INTRODUCTION
There are many elderly clients quietly enduring continence issues, believing that frequency, urgency, and incontinence is an inevitable part of aging. Advanced practice nurses can play a significant role in discovering continence problems (Lea R.et.al.2007).Urinary incontinence is defined as the complaint of any involuntary leakage of urine(International Continence Society,1997). A thorough physical assessment and evaluation is necessary to identify the problem at the early stage and to ensure its necessary management. In my placement area I found many residents either with urinary catheter or using incontinence pads. That is suffering from this problem. Thus I selected this as one of my learning outcome. I choose Gibbs Reflective cycle 1988 to write this reflective essay on assessment and management of urinary incontinence. This model of reflection allows me to evaluate and analyse my own experiences to bring out new learning and changes.
DESCRIPTION
When I started my clinical practice I identified there are lot of elderly people with the complaint of urinary incontinence. It is important that incontinence be treated since it impacts not only the physiological, but also the psychological realms of a person 's life. Depression and decreed quality of life have been found to co-occur in the person struggling with incontinence (Barbara Ann,2003). The most important effect of incontinence reported in men was “being out of control” while most women considered “feeling impelled to take several precautions” to be the most important consequence of UI (Doreth et al,2006).
In my placement area I noticed that most of the patients with parkinson’s disease also suffer from the problem of urinary incontinence. When I searched in the literature ,a study by Dr.Vaughan points out that those with Parkinson’s disease usually experience urgency and incontinence as a common problem. When I
References: Boyle P, Robertson C, Mazzetta C et al. The prevalence of male urinary incontinence in four centres: the UREPIK study. British Journal of Urology. 2003;92(9):943-947. Lea R .(2007) Assessment and management of urinary incontinence in the elderly male. The nurse practitioner: The American journal of primary health care,32(9),26-34. NICE (2006) Urinary incontinence : The management of urinary incontinence in women. Clinical guidelineCG40.(online) Available from: www.nice.org.uk/cg40 [accessed on 10-03-2011]. Katherine WilkG40inson(2009) A guide to assessing bladder function and urinary incontinence in older people Teo , J. et al(2006) Do sleep problems or urinary incontinence predict falls in elderly women? Australian Journal of Physiotherapy,52,19-24 Read More: http://informahealthcare.com/doi/abs/10.1080/028134306007393712006, Vol