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Incontinence

Geriatrics

QuestionAnswer
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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