Satisfactory completion requirements: All disciplines must complete learning
assessments to be awarded credit, no minimum score required unless otherwise specified within the
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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.
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. Neurogenic Bladder and Incomplete Bladder Emptying
In this chapter, we will describe etiology and symptoms of incomplete emptying and neurogenic bladder. In addition, associated symptoms and negative sequelae of incomplete bladder emptying will be covered.
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.
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.