Urinary
incontinence (UI) is the involuntary loss and objective at a time and
unsuitable place and toilet is a problem, social and psychic
There are
several types of incontinence, form my point of view the most important and
interesting in elderly are:
-
IU
acute, transient or reversible is of sudden onset and is associated with acute
conditions
o
It
may be for urinary tract infections or alterations in motility, this type of
incontinence is solved when these disorders are referred.
-
IU
chronic:
o
IU
of effort or stress is produced with Valsalva manoeuvre (coughing, sneezing, and
laughing). It is the most common in women.
In this case of incontinence will be advisable
to make kegel exercises to strengthen pelvic muscles.
o
IU
urgency: irreversible urge to urinate. It is the most common in the elderly. Can
be of different types:
-
IU
detrusor unsteadiness
-
IU
sensitive instability of detrusor
Treatment
-
Residue
<100 ml. à Kegel exercises.
o
Two
or three daily sessions of about 20 to 25 repetitions (rounds 3-4 were held in
each session)
-
Residue
>100 ml
o
There
will be a probing or reconstructive surgery
o
If
incontinence is acontractile, we use behaviour modification techniques (probes
or diapers)
I believe
that nurses have an important role in the education of the patient who suffers
from incontinence. We must teach the exercises to be performed and explain the
correct way. Also we have the family because in the event that the patient was
independent family should know what to do and as is the case for example of
diapers and toilet of the patient.
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