6. Incontinence and Falls

Total Page:16

File Type:pdf, Size:1020Kb

6. Incontinence and Falls Up to 50 percent of all falls in the home are due to poor bladder control, also known as incontinence. There are many reasons for bladder incontinence which can increase your risk of falling. • People with urge incontinence tend to rush to the toilet to avoid leaking urine. • Rushing increases your risk of falling. • A decrease in mobility or balance can place you at risk when rushing to get to the toilet. • Medication used to treat incontinence can cause a sudden drop in blood pressure when you rise from lying down or sitting. You may experience light headedness and fainting. • Walking due to the urgent need to go to the toilet means you are often rushing out of bed before fully waking. • Getting up more than twice a night can result in poor sleep which can increase your risk of falling. Available in multiple formats • Leaking urine onto the bathroom floor makes it wet and slippery. • Walking on a wet and slippery floor increases your risk of falling. © 2014 • Plan to go to the bathroom every two hours while you are awake to avoid rushing. • Sit upright a few minutes before going to the bathroom to allow your blood pressure and circulation to adjust. • Keep the pathway to the toilet clear of clutter. • Wear an incontinence pad. • Use a urinal or commode. • Remain seated when using the toilet. • Eliminate having caffeinated drinks such as coffee, tea and certain sodas, in the early afternoon. • Get help from your health care provider to assess and treat your incontinence. © 2014.
Recommended publications
  • Changing Places Design Specifications 2020
    Changing Places design specifications 2020 Foreword Changing Places have come a long way since the The refreshed Changing Places design first facility opened in Ringwood, Victoria in 2014. specifications 2020 replace the Changing Places There are now over 130 Changing Places across Information Guide and Technical Standard June six states: New South Wales, Queensland, South 2017 and includes updated designs and new Australia, Tasmania, Victoria and Western Australia. features, which are based on feedback from the All accredited facilities are listed on the Changing facilities currently in operation. A fourth design Places Australia website. The National Public Toilet option has been introduced: ‘Design 1C: Without Map also lists many Changing Places facilities. shower alternative door location’, providing the plans and specifications for a Changing Australia has become the first country in the world Places facility with a side entrance door and a to regulate for adult change facilities in its building repositioned privacy screen. code. From 1 May 2019, the National Construction Code (NCC 2019) requires a new type of public toilet called ‘Accessible Adult Change Facilities’ It is a basic human right to – based on the Changing Places design – to be be able to access a clean, included in certain classes of public buildings safe and private place to such as: go to the toilet. • shopping centres • sports stadiums and swimming pools Changing Places enable many people with high • theatres and museums support needs to enjoy the day-to-day activities that many of us take for granted, such as going to • domestic and international airports. work, school or university, playing in the park, or Toilets built according to the Changing Places attending cultural, sporting or social and family design specifications will generally meet the events.
    [Show full text]
  • 227102079.Pdf
    View metadata, citation and similar papers at core.ac.uk brought to you by CORE provided by Edge Hill University Research Information Repository REVIEW PAPER Systematic review of systematic reviews for the management of urinary incontinence and promotion of continence using conservative behavioural approaches in older people in care homes Brenda Roe, Lisa Flanagan & Michelle Maden Accepted for publication 18 November 2014 Correspondence to B. Roe: ROE B., FLANAGAN L. & MADEN M. (2015) Systematic review of systematic e-mail: [email protected] reviews for the management of urinary incontinence and promotion of continence using conservative behavioural approaches in older people in care homes. Journal Brenda Roe PhD RN RHV of Advanced Nursing 00(0), 000–000. doi: 10.1111/jan.12613 Professor of Health Research/ Honorary Fellow Evidence-based Practice Research Centre, Abstract Faculty of Health & Social Care, Edge Hill Aim. To synthesize evidence from systematic reviews on the management of University, Ormskirk, UK and Personal urinary incontinence and promotion of continence using conservative/behavioural Social Services Research Unit, University of approaches in older people in care homes to inform clinical practice, guidelines Manchester, UK and research. Background. Incontinence is highly prevalent in older people in care home Lisa Flanagan BSc MBBch MRCP populations. Consultant Community Geriatrician Countess of Chester Hospital NHS Design. Systematic review of systematic reviews with narrative synthesis. Foundation Trust, UK Data sources. Electronic searches of published systematic reviews in English using MEDLINE and CINAHL with no date restrictions up to September 2013. Michelle Maden BA MA FHEA Searches supplemented by hand searching and electronic searching of Cochrane Clinical Information Specialist/Learning Library and PROSPERO.
