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Women's health

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Incontinence nurse?

9 replies

EyesWithAFace · 14/03/2022 19:20

I've just posted this in the Elderly Parents topic, but thought I'd post here too as I might get more traffic.
Can anyone advise on what incontinence nurses can do with elderly ladies?
DM is in her late eighties and has not really had any problems with this until fairly recently. A few months ago she had a fall and broke her arm, so was admitted to hospital, where she was effectively bed-bound whilst her arm was healing. This meant she had difficulty physically going to the toilet, and they catheterised her on and off. She also had a urine infection whilst in hospital.
To cut a long story short, she was discharged into a care home for 'convalescence' and further assessment, and is still there.
She's still struggling with urinary incontinence, which I think is because she can't physically get to the toilet in time (due to reduced mobility).

This week the care home told me they'd put in a referral for an incontinence nurse to come and assess her. I didn't know there was such a service for the elderly - I'd assumed they'd just say it's old age (although she was largely OK before the hospital stay).
I've now got my hopes up that she can be 'cured' or at least have some improvement. Am I being unrealistic? What can an incontinence nurse offer treatment-wise?

OP posts:
MichelleScarn · 14/03/2022 19:25

It's really a 'continence assessment' so.they can see how her bladder and bowel are working and to look at any issues she has getting to, or using, the toilet. So will she require any pads or pants etc.

MichelleScarn · 14/03/2022 19:27

Is she catheterised just now?

EyesWithAFace · 14/03/2022 19:29

Oh that's a bit disappointing. At the moment she's in her own pants with giant sanitary towel-type pads which just slip around (they don't stick on) and seem useless. There must be some better pant/pad options in this day and age surely?
Are there any 'period-pant' type products for occasional (but potentially voluminous) wee accidents?

OP posts:
EyesWithAFace · 14/03/2022 19:30

Oops, cross-posted. No, hasn't been catherised for a couple of months.

OP posts:
EyesWithAFace · 14/03/2022 19:32

She just needs assistance physically getting to the toilet. She's got a buzzer to press but the staff hardly ever seem to get there in time.
Apparently she's had a few incidents overnight too, whilst asleep.

OP posts:
LizDoingTheCanCan · 14/03/2022 19:36

Have a look at the Tena website, there are many different options. The professional pages in particular are very helpful.

LizDoingTheCanCan · 14/03/2022 19:37

What will be available will vary according to local guidelines. For my area they order direct from Tena.

A580Hojas · 14/03/2022 19:40

There are lots of pads that shouldn't slip around. My dmum wears 2 x tenas overnight because she has accidents when coughing (copd). The care home should provide your Mum with a commode right next to the bed if ness.

Galwaygirl · 14/03/2022 20:14

Hi community nurse here but based in Ireland so things may be different to here. If we get a referral to see a patient with incontinence we will do an assessment and leave a 3 day diary for input and out put and see whether incontinence is due to urge, stress incontinence etc, we assess bowel habit and would you believe the children they have and to assess and gynae issues, do a urinalysis, assessment is sent to an incontinence nurse who on the results of the assessment can decide further treatment, if pads are needed they will know the absorption needed in the pads, never double pad as this leads to various complications.

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