Continence Home
Objectives
Continence Case Study
Patient Interview
Patient Interview
History of Presenting Complaint
Medical History
Medication History
Social History
Patient Interview
Physical Assessment
Transient Causes
hydrochlorothiazide
peripheral oedema
constipation
UTI
depression
fluid intake
polyuria
poor diabetic control
Transient Causes
Investigations
MSU
Cholesterol
PSA
U+E
HbA1C
GDS
GDS result
Continence Assessment
report
Advice
reduce caffeine
stop hydrochlorothiazide
prescribe oxybutinin
prescribe sleeping tablets
resume glucose meter
Further referrals
Surgeon
Psychologist
Follow-up visit
Treatment options
Finasteride
Alpha blockers
Refer to diabetic clinic
TUPR
Cystoscopy
Saw Palmetto
Continence Management
1 month follow-up visit
Mrs Scott Case Study
Patient Interview Part 2
Patient Interview Part 3
History of Presenting Complaint
Medical History
Medication History
Social History
Patient Interview
Patient Interview
Patient Interview
Physical Assessment
Transient causes
constipation
fluid intake
arthritis
depression
UTI
atrophic changes
Investigations
MSU
U+E
Cholesterol
Blood pressure
Bone Density Scan
GDS
Management
caffeine
oxybutynin
treat UTI
prescribe oestrogen cream
treat and prevent excoriation
Multidisciplinary Assessment and Management
OT
OT Home Assessment
Surgeon
PT
Urotherapy
Arthritis
Falls
Nurse Continence Advisor
Psychologist
Pharmacist
Dietitian
3 months later...
Case Summary
Resources
Continence Pre-module Test
Question One
Which of the following medications is NOT among those that often precipitate urinary incontinence? (1 points)
Antihypertensives
Antidepressants
Cold and flu medications
Antifungals
Question Two
Which of the following is NOT true of transient causes of incontinence? (1 points)
They should be identified and treated as a first step to improving continence status
They often respond to conservative treatment
They often resolve without treatment and so should be addressed only after the primary cause of incontinence is identified
They are factors outside of the urinary tract that cause or worsen incontinence
Question Three
Which of the following would NOT be part of routine investigations for incontinence? (1 points)
Renal tract ultrasound
MSU
Urea and electrolytes
Blood pressure
Question Four
If a patient reports experience of full bladder, difficulty initiating urination and weak flow, the most likely type of incontinence is? (1 points)
Urge incontinence
Overflow incontinence
Stress incontinence
Functional incontinence
Question Five
For a man in his late 70's, a normal PVR is? (1 points)
<50ml
<100ml
<150ml
<200ml