    [Show full text]
  • Part 3: Toilet Design Considerations: Micro Level
    PLANNING FOR PUBLIC TOILETS PART 3: MICRO LEVEL: TOILET DESIGN CONSIDERATIONS: Inclusive Design for Different Types of User Groups ' To a good doctor there is no physical or mental aspect of his patient which should embarrass him. He may be worried or shocked by what his diagnosis reveals, but if he's any good, he is not embarrassed. Correspondingly, therefore, there should be no type of building, and no human function related to it which should embarrass the architect!' (Architects Journal, 1953, No.117). This section looks at the 'micro' level of detailed toilet design. However, the emphasis is upon principles, and upon 'seeing' how the different components of the toilet cubicle 'work' together, because, as they say, 'the devil is in the detail'. The emphasis is again upon the user, the range of user types, and the social and qualitative factors involved, rather than upon the technical plumbing and engineering aspects dealt with elsewhere in this course programme. There is also a longer optional explanation of the issues in the second part of the paper. A PowerPoint accompanies and illustrates Part 3. Part 3 is longer because detailed issues are so important. A fuller bibliography, list of references is given at the end. In fact Part 3 may be used as a module in its own right on inclusive design. People are Important There are many detailed design guides on the precise dimensions and locations of rails, toilet pans, washbasins, mirrors etc and so it is not the purpose of this chapter to give precise guidance on these. 'The problem' is that some toilet manuals deal with each component without seeing how they inter-relate with each other spatially.
    [Show full text]
  • Master Cambridge Medical Catalogue Pending Update
    Cambridge Medical Catalogue Cambridge Medical Ltd 23 Stephenson Road St.Ives Cambridgeshire PE27 3WJ Cambridge Medical LTD Phone: 01480 465646 Fax: 01480 465626 Email: [email protected] Incontinence - Disposable 3,4 Azo Wipes 28 Incontinence - Reusable 5,6 Cleaning Supplies 29,30,31 Disposable Gloves 7 Patient Slings 32 Medical Disposables 8 Specialist Seat Cushions 33 Patient Wipes 9,10 Active Pressure Relief 34,35 Skin Care 11 Pressure Reduction And Relief 36,37 Purell 12 Community And Hospital Beds 38 Procedure Packs 13,14 Bedrails And Bumpers 39 Paper Products 15 Patient Lifters 40 Disposable Bags 16 Dispensers - Purell 41 Sundries 17 Dispensers - General 42 Medical Sundries 18,19 Incontinence Absorbency Guide 43 Pulp Products 20 Janitorial - Floor Care 21 Janitorial - Dishwash 22,23 Can't find what you're looking for? Janitorial - Laundry 24 Give us a call. Janitorial - House Keeping 25 01480 465646 Janitorial - Kitchen Hygiene 26 Cambridge Medical LTD Phone: 01480 465646 Fax: 01480 465626 Email: [email protected] Cambridge Medical Incontinence - Disposable Stretch Pants Code Description Qty Price Lille Healthcare Support Pants form a two-piece pad and pant CAM3334-S Stretch Pants Small 100 POR system. Used to hold the pad in place, they are used with the CAM3334-M Stretch Pants Medium 100 POR plus range of Supreme rectangular and Supreme Shaped Pads. CAM3334-L Stretch Pants Large 100 POR CAM3334-XL Stretch Pants Extra Large 100 POR CAM3337-S Convenience Stretch Pants Small 100 POR CAM3337-M Convenience Stretch Pants Medium 100 POR CAM3337-L Convenience Stretch Pants Large 100 POR CAM3337-XL Convenience Stretch Pants Ex Large 100 POR Code Description Qty Price Rectangular Pads L-111 Classic Pad Insert Super 112 POR Lille Rectangular Pads offer a cost effective solution to L-112 Classic Pad Insert Extra 120 POR manage light to moderate incontinence and can be used with L-113 Classic Pad Insert Super 120 POR your own underwear or as a booster pad in conjunction with L-211 Classic Pad Rectangular Mini 224 POR all-in-ones or shaped pads.
