scholarly journals Development of Management Model Post-Stroke Urinary Incontinence

2021 ◽  
Author(s):  
Heltty Heltty ◽  
Ratna Sitorus ◽  
Nury Nusdwinuringtyas ◽  
Evi Martha
Keyword(s):  
Urinary Incontinence ◽  
Holistic Health ◽  
Social Representation ◽  
Self Control ◽  
Management Model ◽  
Care Needs ◽  
Post Stroke ◽  
Peer Attention ◽  
Continuous Care ◽  
Model Components

Post-stroke urinary incontinence (UI) is one of the sequelae of stroke. This situation affects all aspects of the patient’s life both physically, psychologically, socially, and spiritually. Post-stroke UI as a chronic disease requires holistic treatment. Many chronic health problems will respond well when handled from a holistic perspective. The holistic health view focuses on the patient’s health care needs, not only needs related to the patient’s physical condition of health, but also subjective aspects related to social representation of his/her health conditions. Developing a holistic post-stroke UI management model and continuous care at the patient’s home needs to be done. This chapter includes model components which are also interventions that can be done to overcome post-stroke UI. These interventions include information and understanding of post-stroke UI; ways to overcome post-stroke UI; conduct self-control and stay motivated; perform daily activities independently according to ability; and get family support and peer attention. This model was developed based on previous qualitative studies and literature studies related to post-stroke urinary incontinence. Intervention in this model is aimed at patients who have passed the acute phase of stroke, when they will be discharge from the hospital and continued at the patient’s home.

scholarly journals Experience of the patient's success in facing post-stroke urinary incontinence: the patient's perspective

2021 ◽  
Vol 8 (3) ◽  
pp. 291-301
Author(s):  
Heltty Heltty ◽  
Ratna Sitorus ◽  
Evi Martha ◽  
Nury Nusdwinuringtyas
Keyword(s):  
Urinary Incontinence ◽  
Rapid Assessment ◽  
Self Care ◽  
Self Control ◽  
Assessment Procedure ◽  
Post Stroke ◽  
Care Deficit ◽  
Depth Interviews ◽  
Deficit Theory

Abstract Objective Post-stroke urinary incontinence (UI) is one of the sequelae of stroke. This situation affects all aspects of the patient's life – physically, psychologically, socially, and spiritually. This study aimed to investigate the experience of patients’ success in facing a post-stroke UI. Methods A qualitative study using the Rapid Assessment Procedure (RAP) approach was used in this study. Informants were selected using purposive sampling. In-depth interviews with as many as 8 patients who had recovered from post-stroke UI and living in the greater area of Southeast Sulawesi (Indonesia) were conducted. In-depth interviews were also conducted with 8 caregivers and 2 nurses. Data were analyzed using a thematic analysis approach and interpretation of data was based on Humanbecoming theory and Self-care deficit theory of nursing. Results Five successful things the patients experienced during post-stroke UI were identified. The five successes were as follows: they provided information to get to know and understand post-stroke UI, followed the procedures to overcome post-stroke UI, conducted self-control exercises and stayed motivated, performed daily activities independently according to ability, and made use of family support and peers’ attention. Conclusions These findings indicated that persistence, belief, independence, and social support (family and peer) made patients to successfully face their post-stroke UI and improved their quality of life. These findings also became the basis for developing a post-stroke UI management model based on Humanbecoming theory and Self-care deficit theory of nursing.

scholarly journals Post-stroke urinary incontinence

2013 ◽  
Vol 67 (11) ◽  
pp. 1128-1137 ◽  
Author(s):  
Z. Mehdi ◽  
J. Birns ◽  
A. Bhalla
Keyword(s):  
Urinary Incontinence ◽  
Post Stroke

scholarly journals 2 PDSA Audit Improves Identification and Management of Urinary Incontinence In Post Stroke Patients

2020 ◽  
Vol 49 (Supplement_1) ◽  
pp. i1-i8
Author(s):  
J Bryant ◽  
D McErlean ◽  
M Datta-Chaudhuri ◽  
K G Prakash ◽  
J Morell
Keyword(s):  
Urinary Incontinence ◽  
Quality Improvement ◽  
Prognostic Indicator ◽  
Urinary Continence ◽  
Evidence Based ◽  
Care Planning ◽  
Change Strategy ◽  
Post Stroke ◽  
Continence Status ◽  
Medical Identification

