Management of Urinary Incontinence in Older Adults in Rehabilitation Care Settings

被引：2
作者：
Vaughan, Camille P. [1 ]
Fitzgerald, Colleen M. [2 ]
Markland, Alayne D. [3 ]
机构：
[1] Emory Univ, Dept Med, Div Gen Med & Geriatr, Birmingham Atlanta VA GRECC, 1670 Clairmont Rd,Mailstop 11B, Decatur, GA 30033 USA
[2] Loyola Univ Chicago, Dept Obstet & Gynecol, Dept Orthoped & Rehabil, Snitch Sch Med,Div Female Pelv Med & Reconstruct, 2160 S First Ave, Maywood, IL 60153 USA
[3] Univ Alabama Birmingham, Dept Med, Div Gerontol Geriatr & Palliat Care, Birmingham Atlanta VA GRECC, 700 South 19th St,Mailstop 11G,Room 8219, Birmingham, AL 35944 USA
来源：
CURRENT PHYSICAL MEDICINE AND REHABILITATION REPORTS | 2019年 / 7卷 / 02期
基金：
美国医疗保健研究与质量局; 美国国家卫生研究院;
关键词：
Urinary incontinence; Acute inpatient rehabilitation; Neurogenic bladder; Behavioral therapy; Drug therapy; NEUROGENIC DETRUSOR OVERACTIVITY; TIBIAL NERVE-STIMULATION; PARKINSONS-DISEASE; MULTIPLE-SCLEROSIS; TRACT DYSFUNCTION; ASYMPTOMATIC BACTERIURIA; SACRAL NEUROMODULATION; BEHAVIORAL-THERAPY; CAFFEINE INTAKE; DOUBLE-BLIND;
D O I：
10.1007/s40141-019-00221-y
中图分类号：
R49 [康复医学];
学科分类号：
100215 ;
摘要：
Purpose of ReviewThis review focuses on updates in the management of urinary incontinence occurring in older adult populations living with conditions frequently managed by physical medicine and rehabilitation specialists.Recent FindingsUrinary incontinence is common among older adults who live with neurologic diseases, such as stroke, Parkinson's disease, multiple sclerosis, and traumatic brain injury, and may be cared for in outpatient and acute rehabilitation facilities. While the evidence is growing regarding treatment strategies specific to patients with neurogenic bladder, behavioral treatment approaches may be a viable first option depending on cognitive status and mobility. Drug therapy choices should consider mechanism of action and formulation to minimize the potential for adverse effects. Minimally invasive strategies provided by continence specialists are available for refractory symptoms.SummaryEvidence suggests a multidisciplinary approach incorporating multicomponent treatment strategies can improve common urinary symptoms among older adults in both outpatient and acute inpatient rehabilitation settings of care.
引用
收藏
页码：159 / 169
页数：11
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