    [Show full text]
  • The Provision of Public Toilets
    House of Commons Communities and Local Government The Provision of Public Toilets Twelfth Report of Session 2007–08 Report, together with formal minutes, oral and written evidence Ordered by The House of Commons to be printed 6 October 2008 HC 636 Published on 22 October 2008 by authority of the House of Commons London: The Stationery Office Limited £0.00 Communities and Local Government Committee The Communities and Local Government Committee is appointed by the House of Commons to examine the expenditure, administration, and policy of the Department for Communities and Local Government and its associated bodies. Current membership Dr Phyllis Starkey MP (Labour, Milton Keynes South West) (Chair) Sir Paul Beresford MP (Conservative, Mole Valley) Mr Clive Betts MP (Labour, Sheffield Attercliffe) John Cummings MP (Labour, Easington) Jim Dobbin MP (Labour Co-op, Heywood and Middleton) Andrew George MP (Liberal Democrat, St Ives) Mr Greg Hands MP (Conservative, Hammersmith and Fulham) Anne Main MP (Conservative, St Albans) Mr Bill Olner MP (Labour, Nuneaton) Dr John Pugh MP (Liberal Democrat, Southport) Emily Thornberry MP (Labour, Islington South and Finsbury) Powers The Committee is one of the departmental select committees, the powers of which are set out in House of Commons Standing Orders, principally in SO No 152. These are available on the Internet via www.parliament.uk. Publications The Reports and evidence of the Committee are published by The Stationery Office by Order of the House. All publications of the Committee (including press notices) are on the Internet at www.parliament.uk/clgcom Committee staff The current staff of the Committee are Huw Yardley (Clerk of the Committee), David Weir (Second Clerk), Andrew Griffiths (Second Clerk), Sara Turnbull (Inquiry Manager), Josephine Willows (Inquiry Manager), Clare Genis (Committee Assistant), Gabrielle Henderson (Senior Office Clerk), Nicola McCoy (Secretary) and Laura Kibby (Select Committee Media Officer).
    [Show full text]
  • Bathing Without Conflicts
    Bathing Without Conflicts Bathing can be a traumatic experience for some aging adults, particularly if they suffer from some form of dementia. It’s important to remain patient and calm in the face of challenging behaviors that surface during bathing, and to realize that a number of factors may be contributing to the senior’s distress: increased sensitivity to the temperature or pressure of the water, feelings of lost independence and dignity, or a lapse in memory preventing the person from understanding the purpose of the bathing process. There are a number of ways to make bathing more comfortable for both the person being bathed and the caregiver. First and foremost, make sure the bathing area is safe: • Use grab bars and slip-resistant mats. • Make sure the water temperature is neither too hot nor too cold (recommended bath water temperature is a degree or two higher than normal body temperature). • Keep sharp, dangerous, and breakable items out of reach. • Always supervise a person with dementia in the bathroom. • Place towels, soap and other needed materials close at hand. Try the following tips to improve bathtime experiences: • Allow the elderly person to have a sense of control in the process. Offer choices, and allow him or her to assist in some way, such as holding the washcloth or a bottle of shampoo. • Keep bathing time on a set schedule, at the same time each day. • Clean the elderly person’s skin gently. • Break down instructions for each step in the bathing process; i.e., “Place your feet into the tub.
