Bladder Control in Elders with Cognitive Impairments
Presented by Cynthia E. Neville
Bladder control problems, including urinary incontinence, affect up to 70% of elders in senior living environments, and may impact 80% or more of elders with dementia. Urinary incontinence can cause tremendous burden on elders and their caregivers, and is often a key factor in a caregiver’s decision to move an elder into a skilled nursing environment. Physical and occupational therapists play critical roles as team members and sometimes as primary providers in the care of elders with dementia. This course will demonstrate and explain evaluation and intervention strategies for bladder control problems in elders with cognitive impairments with a live patient and caregiver case study. Clinicians will learn key interventions to improve bladder control in elders, and will develop strategies for supporting caregivers and other providers, including nurses and nursing assistants, in their roles managing incontinence in this population.
Meet your instructor
Cynthia E. Neville
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…
Chapters & learning objectives
1. Unique Issues Surrounding Incontinence Care in Elders With Cognitive Impairment and Dementia
This chapter will include a summary of relationship between dementia and incontinence as well as unique issues relating to management of incontinence in elders with dementia and an assessment of incontinence.
2. Unique Issues Surrounding Incontinence Care Part Two
This chapter will be a continuation of unique issues surrounding incontinence. The relationship between dementia and incontinence.
3. Caregivers and Incontinence
This chapter will cover the impact of incontinence on caregivers and caregiver concerns relating to incontinence and bladder control. In addition, strategies to support caregivers and assessments of incontinence will be discussed.
4. Assessments and Interventions
This chapter will cover assessment and intervention of bladder control, which can include environmental adaptions, bladder logs pelvic floor muscle exercises and electrical stimulation.
5. Interventions
This chapter will cover interventions including pelvic floor exercises.
6. Patient Interview and Treatment
This chapter will feature a discussion with a patient with incontinence.
More courses in this series
Geriatric Bladder Control: Promoting a Culture of Bladder Control in Senior Living Environments
Cynthia E. Neville
Bladder Control in Elders with Cognitive Impairments
Cynthia E. Neville
Geriatric Bladder Control: Neurogenic Bladder and Emptying Dysfunctions
Cynthia E. Neville
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