Core Curriculum: Continence Management

Author: Dorothy Doughty, MN, RN, CWOCN, FAAN, Katherine Moore, PhD, RN
Affiliation: Wound Ostomy and Continence Nurses Society
Publisher: Lippincott Williams & Wilkins
Publication Date: 2016
ISBN 10: 1451194412
ISBN 13: 9781451194418
eISBN: 9781496323200
Edition: 1st

Description:

This volume in the new Core Curriculum series from WOCN(R) covers Continence Management, and is the crucial text for nurses practicing or studying fecal and urinary continence care. It offers pathology and physiology basics in easy-to-grasp terms, while providing expert guidance on patient management. The perfect study guide for the wound, ostomy and continence (WOC) certification exams, it also provides step-by-step direction on essential nursing procedures. The evidence-based, easy-to-follow format of Wound, Ostomy and Continence Nurses Society(TM) Core Curriculum: Continence Management facilitates your comprehension of: o Urinary incontinence and voiding dysfunction o Physiology of normal defecation and voiding o Motility disorders, fecal incontinence, and bowel dysfunction in pediatric patients. Step-by-step instruction leads you through care planning and delivery, including management of voiding dysfunction and urinary incontinence in both men and women

Table of Contents

Front Matter

  • ABOUT
  • Contributors
  • Foreword
  • Preface
  • Acknowledgments

CHAPTER 1: Voiding Physiology

  • Objectives
  • Topic Outline
  • Introduction
  • Structures and Functions Critical to Normal Voiding and Continence
  • Lower Urinary Tract and Pelvic Floor
  • Neural Control
  • Intact Cognition
  • Summary of Normal Lower Urinary Tract Function
  • Changes across the Lifespan
  • Conclusion
  • References
  • Questions
  • Answers

CHAPTER 2: Overview of Urinary Incontinence and Voiding Dysfunction

  • Objectives
  • Topic Outline
  • Introduction
  • Classification of Urinary Incontinence/Voiding Dysfunction
  • Assessment and Diagnosis: Overview
  • General Principles of Management
  • Conclusion
  • References
  • Questions
  • Answers

CHAPTER 3: Primary Assessment of Patients with Urinary Incontinence and Voiding Dysfunction

  • Objectives
  • Topic Outline
  • Introduction
  • Assessment Goals
  • Key Principles Underlying Accurate Assessment
  • Health History/Interview Guidelines
  • Bladder Diary
  • Focused Physical Examination
  • Laboratory and Diagnostic Studies
  • Data Synthesis: Pulling it All Together
  • Conclusion
  • References
  • Questions
  • Answers

CHAPTER 4: Advanced Assessment of the Patient with Urinary Incontinence and Voiding Dysfunction

  • Objectives
  • Topic Outline
  • Introduction
  • Indications
  • Overview and Description
  • Uroflowmetry
  • Filling Cystometry
  • Pressure Flow Studies
  • Electromyography
  • Urethral Pressure Profiles
  • Abdominal Leak Point Pressure
  • Video Urodynamics
  • Further Diagnostics
  • Conclusion
  • References
  • Questions
  • Answers

CHAPTER 5: Overactive Bladder/Urgency UI: Pathology, Presentation, Diagnosis, and Management

  • Objectives
  • Topic Outline
  • Introduction
  • Prevalence and Incidence
  • Pathology
  • OAB Risk factors
  • Evaluation/Clinical Presentation
  • Management Options
  • Conclusion
  • References
  • Questions
  • Answers

CHAPTER 6: Retention of Urine

  • Objectives
  • Topical Outline
  • Introduction
  • Epidemiology of Urinary Retention
  • Etiology of Urinary Retention
  • Pathology and Pathogenesis of Urinary Retention
  • Complications of Urinary Retention
  • Obstructive Uropathy
  • Clinical Presentation and Assessment of Retention of Urine
  • Treatment of Urinary Retention
  • Prevention of Urinary Retention
  • Conclusion
  • References
  • Questions
  • Answers

CHAPTER 7: Neurogenic Bladder: Assessment and Management

  • Objectives
  • Topic Outline
  • Introduction
  • Classification Systems for Neurogenic Bladder Dysfunction
  • Urinary Continence: A Neurologic Perspective
  • Etiology and Pathophysiology of Neurogenic Bladder Dysfunction
  • Assessment of the Patient with Neurogenic Bladder: General Principles
  • Management of the Patient with Neurogenic Bladder Dysfunction: General Principles
  • Neurogenic Bladder Management: Specific Examples
  • Conclusions
  • References
  • Questions
  • Answers

