INCONTINENCE IN THE ELDERLY:

Introduction:

Incontinence: loss of urine involuntarily and objective, resulting in a time and place and inadequate in quantity or often enough to be a problem hygienic, social and psychic.

Types:

■ Acute, transient or reversible

■ Chronic:

               ▪ Stress or effort

               ▪ Emergency

               ▪ Overflow

               ▪ Functional

               ▪ Mixed

Nurse Valuation:

Anamnesis: individualized valuation at the time of occurrence of incontinence. Collect pharmacological history. Registration urination frequency.

Physical examination:

additional tests

Treatment:

General:

The nurse should assess and apply analytical and urine culture.

Correct precipitating factors favoring and incontinence

One should look for proper voiding habit

Constipation should be corrected

Residual urine <100 ml:

Pelvic floor exercises (Kegel) exercises to strengthen pelvic muscles. Recommended 3-4 batches, two or three times daily.

Residual urine> 100ml:

-        Overflow: probe or reconstructive surgery

-        Acontractile: modification techniques such as catheterization or incontinence pads.

Personal reflection: 

The highest prevalence was found in the units where the stay is longer and especially in residential institutions. Pay more attention.

Know how to properly detect types of incontinence and the etiology for early treatment.

BIBLIOGRAPHY:

Dr. Pertusa Martinez. Servicios de Salud de medicina familiar y comunitaria. Incontinencia Urinaria en el Anciano. España. 2011. Revisado en: http://www.netdoctor.es/articulo/incontinencia-urinaria-ancianos