Management of Urinary Incontinence in Primary Care.
Urinary Incontinence in Older Adults Essay 844 Words 4 Pages Urinary Incontinence in Older Adults Urinary incontinence is a major problem in elderly adult. The aging population is increasing rapidly, according to a report by the US Census Bureau; the US population is expected to increase by almost 70% between the 2000 and 2030.
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Urinary Incontinence is defined as leakage of urine that is involuntary. Stress Urinary Incontinence is involuntary urine leakage that is due to weakened pelvic floor muscles. It is most commonly found to be a greater problem in women. Estimates say that upwards of 35% of women 65 and older experience some form of urinary incontinence.
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Epidemiology of surgically managed pelvic organ prolapse and urinary incontinence. Obstet Gynecol 1997;89:501-6. Perry S, Assassa RP, Dallosso H, Shaw C, Williams K, Uzman U, et al. 2000 An epidemiological study to establish the prevalence of urinary symptoms and felt need in the community: the Leicestershire MRC incontinence study.
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Diagnosis of stress urinary incontinence is made after assessment of symptoms and in some women a pelvic exam will reveal the bladder or urethra bulging into the vaginal space. Tests may possibly include cystoscopy (inspection of the interior of the bladder), a “pad test”, pelvic or abdominal ultrasound and tests to measure post-void residual (amount of urine left after urination).
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Urinary tract infections are the most frequent bacterial infection in women. They occur most frequently between the ages of 16 and 35 years, with 10% of women getting an infection yearly and 60% having an infection at some point in their lives.(1)(4) Recurrences are common, with nearly half of people getting a second infection within a year.
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Urinary incontinence is a common problem in the UK, and one often seen by community nurses. While it is often associated with ageing, urinary incontinence can in fact have a number of causes and it is important that the community nurse is aware of the full range of aetiologies and presentations.
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