CHAPTER 8: Voiding Dysfunction and Urinary Incontinence in Men

  • Objectives
  • Topic Outline
  • Introduction
  • Lower Urinary Tract Symptoms
  • Etiologic Factors
  • Initial Evaluation and Workup
  • Treatment of LUTS
  • PSA Testing
  • Decision Making about Biopsy
  • Biopsy Procedure
  • Gleason Score
  • Additional Diagnostic Workup
  • Treatment Options for Prostate Cancer
  • Postprostatectomy Stress UI
  • Sexuality and Erectile Dysfunction (ED)
  • Conclusion
  • References
  • Questions
  • Answers

CHAPTER 9: Urinary Incontinence/Voiding Dysfunction in the Female

  • Objectives
  • Topical Outline
  • Stress Urinary Incontinence
  • Pelvic Organ Prolapse
  • Vesicovaginal Fistula
  • Conclusion
  • References
  • Questions
  • Answers

CHAPTER 10: UI and Lower Urinary Tract Symptoms in the Older Adult

  • Objectives
  • Topical Outline
  • Introduction: Facts about Aging
  • Changes in Lower Urinary Tract Associated with Aging
  • Nocturia
  • Functional Urinary Incontinence
  • Comorbid Conditions
  • Characteristics of UI in the Older Adult
  • Reversible Factors/Barriers
  • Interventions for Functional Urinary Incontinence
  • Conclusion
  • References
  • Questions
  • Answers

CHAPTER 11: Voiding Dysfunction and Urinary Incontinence in the Pediatric Population

  • Objectives
  • Topic Outline
  • Introduction
  • Acquisition of Continence/Toilet Training
  • Frequency, Urgency, and Urinary Incontinence
  • Enuresis
  • Overactive Bladder
  • Voiding Postponement and Dysfunctional Voiding
  • Vaginal Reflux
  • Giggle Incontinence
  • Conclusion
  • References
  • Questions
  • Answers

CHAPTER 12: Appropriate Use of Containment Devices and Absorbent Products

  • Objectives
  • Topic Outline
  • Introduction
  • Guidelines for Selecting Continence Products
  • Absorbent Products
  • Male Condom Catheters
  • Mechanical Devices for Men with Urinary Incontinence
  • Handheld Urinals
  • Commodes and Bedpans
  • Urine Drainage Bags and Accessories
  • Incontinence-Associated Dermatitis (IAD)
  • Conclusion
  • References
  • Questions
  • Answers

CHAPTER 13: Indwelling and Intermittent Catheterization

  • Objectives
  • Topic Outline
  • Introduction
  • Guidelines for Catheter Selection: Design and Features
  • Catheter-Related Complications
  • Prevention of Complications
  • Suprapubic Catheters (see also Chapter 6)
  • Intermittent Catheterization
  • Conclusion
  • References
  • Additional Resources
  • Questions
  • Answers

CHAPTER 14: Physiology of Normal Defecation

  • Objectives
  • Topic Outline
  • Introduction
  • GI Tract: Critical Structures and Functions
  • Pelvic Floor
  • Histology of Colon Wall
  • Innervation of the Colon, Sphincters, and Pelvic Floor
  • Factors Affecting/Promoting Continence
  • Process of Normal Defecation
  • Conclusion
  • References
  • Questions
  • Answers

CHAPTER 15: Motility Disorders

  • Objectives
  • Topic Outline
  • Introduction
  • Diarrhea
  • Constipation
  • Irritable Bowel Syndrome
  • Conclusion
  • References
  • Questions
  • Answers

CHAPTER 16: Fecal Incontinence: Pathology, Assessment, and Management

  • Objectives
  • Topic Outline
  • Introduction
  • Overview
  • Types and Pathology of FI
  • Risk Factors for FI
  • Assessment Guidelines
  • Management of Fecal Incontinence
  • Conclusion
  • References
  • Questions
  • Answers

CHAPTER 17: Bowel Dysfunction and Fecal Incontinence in the Pediatric Population

  • Objectives
  • Topic Outline
  • Introduction
  • Fetal Development of the Gastrointestinal System
  • Fecal Elimination in Children
  • Acquisition of Fecal Continence
  • Bowel Dysfunction and Fecal Incontinence
  • Assessment of the Child with a Neurogenic Bowel
  • Treatment and Management of a Child with a Neurogenic Bowel
  • Diarrhea
  • Conclusion
  • References
  • Questions
  • Answers

Appendix A: Art Credits

Glossary