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Becoming incontinent is not an inevitable part of aging. The options for handling incontinence are more diverse and effective than many professionals today are aware. Now readers can arm themselves with methods for successfully managing or even eliminating it.

Tabla de contenidos provista por Syndetics

• About the Author(p. vii)
• Foreword(p. ix)
• Foreword(p. xi)
• Preface(p. xiii)
• Acknowledgments(p. xvii)
• 1 Introduction(p. 1)
• 2 The Problem of Incontinence(p. 7)
• 3 Understanding Bladder Function(p. 19)
• 4 Causes of Incontinence and Identification of Risk Factors(p. 29)
• 5 Bowel Dysfunction and Its Relationship to Urinary Incontinence(p. 53)
• 6 Clinical Assessment and Evaluation(p. 79)
• 7 Self-Care Practices to Reduce Urinary Symptoms(p. 105)
• 8 Implementing Toileting and Retraining Programs(p. 111)
• 9 Urinary Collection and Management Products(p. 137)
• 10 Drug Therapy for Incontinence and Overactive Bladder(p. 175)
• 11 Development of Continence Services(p. 187)
• Appendix A Education Tools(p. 201)
• How to Prevent Bladder Infections(p. 203)
• Tips for Bowel Regularity(p. 205)
• Taking Care of Your Pessary(p. 208)
• Diet Habits that Can Affect Your Bladder(p. 210)
• Avoiding Foods and Liquids with Caffeine(p. 212)
• Bladder Retraining(p. 214)
• How to Do Pelvic Muscle Exercises(p. 216)
• Pelvic Muscle Exercises During Activities of Daily Living(p. 218)
• Care and Use of a Urinary (Foley) Catheter(p. 220)
• How to Care for Your Catheter Drainage Bag(p. 222)
• Clean Intermittent Self-Catheterization (CIC) for Women(p. 224)
• Clean Intermittent Self-Catheterization (CIC) for Men(p. 228)
• How to Use an External "Condom" Catheter(p. 232)
• How to Safely Use an Incontinence Clamp(p. 235)
• Using Topical Estrogen(p. 237)
• Pad Test(p. 239)
• Appendix B Forms(p. 241)
• Initial Consultation(p. 242)
• Pelvic Muscle Assessment(p. 245)
• Past Medical History(p. 246)
• Incontinence Patient Profile(p. 248)
• Bladder and Bowel Record(p. 250)
• Bladder and Bowel Retraining Preassessment(p. 251)
• Findings and Recommendations(p. 252)
• Daily Voiding Record (or Frequency Volume Chart)(p. 253)
• Appendix C Resources(p. 255)
• Manufacturers of Drugs and Products(p. 255)
• Mail-Order Catalogs(p. 262)
• Professional Organizations(p. 262)
• Product Resource Guides(p. 264)
• Glossary(p. 265)
• Index(p. 277)

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Library Journal Review

Today, 20 to 25 million Americans endure difficulties in controlling bladder function something vast numbers of them are not willing to disclose. Most of those afflicted are women, and they are not all elderly. There is a thus real and pressing need for books like these, which address the issue of incontinence in a compassionate manner and explain that most of these individuals can be cured, many quite easily, without surgery. It is also clear from both of these authoritative publications that incontinence must be viewed as an important medical problem, deserving the same attention as elevated blood pressure or an endocrine disorder. Newman, a nurse who is codirector of the Penn Center for Continence and Pelvic Health at the University of Pennsylvania, previously wrote The Urinary Incontinence Sourcebook for consumers. Aiming this new book at nurses, social workers, and other healthcare professionals, she is strongly pragmatic, covering a long list of topics, from causes of incontinence to evaluation and therapy. There is also a chapter on self-care practices that will minimize urinary symptoms. The appendixes consist of tools for health professionals that can be used to train staff and educate patients; included are sections on how to prevent bladder infections, diet habits that can affect your bladder, bladder retraining, and other topics relating to mechanical devices used to reduce incontinence. The book is well referenced and includes a glossary as well as appendixes with useful ancillary information, e.g., a directory of manufacturers of products that aid in treating incontinence. In The Incontinence Solution, gynecologist Parker and his coauthors (a gynecologist and a health educator) also provide a comprehensive and reassuring approach to incontinence, but the advice is intended primarily for consumers/patients. The question-and-answer format allows for easy reading and reference and, after an initial discussion of causes and diagnosis, focuses on the wide range of available treatments for incontinence. Specific chapters also address childbirth and incontinence, interstitial cystitis, and defining and diagnosing prolapse. Anecdotal reports of patients' experiences add interest and information. Also provided is a section on finding the right doctor. While both titles provide extensive coverage of the topic, Newman's is the more scholarly and is highly recommended for health sciences libraries and for large public libraries. For its readability, Parker's book is suggested for all consumer health collections. Linda M.G. Katz, MCP Hahnemann Univ. Libs., Philadelphia (c) Copyright 2010. Library Journals LLC, a wholly owned subsidiary of Media Source, Inc. No redistribution permitted.

Notas de autor provistas por Syndetics

Diane Kaschak Newman, R.N.C., M.S.N., C.R.N.P., F.A.A.N., is co-director of the Penn Center for Continence and Pelvic Health by the Division of Urology, University of Pennsylvania (Philadelphia)