Chapter 16. Continence

  1. Jillian Pawlyn BA (Hons), PGCE, RNLD Specialist Practitioner Lecturer2,3 and
  2. Steven Carnaby BSc. (Hons), MSc., Ph.D., D. Clin. Psy., C. Psychol., ILTM Consultant Lead Clinical Psychologist4
  1. Jillian Pawlyn BA (Hons), PGCE, RNLD Specialist Practitioner Lecturer2,3 and
  2. Shirley Budd Continence Lead Nurse1

Published Online: 17 FEB 2009

DOI: 10.1002/9781444301526.ch16

Profound Intellectual and Multiple Disabilities: Nursing Complex Needs

Profound Intellectual and Multiple Disabilities: Nursing Complex Needs

How to Cite

Pawlyn, J. and Budd, S. (2008) Continence, in Profound Intellectual and Multiple Disabilities: Nursing Complex Needs (eds J. Pawlyn and S. Carnaby), Wiley-Blackwell, Oxford, UK. doi: 10.1002/9781444301526.ch16

Editor Information

  1. 2

    Community Learning Disabilities Nursing, ENB 978, UK

  2. 3

    Ridgeway Partnership NHS Trust, Slade, House, Horspath Driftway, Headington, Oxford OX3 7JH, UK

  3. 4

    Westminster Learning Disability Partnership, 215 Lisson Grove, London, NW8 8LW, UK

Author Information

  1. 1

    Continence Advisory Service, Sheffield PCT, 722 Prince of Wales Road, Darnall, Sheffield, S9 4EU, UK

  2. 2

    Community Learning Disabilities Nursing, ENB 978, UK

  3. 3

    Ridgeway Partnership NHS Trust, Slade, House, Horspath Driftway, Headington, Oxford OX3 7JH, UK

Publication History

  1. Published Online: 17 FEB 2009
  2. Published Print: 5 DEC 2008

ISBN Information

Print ISBN: 9781405151702

Online ISBN: 9781444301526

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Keywords:

  • incontinence in people with long-term physical disabilities;
  • incontinence - a condition where involuntary loss of urine is a social or hygienic problem;
  • continence assessment necessity;
  • urinalysis - simple, non-invasive screening test;
  • medication affecting continence;
  • pelvic floor exercises;
  • Bristol Stool form scale;
  • Fibre scoring sheet;
  • drugs to treat constipation and overactive bladder symptoms;
  • carer awareness regarding communication and individual's continence needs

Summary

This chapter contains sections titled:

  • Introduction

  • Learning objectives

  • What is continence?

  • Assessment

  • Conclusion

  • Appendix 16.1 Learning disability continence care pathway assessment tool

  • Appendix 16.2 Symptom profile

  • Appendix 16.3 Taking a urine specimen – urine collection pad

  • Appendix 16.4 Bladder diary

  • Appendix 16.5 Resources for assessing continence

  • Appendix 16.6 Food and drinks which can irritate the bladder

  • Appendix 16.7 Routines to assist toilet training

  • Basic toilet training routines that may help the person develop continence skills

  • Appendix 16.8 Resources for managing continence

  • Further reading

  • Useful websites

  • References