relating to management of incontinence in elders with dementia and an assessment of incontinence.

2. Unique Issues Surrounding Incontinence Care Part Two

This chapter will be a continuation of unique issues surrounding incontinence. The relationship between dementia and incontinence.

3. Caregivers and Incontinence

This chapter will cover the impact of incontinence on caregivers and caregiver concerns relating to incontinence and bladder control. In addition, strategies to support caregivers and assessments of incontinence will be discussed.

4. Assessments and Interventions

This chapter will cover assessment and intervention of bladder control, which can include environmental adaptions, bladder logs pelvic floor muscle exercises and electrical stimulation.

5. Interventions

This chapter will cover interventions including pelvic floor exercises.

6. Patient Interview and Treatment

This chapter will feature a discussion with a patient with incontinence.

More Courses in this Series

Geriatric Bladder Control: Promoting a Culture of Bladder Control in Senior Living Environments

Presented by Cindy Neville, PT, DPT, WCS

Geriatric Bladder Control: Promoting a Culture of Bladder Control in Senior Living Environments

Subscribe now, and access clinical education and patient education—anytime, anywhere—with video instruction from recognized industry experts.
Bladder control problems, including urinary incontinence, negatively impact quality of life and rehabilitation outcomes. Urinary incontinence affects up to 70% of elders in senior living environments, and may impact 80% or more of elders with dementia. Physical and occupational therapists historically have relied primarily on nursing to mange bladder control problems. Nevertheless, rehabilitation clinicians can provide effective rehabilitation-based interventions, which may greatly improve bladder control in their patients. The rehabilitation, nursing, and medical team is increasingly collectively responsible for patient outcomes, including preventing falls, infections, and re-hospitalization. Therapists can promote a culture of bladder control in senior living environments by partnering in care with nurses and the medical team, and with each other. This course will explore strategies for improving interdisciplinary care and treatment of bladder control problems in senior living environments by creating a culture of bladder control.

View full course details

Geriatric Bladder Control: Neurogenic Bladder and Emptying Dysfunctions

Presented by Cindy Neville, PT, DPT, WCS

Geriatric Bladder Control: Neurogenic Bladder and Emptying Dysfunctions

Subscribe now, and access clinical education and patient education—anytime, anywhere—with video instruction from recognized industry experts.
Bladder control problems, including urinary incontinence, negatively impact quality of life and rehabilitation outcomes. Incomplete emptying, which may be caused by neurogenic bladder, is associated with incontinence and infections. Physical and occupational therapists can provide interventions for patients with incomplete bladder emptying to improve symptoms and reduce associated negative sequelae. This course will describe causes of incomplete bladder emptying, and will demonstrate and explain evaluation and intervention strategies for this bladder control problem in elders.

View full course details

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