Maintenance and management of continence (ES-8066-11)
Incontinence can have a significant impact on quality of life. Not all incontinence is 'curable' - but incontinence can be managed. This unit will cover the causes and management of urinary and faecal incontinence.
Two expert presenters have collaborated to produce this unit. Ms Jenny Crisp, who is a registered nurse and a continence advisor, will outline some facts about incontinence and recommend management strategies. Dr Janelle Munns, who is a urologist, will outline the assessment and management of urinary incontinence in the elderly.
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Learning Objectives:
- To be aware of the aetiology of incontinence in the older Australian
- Be able to assess and manage issues relating to continence in the elderly, including primary and secondary prevention and early intervention
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This education program is developed and delivered for The University of Queensland, by The University of Queensland (UQ) Health Insitu. UQ Health Insitu is the lifelong learning arm of The University of Queensland Faculty of Health Sciences.
Expert presenters:
Ms Jenny Crisp
Jenny Crisp holds a Bachelor of Nursing and is an experienced Continence Advisor. Jenny also has many years experience in urology nursing and urodynamics and recently has gained a certificate in Prostate Nursing Care from Latrobe University. She is a member of the Australian Continence Foundation, Australian Nurses for Continence and Queensland Urological Nurses Society.
Jenny is also involved in PROSCARE, a project developed by QLD Cancer Fund, to provide information about prostate cancer, treatment options and side effects, for men who have been recently diagnosed with the disease.
Jenny’s current role as a Continence Advisor in a large private teaching hospital involves both clinical work and education of patients and staff.
Dr Janelle Munns
Dr Janelle Munns graduated from the University of Queensland in 1990 with MBBS honours, and completed her studies as a Fellow of the Royal Australasian College of Surgeons (Urology) in 1998. She spent 18 months abroad in Newcastle-upon-Tyne’s Freeman Hospital and the Sunderland Royal Infirmary, firstly as a Fellow and then as a locum consultant. She returned to Brisbane in 2000 and commenced practice at Greenslopes Private Hospital, and has published papers in the British Journal of Urology and Australian and New Zealand Journal of Surgery.
References: for Jenny Crisp's presentation
[1] Landi F, et al. Potentially reversible risk factors and urinary incontinence in frail older people living in community. Age and Ageing 2003;32(2):194-9.
[2] Aditya B, Sharma J. Predictors of a nursing home placement from a non-acute geriatric hospital. Clinical Rehabilitation 2003;17:108-113.
[3] The Joint HACC/MASS Continence Project. First steps in the management of urinary incontinence in community-dwelling older people: a clinical practice guideline. Brisbane: Queensland Health; 2005.
[4] Massolt E, et al. Prevalence, impact on the quality of life and pathophysiological determinants of nocturia in urinary incontinent women. International Urogynecology Journal 2005;16:132-7.
[5] Ladas SD, Haritos DN, Raptis SA. Honey may have a laxative effect of normal subjects because of incomplete fructose absorption. American Journal of Clinical Nutrition 1995;62:1212-1215.
References: for Janelle Munns' presentation
[1] Moehrer B, Hextall A, Jackson S. Oestrogens for urinary incontinence in women. Cochrane Database of Systematic Reviews 2003, Issue 2. Art. No: CD001405. DOI: 10.1002/14651858.CD001405.
[2] Bo K, Talseth T, Holme I. Single blind, randomised controlled trial of pelvic floor exercises, electrical stimulation, vaginal cones, and no treatment in management of genuine stress incontinence in women. BMJ 1999;318(7182):487-493.
[3] Hay-Smith J, Herbison P, Mørkved S. Physical therapies for prevention of urinary and faecal incontinence in adults. Cochrane Database of Systematic Reviews 2002, Issue 2. Art. No.: CD003191. DOI: 10.1002/14651858.CD003191.
[4] Herbison P, Mantle J, Dean N. Weighted vaginal cones for urinary incontinence. Cochrane Database of Systematic Reviews 2002, Issue 1. Art. No.: CD002114. DOI: 10.1002/14651858.CD002114.
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| Time: |
1 hour |
| Catalogued by: |
- Clinical knowledge and skills
- RACGP Domains of General Practice
- Applied professional knowledge and skills
- ACRRM Educational Domains and Curriculum Areas of Rural & Remote Medicine
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