INTRODUCTION TO INCONTINENCE
Christine Norton, Clinical Nurse Specialist - Continence, St Mark's Hospital, Harrow
What is Incontinence?
Who is Incontinent?
Attitudes and Incontinence
THE DEVELOPMENT OF URINARY CONTINENCE, AND CAUSES OF INCONTINENCE
Mandy Wells, Clinical Services Manager / Lead Nurse, Continence and Stoma Services, St. Pancras Hospital, London
The Baby's Bladder
The 'Normal' Adult Bladder
Causes of Urinary Incontinence
ASSESSMENT AND INVESTIGATION OF URINARY INCONTINENCE
Ann Winder, Continence Advisor, Southmead Health Authority, Bristol
Presentation
History
Checklist
Summary of Problems
Urodynamic Studies
TREATING AND MANAGING URINARY INCONTINENCE
Christine Norton, Clinical Nurse Specialist - Continence, St Mark's Hospital, Harrow
The Contribution of the Multidisciplinary Team
Explaining the Problem
Psychological Support
Treating Urinary Incontinence
Managing Intractable Incontinence
CHILDHOOD ENURESIS
Penny Dobson, Director, ERIC (Enuresis Control and Information Centre), Bristol
Toilet Training
Daytime Wetting
Bedwetting (Nocturnal Enuresis)
Congenital Abnormalities
FEMALE URINARY INCONTINENCE
Valerie Bayliss, Continence Advisor, Basingstoke Health Authority
Genuine Stress Incontinence
Urinary Fistula
Incontinence and Sexual Activity
Incontinence During Pregnancy
Occlusive Devices
MALE URINARY INCONTINENCE
Jan Denning, Continence Advisor, South Birmingham Health Authority
Benign Prostatic Hyperplasia (BPH)
Carcinoma Of The Prostate
Urethral Stricture
Bladder Neck Obstruction
Post-Micturition Dribbling
Post-Prostatectomy Incontinence
Control of Incontinence: The Penile Clamp
NEUROGENIC BLADDER DYSFUNCTION
Maria O'Hagan, Continence Advisor, National Hospital for Neurology and Neurosurgery, London
Sites of Neurological Damage
Neurological Diseases That Affect Bladder Function
Investigations
Management
Intermittent Catheterisation
Acute and Chronic Management of a Bladder After Spinal Injury
CATHETERISATION
Brenda H. Roe, Lecturer in Nursing Studies, Liverpool University
Indwelling Urethral (Foley) Catheters
Catheter-Associated Problems
Catheter Changes
Conclusions
Suprapubic Catheters
FAECAL INCONTINENCE
Lesley Irvine, Continence Advisor, West Glamorgan Health Authority
Physiology of Normal Bowel Function
The Normal Mechanism of Faecal Continence
Faecal Incontinence
Assessment of Faecal Incontinence
Underlying Intrinsic Disorders of the Bowel
Neurogenic Disorders
Constipation
Surgery For Faecal Incontinence And Constipation
Prevention Of Faecal Incontinence
Faecal Incontinence In Children
Faecal Incontinence In Demented People
Intractable Faecal Incontinence
CONTINENCE IN OLDER PEOPLE
Jean Swaffield, Senior Lecturer, Department of Nursing, Glasgow University
The Physiological Effects Of Ageing On Continence
Iatrogenic Factors
The Sociology of Incontinence
Other Important Environmental Considerations
Emotional and Psychological Factors
Treatments
Nursing Interventions
Conclusion
CONTINENCE IN THE COMMUNITY
Mary Dolman, Continence Advisor, East Berkshire Health Authority
Assessment At Home
The Home Environment
Community Services
Residential And Long-Stay Care
AIDS TO CONTINENCE FOR PEOPLE WITH PHYSICAL DISABILITIES
Helen White, Continence Advisor, Northern Region
Continence In Public Places
Lavatory Design For People With Disabilities
Alternatives To The Lavatory
Clothing
Conclusion
ACQUIRING CONTINENCE - SUPPORTING PEOPLE WITH LEARNING DISABILITIES
David Sines, Professor of Community Nursing, Ulster University
What Do We Mean By Learning Disability?
Current Patterns of Service Delivery
Care Management
Continence and Learning Disability
The Importance Of Early Intervention
Training Methods
Baseline Observation
The Training Programme
Faecal Incontinence
Nursing For Competence
THE USE OF CONTINENCE PRODUCTS
Ian Pomfret, Continence Advisor, Chorley and South Ribble Health Authority
Introduction
Selection Of Incontinence Products
Supply Of Products
Assessment
Pads And Pants
Male Appliances
Collection Devices For Women
Bed Protection
The Future for Incontinence Products
CONTINENCE SERVICES
Jill Beadle, Continence Manager, Southampton
Continence Is Everybody's Business
The Main Activities Of A Continence Service
The Role Of The Specialist Continence Advisor
Support For The Continence Advisor
APPENDIX I: Continence Organisations in the UK
APPENDIX II: Useful Addresses and Organisations
APPENDIX III: Reports Relevant to Continence Care
APPENDIX IV: Books on Incontinence