Management of Mix Urinary Incontinence for PostMenopausal WomenWorking as a Continence Nurse

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Management of Mix Urinary Incontinence for Post-Menopausal WomenWorking as a Continence Nurse Advisor, I find this role challenging and equally satisfying especially when you are able to achieve your goal. I realised that it is a partnership between me and my client. I give them the necessary advises from the knowledge that I gained from studying and experience and the compliance of my client with this is one of the key things in achieving our goals. The patient needs to understand and be motivated to be able to comply with the entire plan of care.I have chosen the topic of managing the mix urinary incontinence for post-menopausal women in a Nurse-Led Clinic, through analysis and reflection of critical incident of patient care and evaluation of effectiveness of treatment. Majority of the patients that I see in my clinic belongs to this group. It is a common knowledge that a lot of them attribute their age for the bladder and bowel symptoms that they have. They sit in silence and suffer thinking that it is part of aging process. It surprises them when I say that I see younger women on their 20’s having the same symptoms. Then they will start telling me that they’ve suffered for a long time and they are not aware that this service exists in the community. It has a great effect on their quality of life on the physical, psychological, financial and emotional aspect of their life. I feel that upon reaching this time of their life where in most of them has retired from work should be enjoying the fruits of their hard work in their full capacity and make them understand that there is hope and it is never too late to help them. Most of them just learn to cope with by either lessening their fluid intake and with the support of pads. Menopause is known to be one of the contributing factors in exacerbating incontinence.Urinary incontinence is defined by the International Continence Society as “the complaint of any involuntary leakage of urine” (Abrams et al, 2002 p.168). The National Institute for Health and Care Excellence (NICE) has supported this by saying that this may be due to “ a number of abnormalities of function of the lower urinary tract or as a result of other illnesses which tend to cause leakage in different situations “(NICE, 2015).