Incontinence Management

First Quality Products's picture

By: M. Sanantonio RN, C. Gunner RN, S. Trousaant LVN, M. Moore LVN

It is important for skilled nursing facilities to utilize quality incontinent products for their residents that are facing the daily challenges of both bladder and bowel incontinence. However, products alone do not make for a successful continence management program. It is imperative that the caregivers receive education in multiple areas that ultimately have an effect on the resident’s quality of life, quality outcomes and overall facility cost efficiencies. This study demonstrates the combination of quality incontinent products and education and its overall effectiveness in skilled nursing facilities.

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Margaret Heale's picture
Continence Assessment

By Margaret Heale, RN, MSc, CWOCN

Not very long ago, when working in an in-patient rehab center, I was shocked to discover patients calling the adult incontinence garments "hospital underwear." We were making good inroads into reducing the use of these products with the hope that if we used less it would be possible to acquire higher-quality products that would function optimally for patients who really needed them. It was of concern that some facilities had become diaper-free because many of our patients benefited from briefs, particularly as a "just in case security blanket" and we felt it was unrealistic for our patient population to be brief-free.

Holly Hovan's picture
Wound Care Certification

Holly M. Hovan MSN, RN-BC, APRN-CNS, CWOCN-AP

Not many people wake up one day and say, "Wow, I really want to be a continence nurse!" In fact, sometimes people don't even really understand what a continence nurse is, their role, or the specialty in general. I often tell nurses that although we may not all hold certification, every nurse should be a continence nurse, especially in the long-term care setting.

Janet Wolfson's picture
A Multidisciplinary Approach to Incontinence

By Janet Wolfson, PT, CLWT, CWS, CLT-LANA

My current job as wound coordinator has pulled me into the world of incontinence and the many disciplines that care for people challenged by this disorder. I was previously acquainted with the therapy side as I worked with therapists certified in pelvic floor therapy. My work with venous edema acquainted me with medications that caused continence-challenged people to resort to absorbent adult briefs. As I work more closely with physicians, I am more familiar with medications to support weakened or sensitive pelvic muscles and nerves. On the nursing side, I have researched support surfaces, incontinence pads, and barrier creams. I see patients and occupational therapists working together to regain continence independence through problem-solving mobility issues.

Holly Hovan's picture
Causes of Incontinence

by Holly M. Hovan MSN, APRN, ACNS-BC, CWOCN-AP

With World Continence Week upon us, it is an appropriate time to discuss some types and causes along with treatment of urinary incontinence. Incontinence can have a significant impact on patient quality-of-life and skin health, subjects that will also be discussed.

WoundSource Editors's picture

by the WoundSource Editors

As many as one-quarter to one-third of adults are living with incontinence. Risk factors include: age, obesity, childbirth, and prostate enlargement. Not being able to control leaking urine is embarrassing and can even cause people to limit daily activities and prevent them from enjoying life. Here are some ways medical professionals can support patients living with incontinence.

Industry News's picture

By the WoundSource Editors

Expansion of Sensi-Care® portfolio in $500m market for skin care wipes, providing customers with advanced, evidence-based solutions to cleanse, moisturize and protect patients' skin.

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Margaret Heale's picture
open door

By Margaret Heale, RN, MSc, CWOCN

People can be open with few secrets and little to hide but even then there are behaviors, memories, hopes, fears and desires that are not revealed. We have a right to be in control of this part of ourselves and the flesh that encompasses it. Such control is part of the freedom we covet as a nation.

Margaret Heale's picture

By Margaret Heale, RN, MSc, CWOCN

Another day at Rose Cottage is over and I am remembering some events and pondering as I wait for my granddaughter to finish work and drop me off home. I have been volunteering here a while now and am getting used to being in a position of watching, listening and not having to react to everything as I am just an outsider helping out. I was a matron though, and the patterns within my brain are such that I must at least ponder at where we are, where we came from and where we are heading. ‘Ahhh,’ you are thinking she is going to bemoan modern nursing and call for a return to the good old days, well you’d be wrong. I am not sure it was all so good and with new blood, new technologies and modern versions of Flo, we will see our Scutari change and develop into a new and exciting place. Well you will, I will join my fellows here at some point and allow you to care and listen.

Karen Zulkowski's picture
Skin Conditions

By Karen Zulkowski DNS, RN, CWS

I previously discussed the need for a complete head-to-toe skin assessment. Certainly this can tell you whether or not the person is dehydrated, has open or discolored areas, and many other things about their overall health. Color, for example, can give you clues to additional problems such as vitamin and mineral deficiencies that can show on the skin.