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
Causes of incontinence
What is/are the most likely cause/s of Mr Scott’s continence problems?
Neurogenic bladder due to diabetes
Enlarged prostate
Tumour
Medication