    [Show full text]
  • Incontinence: We Need to Talk About Leaks
    Issue 16, October 2020 Incontinence: We Need to Talk About Leaks Claire Rosato-Scott (University of Leeds); Dr Dani J. Barrington (The University of Western Australia); Dr Amita Bhakta (Independent Consultant); Dr Sarah J. House (Independent Consultant); Dr Islay Mactaggart and Jane Wilbur (London School of Hygiene & Tropical Medicine) About The Sanitation Learning Hub For over ten years, IDS’s Sanitation Learning Hub (SLH, previously the CLTS Knowledge Hub) has been supporting learning and sharing across the international sanitation and hygiene (S&H) sector. The SLH uses innovative participatory approaches to engage with both practitioners, policy-makers and the communities they wish to serve. We believe that achieving safely managed sanitation and hygiene for all by 2030 requires timely, relevant and actionable learning. The speed of implementation and change needed means that rapidly learning about what is needed, what works and what does not, filling gaps in knowledge, and finding answers that Incontinence: We Need to Talk provide practical ideas for policy and practice, can have exceptionally widespread impact. About Leaks Our mission is to enable the S&H sector to Claire Rosato-Scott (University of Leeds); Dr Dani J. Barrington innovate, adapt and collaborate in a rapidly (The University of Western Australia); Dr Amita Bhakta evolving landscape, feeding learning into policies (Independent Consultant); Dr Sarah J. House (Independent and practice. Our vision is that everyone is able Consultant); Dr Islay Mactaggart (London School of Hygiene & to realise their right to safely managed sanitation and hygiene, making sure no one is left behind Tropical Medicine) and Jane Wilbur (London School of Hygiene in the drive to end open defecation for good.
    [Show full text]
  • A Man's Health Issue: Bladder / Bowel Continence
    A MAN’S HEALTH ISSUE: BLADDER / BOWEL CONTINENCE Presented by: Fraser Health Authority Marcia Carr, RN, BN, MS, GNC (C), NCA Clinical Nurse Specialist: Medicine Program, Nurse Continence Advisor Acknowledge collaboration with: • University of Victoria Nursing Students: Farzana Allibhai and Sukhvir Rai (2001) • Burnaby Partners in Seniors Wellness (2001) • Teresa Thorsen, ESL, Literacy English Teacher, (2001, 2014) • Paula Eyles, St. Joseph’s Healthcare Hamilton, Editor: 2006 • Canadian Nurse Continence Advisor Association Reviewers (2014): Melissa Northwood, RN, MSN; BarbaraA MAN’SG. Cowie, RN, HEAL MN, TH ISSUE: BLADDER / BOWEL CONTINENCE A Man’s Health Issue: GNC(C), NCA; Jennifer Skelly, RN, PhD, NCA Some sections are adapted with permission from: Vancouver Hospital, Vancouver, British Columbia Consumer Health Information Services, Toronto, Ontario St. Joseph’s Healthcare, Hamilton, Ontario Self-Efficacy Questionnaire; Cara Tannenbaum, MD, MSc (2008) Disclaimer: This material is intended to provide you with general information. It does not take the place of services provided by a health care professional. Acknowledgment to SCA Hygiene for supporting reproduction of this document. Copyright 2001, 2006, 2014. The 2014 edition can only be reproduced with approval by [email protected]. Reproduction of this educational booklet is proudly supported by SCA and the brand TENA® Table of Contents Topic Page Introduction 1 Urinary Continence 2-36 Fecal Continence 37-53 Ways to Help Yourself 54 • Voiding / Bowel Diary 58-61 • Pelvic Floor Muscle Exercises 62 • My Continence Self-care Plan 77 Introduction This book has been written out of concern for all men bathroom doors because of the shame they feel about the that quietly suffer from urinary and/or bowel incontinence loss of control.
