Urinary Incontinence In The Elderly

Thirteen million Americans and at least half of the 1.5 million nursing home residents in the U.S. experience urinary incontinence (UI), yet many people go without treatment because they feel embarrassed or don't realize that UI is highly responsive to treatment. Urinary Incontinence in the Elderly discusses how to educate health care providers and the public about UI and how physicians, directors of nursing, and other health care providers can begin and maintain a comprehensive, science-based approach to diagnosing and treating UI. In no time at all, you will be able to implement effective treatment plans that are consistent with your patients'conditions, goals, and wishes. In addition to its practical techniques and steps for managing acute and chronic UI, Urinary Incontinence in the Elderly contains tables and charts that will help you diagnose the patient's condition, identify the causes for UI, and select appropriate treatment methods. The book also gives you a list of helpful questions to assist you in the identification and assessment of UI and sample bladder records so that you or your patient can keep track of voluntary and involuntary urine voidings. To further increase your understanding of UI and its management, this helpful guidebook discusses: teaching women about gestational and postpartum pelvic muscle exercises proper bladder-emptying techniques behavioral, pharmacologic, and surgical treatment of UI risk factors associated with UI, such as low fluid intake, high-impact physical activities, diabetes, and estrogen depletion stress incontinence how your body makes, stores, and releases urine ensuring proper care of long-term residents Urinary Incontinence in the Elderly will help consumers and caregivers treat and manage UI, but it will also enable them to work together to target and alleviate specific risk factors before UI even sets in. Don't let UI go untreated--with dedicated teamwork and this book's advice and suggestions, you can overcome it, or at least manage it, with surprising levels of success.

Urinary incontinence in an elderly person has an effect on the patient’s and his/her family’s quality of life as well as on health care costs. It increases the risk of falls and the need for long-term institutional care. The patient is often too embarrassed to seek appropriate help. Various treatment options that either cure or at least ease the situation are available to manage urinary incontinence in an elderly person.

Rather than treating incontinence as an inevitable part of the aging process, Dr. Schnelle outlines a complete set of proven strategies for alleviating and even solving the problem for many elders.

This book is designed as a guide for management of advanced clinical scenarios encountered by the contemporary pelvic floor surgeon. It is organized by pelvic floor disorder (PFD) and covers the evaluation and treatment of urinary incontinence, fecal incontinence, and pelvic organ prolapse. Opening chapters in each section cover the fundamentals of proper and comprehensive assessment of patient PFDs, as well as the treatment options that are available for each disorder. The book then focuses on more complex and challenging situations that are becoming more frequently encountered as the number of patients being treated for PFD increases and the length of patient follow-up grows. Each chapter finally includes an expert commentary to address these new scenarios and offers a shifted approach from that required for treatment-naïve patients. Female Pelvic Medicine: Challenging Cases with Expert Commentary teaches the reader how to approach the most difficult of clinical situations in a multidisciplinary fashion.

Aging is associated with morphologic and functional alterations of organ systems including the genitourinary tract. Aging of the bladder leads to urgency, frequency, dysuria, recurrent urinary tract infections and incontinence both in aging men and women. These symptoms occur frequently, are very distressing and influence daily life of the aging person. Medication and incontinence devices are a tremendous financial burden on health care systems. This book reviews present knowledge of morphologic and functional alterations of the aging bladder both in men and women, adding new insights in order to optimize therapeutic options for treatment.

This issue of Clinics in Geriatric Medicine is devoted to Geriatric Urology. Guest Editor Tomas L. Griebling, MD, MPH has assembled a group of expert authors to review the following topics: Non-Surgical Treatment of Urinary Incontinence in Elderly Women; Outcomes of Surgery for Stress Urinary Incontinence in Older Women; Evaluation and Management of Pelvic Organ Prolapse in Elderly Women; Underactive Bladder in Older Adults; Translational Research and Voiding Dysfunction in Older Adults; Functional Brain Imaging and Voiding Dysfunction in Older Adults; The Role of Urodynamics in Elderly Patients; Associations Between Voiding Symptoms and Sexual Health in Older Adults; Asymptomatic Bacteriuria and Urinary Tract Infections in Older Adults; Comorbidity and Surgical Risk in Older Urologic Patients; Small Renal Masses in Older Adults; Prostate Cancer in Elderly Men: Active Surveillance and Other Considerations; Late Onset Hypogonadism and Testosterone Replacement in Elderly Men; and Contemporary Chemotherapy for Urologic Malignancies in Geriatric Patients.

This new edition of one of the premier references for geriatric nurses in hospital, long-term, and community settings delivers current guidelines, real-life case studies, and evidence-based protocols developed by master educators and practitioners. With a focus on improving quality of care, cost-effectiveness, and outcome, the fifth edition is updated to provide the most current information about care of common clinical conditions and issues in older patients. Several new expert contributors present current guidelines about hip fractures, frailty, perioperative and postoperative care, palliative care, and senior-friendly emergency departments. Additionally, chapters have been reorganized to enhance logical flow of content and easy information retrieval. Protocols, systematically tested by more than 300 participating NICHE (Nurses Improving Care for Health system Elders) hospitals‚ are organized in a consistent format and include an overview, evidence-based assessment and intervention strategies, and an illustrative case study with discussion. Additionally, protocols are embedded within chapter text, providing the context and detailed evidence for each. Chapter objectives, annotated references,and evidence ratings for each protocol are provided along with resources for additional study. New to the Fifth Edition: Reorganized to enhance logical flow of information and ease of use Updated and revised Includes new contributions from expert educators and practitioners Provides new chapters on perioperative and postoperative care, general surgical care, care of hip fracture, palliative care, and the senior-friendly emergency department Key Features: Includes PowerPoints and a test bank for instructors Delivers evidence-based, current guidelines and protocols for care of common clinical conditions in the older person Illustrates the application of clinical protocols to real-life practice through case studies and discussion Edited by nationally known geriatric leaders who are endorsed by the Hartford Institute for Geriatric Nursing and NICHE Written for nursing students, nurse leaders, and practitioners at all levels, including those in specialty roles