Academic journal article Nursing Education Perspectives

Managing and Treating Urinary Incontinence

Academic journal article Nursing Education Perspectives

Managing and Treating Urinary Incontinence

Article excerpt

Managing and Treating Urinary Incontinence

by Diane Kaschak Newman, MSN, RNC, CRNP, FAAN; Baltimore, MD: Health Professions Press, 2002; 282 pages, $27.95

Diane Kaschak Newman, an adult nurse practitioner, has authored an excellent and comprehensive source of information regarding effective, nonsurgical management for urinary incontinence (UI), overactive bladder (OAB), and pelvic floor disorders. The author addresses the magnitude of this ever-increasing health problem, which affects 17 million Americans, primarily women, who often fail to communicate symptoms to their health care providers.

Providing data related to the current fragmentation of education regarding the care of incontinence, the author points to one outcome of the World Health Organization's Second Consultation on Incontinence - the recommendation that undergraduate curricula for health professions include incontinence as a separate subject. She also provides a review of staff issues and attitudes toward care of the incontinent patient and stresses the need for total staff education for improving care. In addition, she points out that education to consumers must be an integral component of nursing care.

In an overall discussion of the problem, its causes, and its prevalence in the home, community, and long-term care settings, the author notes that billions of dollars are now spent for conditions that are treatable and possibly curable. She refers to the cost consequences of using nonreimbursable hygiene products and points to the resultant need for increased nursing care related to the secondary complications of infection, skin breakdown, and emotional stress.

A review of the anatomy and physiology of bladder function is made more comprehensible by the use of excellent figures, drawings, and tables. The types of incontinence are discussed in detail, along with causes and rationales for varied risk factors. …

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