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avoid hot drinks, alcohol, caffeine, spicy foods. Increase exercise
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Leading reason for long-term care
1 2 Incontinence behavioral therapies include
placement
3 Hot flashes/nigh sweats 4 Overactive bladder
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Terms in this set (73)
Leading reason for long-term care incontinence
placement
incontinence increases skin breakdown and falls
Higher incontinence rate when younger women
than 85
Incontinence rate for men and women 85+ similar
Overactive bladder Urgency, frequency, and nocturia
Incontinence risk factors assistance ambulating, female, walker, obesity, diabetes,
depression, hysterectomy, neuro impairment, cognitive
impairment, dementia, and fecal incontinence
, Stress incontinence leakage with exertion like coughing sneezing laughing
Diagnostic tests for urinary incontinence Pelvic: r/o mass, mobile urethra, cystocele, rectocle.
Urinalysis: r/o UTI/hematuria
Empty supine stress test: void then observe urethra in
lithotomy while bearing down
Diagnostic test for overflow incontinence PVR
Positive supine empty stress test intrinsic urethral sphincter dysfunction. Tx includes kegel
exercises and antimuscarinic med
First line med stress incontinence antimuscarinic med: oxybutynin
Behavioral therapies for what type of urgency and stress
incontinence
Incontinence behavioral therapies include bladder training frequent voiding every 2 hours and pelvic
exercises
UTI in older adults most common bacterial infection in adults over 65 and most
common cause of sepsis
Older adults community UTI dysuria, urgency, hematuria
postmenopausal: incontinence, nocturia, low back pain,
constipation
Older adults: cognition and confusion
Older adult UTI: community treatment not based on symptoms can be another disease so
do a dipstick if + nitrates and + leukocytes treat
Older adult UTI: long term care frequency, nocturia, incontinence and changes in mental state
is very common
McGeer Criteria Acute dysuria or fever (37.9) >100 with urgency, frequency,
suprapubic pain, gross hematuria, cva tenderness,
incontinence
Loeb Criteria fever > (38) 100, new dysuria, frequency, urgency, pain,
character of urine change, mental status change (need 3)
UTI first line treatment Nitrofurantoin 100mg BID x 5 days and
Trimethoprim/sulfamethoxazole 800/160mg PO BID x 7 days
Benign prostatic hyperplasia smooth muscle hyperplasia, prostate enlargement, bladder
dysfunction r/t CNS
BPH: leads to what type of symptoms lower urinary tract symptoms r/t urethra narrowing and
obstructing flow from bladder
BPH most common risk factor age
Prostate risk factors older age, black males, asymptomatic then urinary sx
International prostate symptom score LUTS: 7 or less mild, 8-19 moderate, and 20-35 severe
Frequency of PSA screening PSA every 2 years