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16. CGA in primary care settings: patients presenting with urinary incontinence
Bladder control problems are a common problem in older people and result from a variety of causes. Continence issues are an essential part of any Comprehensive Geriatric Assessment, and this guide examines the causes, assessment, management and treatments available.
Mirabegron – useful for frail older people?
Henry Woodford questions the validity of using bladder anticholinergic drugs for frail older people with urinary incontinence. He says it has not been tested in frail older people and may have its own longer-term adverse effects related to adrenergic stimulation.
Normal pressure hydrocephalus: treatment seeks disease
Definitions of a disease typically revolve around finding a pathological process in a part of the body that produces an identifiable combination of symptoms and signs. Which parts of this are true for NPH?
Continence Care in Residential and Nursing Homes
Many of the residents are likely to have some degree of urinary incontinence or dysfunction. Urinary incontinence in this setting should not be viewed as inevitable. With good management it may be preventable. Incontinence is a symptom of underlying problems.
Clinical guidelines on urinary incontinence in women
NICE quality standard on the assessment, care and treatment of urinary incontinence in women.
Improving healthcare support in care homes
This study describes the model of healthcare support being delivered to nursing homes in South Manchester since 2004.
What you should expect from your NHS bladder and bowel service
The Royal College of Physicians published audit findings about the services and quality of care of people with bladder and bowel incontinence in England, Wales and Northern Ireland. The audit was commissioned by the Healthcare Quality and Improvement Partnership.