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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.
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,…
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.
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.