Continence Management and Care
This in-depth module covers standard principles and best practice guidelines in regard to assessing and caring for people who are are living with or at risk of urinary and/or faecal incontinence. It includes the anatomy and physiology of the male and female genitourinary system and the bowel; the types of urinary incontinence; assessment and strategies to manage continence
Learning Outcomes
What you'll learn
- Define the terms 'continence' and 'incontinence' in regard to both bladder and bowel function
- List the possible symptoms of urinary incontinence and faecal incontinence
- Appreciate the importance of managing symptoms of bladder or bowel dysfunction
- Recall the different types of urinary incontinence (namely: stress incontinence; functional incontinence; obstructive/overflow incontinence; and urge
- Describe the anatomy and physiology of the lower urinary tract in men and women
- Explain how you would go about assessing a patient's continence
- Describe the anatomy of the lower bowel, and physiology of defecation
- List the risk factors for urinary incontinence and for faecal incontinence
- Describe appropriate strategies that may be used to manage someone's continence
Learning Outcomes
What you'll learn
- Define the terms 'continence' and 'incontinence' in regard to both bladder and bowel function
- List the possible symptoms of urinary incontinence and faecal incontinence
- Appreciate the importance of managing symptoms of bladder or bowel dysfunction
- Recall the different types of urinary incontinence (namely: stress incontinence; functional incontinence; obstructive/overflow incontinence; and urge
- Describe the anatomy and physiology of the lower urinary tract in men and women
- Explain how you would go about assessing a patient's continence
- Describe the anatomy of the lower bowel, and physiology of defecation
- List the risk factors for urinary incontinence and for faecal incontinence
- Describe appropriate strategies that may be used to manage someone's continence
Modules
- What is Continence?
- Why is Managing Incontinence Important?
- Anatomy of the Lower Urinary Tract
- Physiology of the Lower Urinary Tract
- Anatomy of the Lower Bowel
- The Large Intestine
- Rectum and Anus
- Physiology of Defecation
- Risk Factors for Incontinence
- Symptoms of Incontinence
- Types of Urinary Incontinence
- Assessing Continence
- Taking a Thorough History
- Urinalysis
- Hydration
- Bristol Stool Chart
- Bladder Scanning
- Managing Incontinence
- Summary
- References
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Frequently Asked Questions
Continence management involves assessing, preventing, and managing bladder and bowel problems, including urinary incontinence and faecal incontinence, to promote dignity, comfort, health, and independence.
Common types include stress incontinence, urge incontinence, functional incontinence, and overflow incontinence. Each type can have different causes, symptoms, and management approaches.
Symptoms may include urine leakage, urgency, frequent urination, difficulty emptying the bladder, accidental bowel leakage, constipation, and changes in normal bowel habits.
Risk factors include ageing, pregnancy, childbirth, obesity, constipation, reduced mobility, neurological conditions, urinary problems, and some medications or medical conditions.
Continence care may include bladder and bowel assessment, pelvic floor exercises, fluid and diet advice, toileting routines, medication, continence products, and referral to specialist services.