functional incontinence
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Introduction
Urinary incontinence despite an apparently normally functioning urinary tract.
Etiology
- dementia
- delirium
- physical functional impairment
- environmental barriers (restraints)
- psychological
Clinical manifestations
- inability or unwillingness to get to a toilet
Complications
- disease interaction(s) of mobility impairmtne with functional incontnence & urge incontinence
- disease interaction(s) of psychosis with functional incontinence
- disease interaction(s) of alcoholism with functional incontinence
- disease interaction(s) of anxiety disorder(s) with functional incontinence
- disease interaction(s) of affective disorder(s) with functional incontinence
- disease interaction(s) of delirium with urinary incontinence
Management
- see urinary incontinence for general measures
- prompted voiding[2][3]
- exercise program with prompted voiding
- adaptive equipment (external collection devices)
- environmental manipulation
- fluid modification
- absorbent pads & clothing
- external collection devices
More general terms
References
- ↑ Saunders Manual of Medical Practice, Rakel (ed), WB Saunders, Philadelphia, 1996, pg 528
- ↑ 2.0 2.1 Medical Knowledge Self Assessment Program (MKSAP) 11, 14, 16 American College of Physicians, Philadelphia 1998, 2006, 2012
- ↑ 3.0 3.1 Fink HA, Taylor BC, Tacklind JW, Rutks IR, Wilt TJ. Treatment interventions in nursing home residents with urinary incontinence: a systematic review of randomized trials. Mayo Clin Proc. 2008 Dec;83(12):1332-43. PMID: https://www.ncbi.nlm.nih.gov/pubmed/19046552
- ↑ Hagglund D. A systematic literature review of incontinence care for persons with dementia: the research evidence. J Clin Nurs. 2010 Feb;19(3-4):303-12. Review. PMID: https://www.ncbi.nlm.nih.gov/pubmed/20500269