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Incontinence
Geriatrics
| Question | Answer |
|---|---|
| What happens in the pelvic regions? | elimination, sex, center of balance, femoral joints, |
| Pelvis is shaped like a bowl | there is a tendon that affects the tension of the pelvis |
| Core is responsible for | respiratory, pelvic, maltifidus, ab |
| A tight muscle is a | weak muscle |
| pelvic floor functions | supports organs, maintain continence, allow elimination, stabilize and support joints of hips and pelvis, assist in support of the spine, breathing, sex, birth |
| When you breath in your pelvis | relaxes |
| When you breath out your pelvis | tenses |
| What is common cause of pelvic floor dysfunction | stress and tension, childbirth, hormones, coach potato syndrome, surgeries, obesity, trauma, prolapse, excessive exercise, neurological, pain, musculoskeltal, pedenal neuralgia |
| pelvic inflammatory disease | inflammination and infection in pelvic cavity |
| vulvodynia | pain in the vulva |
| vaginismus | muscles contracting so much, painful nothing can be inserted |
| dyspareunia | painul intervourse |
| Prolapse | bladder/uterus/anus can drop down out of vagina |
| Men: Prostatodynia or chronic pelvic pain | pain located around groin, genitalia or perineum. If enlarged it can constrict urine |
| 37% of women report urinary incontinence | 86% have stress incontinnece |
| Average Age: 48=SI; 55-urge; 61-mixed | a majority of suffers remain untreated |
| Physical efects of UI | bacterial and fungal infection, skin tears, falls and fractures, pain, sexual dysfunction |
| Psychological effects | anxiety, depression, loss of self-esteem, shame, social isolation |
| ADL Effects | bladder management, functional mobility, sexuality, leisure participation, job performance, sleep |
| Stress Incontinence | occurs when an activity, such as coughing or sneezing, causes a small amount of urine to leak from the urethra, which is the tube urine passes through. Stress incontinence (SI) |
| Urge Incontinence | the muscles of an "overactive" bladder contract with enough force to override the sphincter muscles of the urethra, which is the tube that takes urine out of the body. |
| How can an OT address incontinence? | manual therapies, therapeutic exercise, biofeedback |
| Correct position for opening your bowels | knees higher than hips. lean forwards and put elbow on your knee, bulge out you abdomen, straighten spine |
| Increased abdominal pressure | if you cough or sneeze there is pressure pushing down and because the abdomen is weaker a little comes out |
| Bladder training/timed voiding | increase intervals between voiding by instructing person to avoid urge...follow a planned time schedule |
Created by:
crystalfmulligan
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