Abstract Introduction Urinary incontinence is a prognostic indicator of mortality and functional recovery in stroke. There is a small evidence base that early intervention within the first three months may improve continence status and subsequent physical and psychological consequences. Methods Utilising a proforma and PDSA, data was collected on the identification and assessment of urinary continence status for patients admitted to a stroke unit. Five agreed standards from NICE (2012) and RCP (2016) guidelines formed the basis of audit. Three cycles of prospective data for a total of 66 patients was collected over four months, implementing quality improvement measures after each cycle. Results 22 participants per cycle. Cycle one demonstrated continence status was identified by the nursing team (100%), and the medical team (41%). However, standards regarding further care planning and assessment (22%), MDT input (11%) and subsequent behavioural and practical interventions (11%) was low. Change strategy, i) awareness training, ii) development of MDT prompt sheet. Cycle two, medical identification (82%), MDT discussion (100%), and continence specific interventions (66%), care planning decreased from 22% to 0%. Change strategy, incontinent patients receive an individualised assessment within 7 days by the advanced nurse practitioner, this assessment should consider all available evidence-based interventions, with the aim of reducing urinary incontinence within the early phases of stroke. Cycle three showed an overwhelming improvement to all five standards, nursing and medical identification (100%, 91. Conclusions PDSA style audit led to quality improvement. The identification of urinary continence status post stroke was high, but due to multifactorial elements often did not progress to assessment or intervention from the MDT. Utilising the existing role of the trainee advanced practitioner patients received evidence-based continence reviews in a timely manner, with no additional cost impact to the service.

scholarly journals Urodynamics post stroke in patients with urinary incontinence: Is there correlation between bladder type and site of lesion?

2009 ◽  
Vol 12 (2) ◽  
pp. 104 ◽  
Author(s):  
Anupam Gupta ◽  
ArunB Taly ◽  
Abhishek rivastava ◽  
Murali Thyloth
Keyword(s):  
Urinary Incontinence ◽  
Post Stroke

Abstract W P320: Falls with Injury After Stroke are Associated With Incontinence and Depression

Stroke ◽  
2014 ◽  
Vol 45 (suppl_1) ◽  
Author(s):  
Ashutosh Mani ◽  
Kari Dunning ◽  
Kathleen Alwell ◽  
Charles J Moomaw ◽  
Dawn O Kleindorfer ◽  
...  
Keyword(s):  
Urinary Incontinence ◽  
Inpatient Rehabilitation ◽  
Epidemiologic Studies ◽  
Predictor Variables ◽  
First Year ◽  
Post Stroke ◽  
Stroke Population ◽  
Risk Factors For Falls ◽  
Regional Hospitals

Background: Approximately 22% to 73% of persons with stroke fall yearly. Falls can result in injury, activity limitation, decreased independence and death. Several studies have investigated falls during and after inpatient rehabilitation. A community based cohort with longitudinal follow up is needed to provide prospective insight into the risk factors for falls in the general stroke population. Purpose: To determine rate and predictors of fall with injury 3 and 12 months post stroke Methods: During 2005, 460 ischemic stroke patients from the Greater Cincinnati/Northern Kentucky region were prospectively enrolled from all regional hospitals. Baseline data were collected in the acute hospital, and 3- and 12-month follow-up data were collected by subject or proxy interviews. Primary outcome was fall with injury categorized dichotomously (yes, no), analyzed separately at 3 and 12 months. Predictor variables collected at baseline included age, gender, race, and National Institutes of Health Stroke Scale (NIHSS). Predictor variables collected at 3 and 12 months included urinary incontinence (yes, no) and Center for Epidemiologic Studies Depression (CES-D) scale (score ranging from 0-30). Variables with p<.10 were entered into the model. Final model maintained all variables with p<.05, adjusting for NIHSS. Results: Of the 460 patients in the cohort, 27 had died by 3 months post, and another 62 had died by 12 months. Of the surviving patients, 37 of 346 (10.7%) who completed the 3-month follow-up and 33 of 247 (13.4%) who completed the 12-month follow-up reported a fall with injury. Table 1 shows demographics and results by outcome. Conclusions: At least 10% of patients with fairly mild stroke (average NIHSS 5) reported a fall with injury during the first year post stroke. Adjusting for NIHSS, urinary incontinence and depression were associated with a fall with injury.

Prevalence and risk factors of urinary incontinence for post-stroke inpatients in Southern China

2013 ◽  
Vol 34 (3) ◽  
pp. 231-235 ◽  
Author(s):  
Wenzhi Cai ◽  
Juan Wang ◽  
Li Wang ◽  
Jingxin Wang ◽  
Li Guo
Keyword(s):  
Risk Factors ◽  
Urinary Incontinence ◽  
Southern China ◽  
Post Stroke

scholarly journals The acupuncture-related therapy for post-stroke urinary incontinence

Medicine ◽  
2020 ◽  
Vol 99 (44) ◽  
pp. e22865
Author(s):  
Pan Cheng ◽  
Zhenhai Chi ◽  
Yuanyi Xiao ◽  
Wenping Xie ◽  
Daocheng Zhu ◽  
...  
Keyword(s):  
Urinary Incontinence ◽  
Post Stroke
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