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Module 8: Continence: A Matter of Dignity - Care of Chronic and Complex UI

Module 8 addresses:

1) The common causes of Urinary Incontinence (UI);
2) Effective ways to prevent or reduce episodes of UI;
3) List of major types of chronic UI;
4) Creative approaches to more complex cases.

Continence - A Matter of Dignity: Care of Chronic and Complex UI

Written by:

Marie Mangino, MSN, CRNP, BC
President, Vincent Healthcare, Inc.
Consultant, Penn Nursing Consultation Service

Reviewed and updated in 2012 by:

Marie Mangino, MSN, CRNP, BC
President, Vincent Healthcare, Inc.
Consultant, Penn Nursing Consultation Service

Wendy W. Fox, MOT, OTR/L
Assistant Professor of Occupational Therapy
University of the Sciences in Philadelphia

Jennifer A. Reinhold, BA, PharmD, BCPS
Assistant Professor of Clinical Pharmacy
University of the Sciences in Philadelphia

Every day urinary incontinence (UI) affects the jobs of direct care staff and the lives of those in their care. This module identifies the major chronic types of urinary incontinence: Urge/Overactive bladder, Stress, Overflow, Functional and Mixed Cases. Some situations of UI are very complex; this module helps direct care staff learn how to handle challenging cases like dealing with older adults with dementia, inappropriate toileting, denial of incontinence, chronic constipation and unsafe attempts to toilet. The overall goal is to help direct care staff learn effective ways to prevent or reduce episodes of UI in elderly persons and enhance the dignity of those in their care. This module was developed to help you achieve and maintain the best possible levels of continence in elderly persons and increase dignity with quality of life. Our goal is to help you learn effective ways to prevent or reduce episodes of UI in elderly persons and enhance the dignity of those in your care.

The teaching materials for this module consist of a PowerPoint presentation with speaker's notes and three videos. The Assessment Algorithm for Continence Management, Summary of UI types & Interventions, Bladder and Bowel Log Forms, and Participant Evaluation of Module associated with Module 8 are the same exact files that are associated with Module 7. They are listed below as well for your convenience.

The teaching materials for this module include a PowerPoint presentation with speaker's notes. These notes provide additional information so that the speaker can ellaborate on each concept presented within the PowerPoint.

Three videos are also included with the teaching materials. Please make sure to download the three videos as the PowerPoint presentation contains cues for when to play each video.

If you are using Firefox on a PC, right click on the video link and select, "Save link as...." If you are using Internet Explorer you will select, "Save Target As...."

If you are using a Mac, press the Control key and click on the video link and then select "Save link as...".

If you would like to create handouts from the PowerPoint file for your attendees and do not know how, please visit the following link:

How to Create Handouts for Attendees from PowerPoint

If you would like to create a printout of the slides that also contains the notes for the instructor, please visit the following link:

How to Create Notes Pages for Presenters in PowerPoint

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