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Bladder Control Evaluation and Treatment: Urinary Urgency and Incontinence

presented by Cynthia E. Neville, PT, DPT, WCS

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Satisfactory completion requirements: All disciplines must complete learning assessments to be awarded credit, no minimum score required unless otherwise specified within the course.

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Accreditation Check:

Urinary incontinence (UI) is a worldwide problem associated with negative rehabilitation outcomes for adults with a wide range of orthopedic and neurologic diagnoses and across the spectrum of rehabilitation settings. Physical and occupational therapists play an important if not critical role in identifying and treating bladder control problems yet they frequently fail to identify UI or provide recommended interventions. This course will use patient case studies to describe urgency incontinence and other bladder control problems widely experienced by patients undergoing rehabilitation. Participants will learn basic evaluation and non-invasive interventions to improve bladder control and to improve rehabilitation outcomes.

Meet Your Instructor

Cynthia E. Neville, PT, DPT, WCS

Dr. Cynthia (Cindy) Neville is an assistant professor of physical therapy at Mayo Clinic Alix School of Medicine in Jacksonville, Florida. She is a women's health clinical specialist (WCS), board-certified by the American Board of Physical Therapy Specialties. Her outpatient clinical practice at Mayo Clinic Florida primarily serves women and men with pelvic floor disorders.…

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Chapters & Learning Objectives

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Download the learning objectives for Bladder Control Evaluation and Treatment: Urinary Urgency and Incontinence.

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1. What is Overactive Bladder?

The first chapter of this course describes the etiology of bladder control problems of urgency incontinence.

2. Bladder Behaviors

Bladder diaries help clinicians understand the bladder behaviors of patients with overactive bladder symptoms. In this chapter, Dr. Neville explains how to provide patient instructions for a bladder diary, as well as how to review and analyze the log.

3. Fluid Management

In Chapter Three, Dr. Neville describes fluid management strategies for improving bladder control.

4. Relationship Between the Bladder and Pelvic Floor

This chapter explains the neuromotor relationship between the bladder and the pelvic floor muscles.

5. Behavioral Interventions to Improve Bladder Control and Awareness

In this chapter, participants will learn how to prescribe behavioral interventions for and teach strategies to inhibit urinary urgency.

6. Neuromuscular Electrical Stimulation

In this chapter, Dr. Neville outlines parameters and protocols for the use of electrical stimulation in the treatment of bladder control problems.

7. Case Studies

This chapter presents a detailed case study of a real patient, focusing on symptom assessment and strategies for improving bladder control. Dr. Neville also demonstrates the placement of neuromuscular electrical stimulation electrodes and teaches correct potty posture.

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