    [Show full text]
  • Bladder Diary Vesia Bladder Diary
    Bladder Diary Vesia Bladder Diary Instructions for Completing the Diary 1. Please record three typical days. It is helpful to record both workdays and days off. 2. Record the times you drink any fluid and the times you urinate (pee). It is preferred that you measure and record in milliliters (mls); however, if this is impossible just estimate as Small (S), Moderate (M) or Large (L). 3. Some people get sudden strong urges to urinate that are difficult to control. Record how strong the urge was when you went to the toilet as follows: Bladder Sensation Scale No sensation of needing to pass urine, but passed urine for “social reasons” (eg. just before going out, not 1 sure where next toilet is); no urgency. 2 Normal desire to pass urine; no urgency. 3 Urgency but urgency passed away before had to visit bathroom; went later with normal desire to pass urine. 4 Urgency but managed to get to bathroom and did not leak urine. 5 Urgency but could not get to bathroom in time so leaked urine. 4. If you had a leakage episode (accident), record the time and how much leaked out: • Small (S): few drops only • Moderate (M): wet underwear or pad • Large (L): soaked underwear or pad, or full loss of bladder volume 5. If you have to wear protective pads or garments, record the times you have to change it and the weight of pad you use: Light (pantyliner or light incontinence pad), Medium, Heavy incontinence pad, or adult Diaper. © 2011 Vesia [Alberta Bladder Centre] Inc.
    [Show full text]
  • Guidance for the Provision of Absorbent Pads for Adult Incontinence
    Guidance for the provision of absorbent pads for adult incontinence A consensus document 2021 V19: March 2021 Document Purpose Guidance/Policy Document name Guidance for the provision of absorbent pads for adult incontinence: A consensus document Publication date 2017 Target Audience Commissioning Leads, Foundation Trust Chief Executives (CEs) Directors of Nursing, Local Authority CEs, NHS Trust Boards, Allied Health Professionals, GPs, Consultants, Directors of Nursing; NHS Trust CEs, Bladder & Bowel Service Leads, Care Homes, Procurement Matrons and members of the public Additional Circulation Bladder and Bowel Service Leads across England List (although other countries may find the document useful) Description Consensus document regarding the provision of continence absorbent pads for adults, to ensure all adults who suffer with urinary or faecal incontinence, undergo a comprehensive assessment and have access to an equitable service Cross reference Excellence in Continence Care (NHS England 2015) Minimum Standards for Continence Care (2014) Guidance for the provision of continence containment products to children and young people: a consensus document (2016) Superseded N/A documents Contact details for Sharon Eustice further information and Nurse Consultant feedback [email protected] Developed November 2017 Review Revised February 2019 (version 13) Revised December 2019 (version 14) Revised February 2020 (version 15) March 2021 (version 19) Review date: November 2022 Document host Association for Continence Advice (ACA) This publication contains information, advice and guidance to help continence services. It is intended for use within England but may help service other countries. However, readers are advised that practices may vary in each country and outside the UK. The information in this booklet has been compiled from professional sources, but its accuracy is not guaranteed.
    [Show full text]
  • Brenda Fischer, Unit Suservisor Kate Johnston, Program Ssecialist
