Brunel University is holding a free one day training event giving advice to health professionals on how to tackle incontinence in older people.
The training day is being held on Wednesday 13 June by TACT3, the UK’s largest collaborative research programme, focussing on older people and continence difficulties.
Eleanor van den Heuvel, principal investigator for TACT3, from the Brunel Institute for Ageing Studies, said: “We believe that care professionals working in the frontline with older people should have the opportunity to benefit from our work so we are putting on a free one day training event (refreshments and lunch included).
“The event is aimed at health and social care professionals but informal carers and people with an interest in continence research are also welcome.”
The day will include:
•The latest continence promotion workshop
•The stigma of incontinence
•Continence services as experienced by professionals and service users
•Demonstrations of prototypes of two new continence management technologies
•An exhibition with the interactive “Great British Toilet Map”
The aim of TACT3 is to reduce the impact of continence difficulties for older people by:
Improving toilet provision for older people – by investigating the problems older people have locating and using toilets when they are away from home and exploring why older people do not like or use the new automatic conveniences.
Improving understanding of continence treatment services – by exploring patient, family and professional viewpoints when people seek help for continence difficulties from the health services.
Providing assistive devices to help people with continence disability – by developing two products that have been requested by continence pad users to help older people to feel more confident and manage their condition better. The first product is a urine odour detector that will warn the continence pad user that their pad needs changing before any odour is detected by the human nose. This simple colour change device will be in the form of a small card or a piece of jewellery or other items requested by users. The other product is smart underwear that will detect a pad leak immediately and warn the wearer or carer before the leak spreads to outer clothes or furniture.
About 50 per cent of women over 40 will suffer some symptoms of urinary incontinence, with the number increasing with age; about half as many men are affected. Faecal incontinence is present in about one per cent in the general population, rising to 17 per cent in the very old and as high as 25 per cent in nursing homes.
People wanting to attend the event should call 01895 266921 or register online at www.brunel.ac.uk/bib/tact3/events, the programme for the day can be viewed at http://www.brunel.ac.uk/__data/assets/pdf_file/0007/187261/Meeting-the-Challenge-programme-Final.pdf
New research presented at Atlanta, USA last week at the 107th Annual Scientific Meeting of the American Urological Association showed that Military service was linked with moderate to severe urinary incontinence in U.S. men, even after consideration of other known risk factors.
The reason why military exposure would be linked to urinary incontinence is not known according to Dr. Alayne Markland, from the University of Alabama at Birmingham and the Birmingham Department of Veterans Affair.
“We don’t know any specific details, such as the branch of service, deployment status, exposure during service, but we do feel as though more research is needed to link specific types of combat or branch of service to urinary symptoms,” Dr. Markland said.
In the study, the researchers reviewed survey data obtained from the 2005-2006 and 2007-2008 National Health and Nutrition Examination Surveys (NHANES) on 5,297 men age 20 and older.
The men were stratified into three age groups: less than 55, between 55 and 69, and 70 years and older. Military exposure was assessed with the question: “Did you ever serve in the Armed Forces of the United States?”
Compared to men with no military exposure, those who had served in the military had significantly higher rates of any urinary incontinence (18.8% vs 10.4%) and moderate to severe urinary incontinence (8.4% vs 2.8%).
Men in the youngest age group were three times more likely to have moderate to severe urinary incontinence if they had served in the military, compared with their peers who had no military service.
However, there were no significant differences in the odds of urinary incontinence for the middle age group (OR 1.05) and the oldest group (OR 0.86).
“I hope this study will increase awareness that urinary incontinence and other urinary symptoms are common among men, especially relatively younger men who have served in the US armed forces. Treatments are available for urinary symptoms, and we need to do more research on the type of military exposure that may be contributing to this finding,” Dr. Markland said.
For those customers who order TENA Slip Maxi in bulk quantities we’ve added some discounts for larger orders to help with their incontinence costs.
There are discounts of 10-14% for orders of 6 packs.
A fitting guide can also be downloaded – Tena Slip Fitting Guide.
If you are one of the thousands of people who experience faecal, or bowel, incontinence at some point you are not alone. Some studies have found that 10 per cent or more of adults experience this condition, and there are many things you can do to prevent it.
