The prevalence of two disorders, constipation and urinary incontinence is high in the geriatric population, particularly in the nursing home setting; the presence of dementia in long-term care residents adds further to the burden of care involving constipation and incontinence. In practice, management of constipation and urinary incontinence entails significant time, understanding of the disorders and use of resources. Besides, the conditions also affect quality of life of the patient. Multiple members of the staff required to utilize interdisciplinary efforts in addressing prevention and management of the two disorders, warranting coordination between the nurse, physician, nutritionist and pharmacist in the care of affected residents.
This presentation will explore the care of two common problems encountered by the nursing home resident - urinary incontinence and constipation. The responsibilities and team efforts involving different professional roles will be summarized, especially, those of the nutritionist, nurse, pharmacist and physician. Importance will be given to behavioral (or non-pharmacological) approaches in management, primarily addressing nutrition, fluids, habits and activity, in addition to the typical medication based approach. Participants will receive an overview of the risk factors and causes of urinary incontinence and constipation, with emphasis for aspects relevant in the nursing home setting. Cases relevant to the approach and management of constipation and urinary incontinence will be presented, with opportunity for interaction.
Conflicts of Interest: The planners and presenters of this CNE activity have disclosed no relevant financial relationships with any commercial companies pertaining to this activity.
Non-Endorsement of Products: The Maryland Nurses Association's accredited-provider status refers only to continuing nursing education activities and does not imply that there is real or implied endorsement by of any product, service, or company referred to in this activity nor of any company subsidizing costs related to the activity.
Off-label Product Use: This educational activity does not include any unannounced information about off-label use of a product for a purpose other than that for which it was approved by the Food and Drug Administration (FDA)
Learning Objectives: The overall goal of this activity is to enhance participants’ knowledge and competency in managing and treating patients with urinary incontinence and constipation by providing the latest tools and updates available to practitioners.
Upon completion of this activity, participants should be able to:
Understand the prevalence and dilemmas related to two common problems affecting residents in the nursing home setting: Urinary incontinence and Constipation
Understand the etiological factors and predisposition to urinary incontinence and constipation in residents of long term care.
Understand the different types of transient and persistent urinary incontinence, and related management (both behavior modification and pharmacological approaches)
Understand the causes of constipation, and related management (both behavior modification and pharmacological approaches)
Ensure that providers are comfortable in dealing with the two topics and are able to comprehend the cases provided at the end of the presentation.