    DEPARTMENT OF HEALTH AND HUMAN SERVICES CENTERS FOR MEDICARE & MEDICAID SERVICES MEDICARE/MEDICAID CERTIFICATION AND TRANSMITTAL I PART I - TO BE COMPLETED BY THE STATE SURVEY AGENCY Facility I I!"# $ I!"I %#&'I # (& (" "( "# 22 &F F"!I0I34 5 34% &F "!3I&(7 )081 )01 245269 )01 GOOD SHEPHERD LUTHERAN HOME 1. Initial 2. Recertification )051 1115 4TH AVENUE NORTH 23"3 ' (&# &# I!"I (& 3. Termination 4. CHOW )01 686240300 )061 SAUK RAPIDS, MN )071 56379 5. Validation 6. Complaint 7. On-Site Visit 9. Other 6 FF !3I' "3 !A"(9 &F &B( #2AI% %#&'I #$2@%%0I # !"3 9&#4 )01 8. Full Survey After Complaint )0C1 01 Hospital 05 HHA 09 ESRD 13 PTIP 22 CLIA 7 "3 &F 2@#' 4 07/18 /2016 )051 02 SNF/NF/Dual 06 PRTF 10 NF 14 CORF FI2!"0 4 "# (I(9 "3 )061 8 "!!# I3"3I&( 23"3@2 )01 03 SNF/NF/Distinct 07 X-Ray 11 ICF/IID 15 ASC @DaccEFGitFG 3H! 04 SNF 08 OPT/SP 12 RHC 16 HOSPICE 12/31 "&" &tIFE 03! % #I& &F ! #3IFI!"3I&( 3A F"!I0I34 I2 ! #3IFI "2 FEPQ )a1 X " ID !PQSliaDcF BitI "DG$&E "SSEPTFG BaiTFEU &V 3IF FPllPWiDX #FY`iEFQFDtU 3P )R1 %EPXEaQ #FY`iEFQFDtU 3FcIDical %FEUPDDFl 7 2cPSF PV 2FETicFU 0iQit !PQSliaDcF aaUFG &D 5 AP`E #( FGical iEFctPE "ccFStaRlF %&! 5 bay #( )#`Eal 2(F1 8 %atiFDt #PPQ 2icF 3Ptal Facility aFGU 162 )081 6 0iVF 2aVFty !PGF C aFGU$#PPQ 3Ptal !FEtiViFG aFGU 162 )01 a (Pt iD !PQSliaDcF witI %EPXEaQ #FY`iEFQFDtU aDG$PE "SSliFG BaiTFEU d !PGF A* )01 5 03! ! #3IFI a a# "e&B( 6 F"!I0I34 32 8 2(F 8$C 2(F C 2(F I!F II 87 )F1 )1 PE 87 )f1 )1 )061 7 )01 )081 )0C1 )051 )051 7 23"3 2@#' 4 "9 (!4 # "#e2 )IF "%%0I!"a0 2A&B 03!
    [Show full text]
  • Public Restrooms
    Public Restrooms Australia’s most comprehensive range landmarkpro.com.au | 1300 768 230 landmarkpro.com.au | 1300 768 230 Page | 1 BRISBANE | SYDNEY | MELBOURNE | ADELAIDE | PERTH | AUCKLAND About Landmark Landmark Products offers a complete, professional open space structure and furniture service throughout Australia and abroad. From design through to manufacturing and installation, Landmark Products can deliver a total project solution. With over 30 years’ experience, and a team of highly skilful, expert specialists in public use infrastructure, Landmark is committed to exceeding the expectations of our clients, whether for a relatively straightforward project such as to supply street furniture, or for complex, large scale, custom built urban projects. Page | 2 landmarkpro.com.au | 1300 768 230 Contents 5 6 9 11 13 Six reasons why On slab restrooms On slab restrooms On slab restrooms On slab restrooms Landmark is the [Steel] [Timber] [Aluminium] [Timber] preferred choice CARETAKER RANGE COASTAL RANGE FREMANTLE RANGE HERITAGE RANGE 14 17 19 21 23 On slab restrooms On slab restrooms Raised restrooms Raised restrooms Cubicles [Disability Focus] [Compact] [Steel] [Timber] INCLUSIONS CHANGING PLACES PARKLAND SERIES CARNARVON RANGE BEECHWORTH RANGE AND OPTIONS 24 25 26 28 29 Solar LED Restroom Footings Shelter Information Colours and Finishes Design and installation LIGHTING SYSTEM IN-GROUND, BOLT-DOWN FOOTINGS, ANTI-VANDAL CHOICES CONCEPT TO FINISH OR BOLT-BELOW SYSTEMS AND MORE landmarkpro.com.au | 1300 768 230 Page | 3 Why Landmark? Long life - Widest Site specific build quality product solutions At Landmark we range Through years understand the With Australia’s of experience demands placed largest range of Landmark on our products standard open understands the challenges our diverse country can through public use, and the need to space structures and park furniture, present in the delivery of open space take a whole-of-life approach to these there are pre-designed and pre- engineered solutions available for almost projects.
    [Show full text]