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Gerontological Nursing 2 credit undergraduate course Page 10 of 20

Week 5: Urinary and fecal incontinence

Readings: Required:

Gerontologic Nursing, 2nd edition Chapter 25: Gastrointestinal Function, page 550 Chapter 26: Urinary Function, pages 586-600

Newman, K.K., & Palmer, M.H., (Eds). Executive summary: proceedings of the symposium - state of the science on urinary incontinence.” (2003). American Journal of Nursing, March Supplement, 4-8.

Newman, K.K., & Palmer, M.H., (Eds). Discussion and recommendations: overcoming barriers to nursing care of people with urinary incontinence - state of the science on urinary incontinence. (2003). American Journal of Nursing, March Supplement, 47-53.

Mason, D.J., Newman, D.K. & Palmer, M.H. (2003). Changing UI practice. American Journal of Nursing, March Supplement, 2-3.

Lekan-Rutledge, D. & Colling, J. (2003). Urinary incontinence in the frail elderly: even when it‟s too late to prevent a problem, you can still slow its progress. American Journal of Nursing, March Supplement, 36-46.

Learning Objectives: Describe normal age-related anatomical/physiological changes in the urinary/renal system and functional implications Identify the prevalence of urinary incontinence and the risk factors associated with involuntary loss of urine Identify causes of transient incontinence Identify the types of persistent urinary incontinence, with associated signs and symptoms Identify assessment options for urinary incontinence Identify treatment options for urinary incontinence Identify consequences of incontinence for the older adults Assess the appropriate use of indwelling urinary catheters

Lecture/discussion:

  • 1.

    Normal age-related changes in urinary structure and function

  • 2.

    Prevalence of urinary incontinence

  • 3.

    Risk factors

  • 4.

    Transient causes of incontinence

  • 5.

    Types of urinary incontinence & related signs/symptoms

    • a.

      Acute

    • b.

      Chronic

    • c.

      Stress

    • d.

      Urge

    • e.

      Overflow

    • f.

      Functional

  • 6.

    Functional assessment

Permission is hereby granted to reproduce, post, download, and/or distribute, this material for not-for-profit educational purposes only, provided that Northwest Coalition for Geriatric Nursing Education is cited as the source. This material may be downloaded and/or distributed in electronic format, including PDF format. Available on the internet at www.geronursinged.org E-mail notification of usage to: soncgne@ohsu.edu

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