1: reduce bladder spasms and publicity to bladder irritants - ANS-*take away UTI
*restrict caffeine, alcohol, carbonated liquids, highly spiced meals
*do not overly limit fluid intake
*urge suppression schooling
*bladder drill training
*anticholinergics, antimuscarinics, beta-three adrenergic agonists, topical estrogen
*botox
*neuromodulation (sacral or tibial)
*bladder augmentation
2: optimize sphincter characteristic and coaptation - ANS-*bowel management (clear impaction
and save you constipation)
*penile urethral occlusive device
*topical estrogen
*periurethral bulking injections
*artificial urinary sphincter
three: optimize pelvic floor muscle help and function - ANS-*pelvic ground muscle schooling
*biofeedback assisted PFM schooling
*KNACK
*weight control
*weighted vaginal cones
*vaginal pessary
*electrical stimulation
*surgical treatment (sling manner)
4 reasons of fecal incontinence - ANS-1: altered stool consistency and quantity
2: changes in capability to understand rectal filling and rectal contents
3: compromised sphincter characteristic
4: compromised rectal potential and compliance
4: remove/reduce bladder outlet obstruction - ANS-*vaginal pessaries
*alpha adrenergic antagonists, five alpha reductase inhibitors
*surgery to lessen BOO
5 factors that sell continence - ANS-1: colonic transit, stool extent, and consistency
2: sensory attention
three: sphincter competence
four: rectal compliance and capacity
5: extrinsic factors
5: restore bladder tone and contractility - ANS-*alpha adrenergic agonist, topical estrogen
6: adjust surroundings to facilitate secure/efficient reaction to urge - ANS-*maximize toilet
access
*well becoming/non-skid shoes
, *modify garments if dexterity problems
*put off tripping dangers
7 goals of managed voiding - ANS-1: reduce bladder spasms and exposure to bladder irritants
2: optimize sphincter characteristic and coaptation
three: optimize pelvic ground muscle aid and function
4: take away/reduce bladder outlet obstruction
five: repair bladder tone and contractility
6: alter surroundings to facilitate secure/efficient response to urge
7: facilitate well timed and complete emptying
7: facilitate well timed and entire emptying - ANS-*toileting packages
*double voiding
*trigger voiding in neurologic issues
*smooth intermittent catheterization
*urinary diversion surgery
belly leak factor strain - ANS-finished all through the filling CMG to determine the intra-stomach
stress needed to push urine out in a partially closed sphincter. This check is used to determine
severity of strain urinary incontinence (SUI) particularly identifying the patient with ISD (intrinsic
sphincter deficiency) main to SUI that could gain from approaches to growth urethral resistance
acute urinary incontinence - ANS-surprising onset of urine leakage
adrenergic receptors - ANS-*sell urine storage*
s/e: HoTN, dizziness, fatigue, erectile disorder
changes in capability to apprehend rectal filling and rectal contents - ANS-*neurological lesions
and conditions that adjust sensory focus of rectal filling
treatment: hold strong stool consistency (higher capable of feel and maintain strong stool)
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