Continence (Bladder) training
–Habit training or scheduled voiding
- –Bladder Training: goal is for pt. to hold greater volumes of urine & increase interval between voidings. Initially void every 2 hours then increase to every 4-6 hrs.
- Teach distraction & relaxation strategies
: involves timed voiding. To keep dry, have ct. void at regular intervals
- Strengthening Pelvic Floor Muscles
- •Kegel exercise
•Maintain Skin Integrity: keep dry, barrier creams
•Anti-incontinence devices: pessary or intravaginal support device, condom catheters (men), indwelling catheter (used as last resort)
•Medications: Estrogen, anticholinergics (oxybutynin ER [Ditropan XL])- decreases urgency & frequency by blocking receptors in detrusor muscle of bladder thereby decreases contracts of urine & increases urine storage.
•Surgical: bladder suspension, prostate resection