Managing and Treating Urinary Incontinence, 2nd Edition

  Newman and Wein’s Managing and Treating Urinary Incontinence, 2nd Edition, provides clinicians the knowledge base to effectively assess and treat urinary incontinence and to evaluate clinical outcomes of urinary incontinence management. Organized into 13 chapters, the book describes various forms of incontinence and their significance, examines the synergy of the bladder and pelvic floor, considers the role of risk factors in creating bowel and bladder dysfunction, addresses clinical assessment of urinary incontinence, and presents various therapeutic strategies and information about the specialists who incorporate specific service models into their practice to effectively provide treatment. Chapters new to the second edition include evaluation and management of pelvic organ prolapse and surgical interventions for incontinence.   All clinical settings — acute care, long-term care, home care, and outpatient — are covered, along with self-help practices for patients regarding lifestyle changes, behavioral treatments such as bladder training, and pelvic floor muscle rehabilitation techniques. Additional management options include drug therapy for urinary incontinence and overactive bladder and products for urine collection and incontinence care.

  In one particularly information-packed chapter, Newman and Wein concentrate on the use, effectiveness, and outcomes of several behavioral management approaches to urinary incontinence. Ideas for behavioral modifications involving education, toileting programs, lifestyle changes, and bladder training are complemented by detailed diagrams and tables on various toileting programs for different types of patient incontinence profiles. Algorithms help guide the clinician on the appropriate path for patient education and success. Voiding programs that include timed/scheduled voiding and prompted voiding are presented as well as programs that combine behavior therapy and drug intervention. Pelvic floor muscle rehabilitation is explained using diagrams of step-by-step interventions. Biofeedback mechanisms, equipment use, and suggestions for the patient and clinician are highlighted. Comprehensive resources provide opportunity for further review of the data and information presented.

  The book includes a CD-ROM that contains patient and clinician tools and forms for ready application. Twelve nursing care plans cover topics from overactive bladder to functional incontinence to impaired skin integrity management. Patient education tools on caffeine count, preventing bladder infections, exercising pelvic floor muscles, and catheter use in men and women also are included, as well as clinician assessment and treatment forms that focus on patient history and incontinence profiles, bladder and bowel diaries, and treatment recommendations.

  This pragmatic, reader-friendly, research-based resource provides the tools and methods to achieve the best outcomes for urinary incontinence management. Managing and Treating Urinary Incontinence is a must-have compendium of incontinence research and experience.