If your bowel movements tend to be loose and watery, and come frequently, you may find that it’s worth considering some changes to your diet. For example, specific foods may be triggering your diarrhoea. Try cutting out or reducing these common triggers:
· cured or smoked meats
· spicy foods
· fatty and greasy foods
· dairy products
· sweeteners such as sorbitol, xylitol, mannitol and fructose (found in many diet drinks, fruit drinks, sugarless gums and candies).
It might also be worth considering taking a daily fibre supplement. This can be a simple but effective way to reduce faecal leakage. Over-the-counter products can be found most pharmacies, some of these dissolve more completely in liquids and are tasteless so can be added to any hot or cold liquid you drink — and you won’t know they’re there.
Drink plenty of liquid with the supplement to help control diarrhoea, the fibre absorbs the water and prevents leakage of watery stool.
Medications being taken could also be contributing to your diarrhoea and incontinence so it’s important to discuss all of your medications with your doctor. Your doctor may suggest an anti-diarrhoeal medicine. Loperamide (Imodium) has the added benefit of increasing muscle tone in the internal anal sphincter.
You can further strengthen the muscles of your pelvic floor, including the anal sphincters, with specific exercises. Biofeedback can help you learn to do the exercises correctly. Biofeedback can also improve your ability to sense the presence of stool in your rectum. This, in turn, may allow you to get to a bathroom before the situation becomes desperate.
Talk to your doctor about which of these treatments might work best for you.
We know that incontinence is not a topic most men are comfortable talking about … or even thinking about. Get a group of men together and the only plumbing problems you’ll hear about are the external, kitchen-sink variety. “It is a big problem for men, especially men who have ever undergone prostate surgery or prostate cancer operations or treatment,” said Dr. Andrew E. Bourne, an American urologist.
Bourne called it the “rule of men,” that they are strong and don’t want help, whatever the problem. “We don’t often seek medical advice for anything, whether it’s general medical problems or things that really bother us, like wetting our pants,” he said. “So we try and avoid those things, and we try and not discuss this with anybody, and there is a lot of embarrassment that goes along with it and a lot of discomfort.”
But eventually the need for help outweighs the embarrassment, Bourne said. While most of his patients are elderly men, incontinence can affect all men. It is, he said, one of the most common side effects of all prostate cancer treatments and the most common side effect of prostatectomy, with 39 to 63 per cent of prostate cancer patients experiencing some level of urinary incontinence for one year after surgery.
So the more educated you are about your urinary incontinence, the better off you are when it comes to managing it, Bourne said.
There are three different kinds of incontinence, stress, urge and overflow, with some combination also possible. Stress incontinence comes when bearing down, coughing or pressure on the abdomen causes urinary leakage. Urge incontinence involves an unwanted bladder contraction that causes leakage. Overflow incontinence comes when the bladder doesn’t empty and the urine is squeezed out bit by bit just because your bladder has reached capacity.
Bourne said there is also mixed urinary incontinence, a mixture of stress and urge incontinences. “And then sometimes we discuss things such as insensible incontinence, where a person just has no idea what type of incontinence they have due to lack of sensation,” he said.
While prostate problems are most often to blame for male incontinence, men can have overactive bladders, just like women, which can lead to urge incontinence, Bourne noted. “Something called interstitial systitis can cause symptoms of the bladder, leading to incontinence. And that does occur in men less frequently than in women,” he said. “Also, you can have neurologic problems. Men who have strokes, spinal cord injuries, different neurologic disorders, diabetes, things that affect the nervous system to the bladder and the sphincter that controls the urinary stream, whether stopping or starting or involuntarily holding your urine, that can be affected by any nervous abnormality.”
These unisex incontinence pants are made from 100% cotton in the United Kingdom and are like normal underwear but with the additional security of a larger size built in pad to give comfort, confidence and discretion as well as additional absorption to cope moderate urinary incontinence.
Designed for moderate urinary incontinence, These high quality, full fitting incontinence pants are machine washable and long lasting (up to 200 washes).
In this design of incontinence pants the built in pad is stitched higher at the front to give increased protection and security against incontinence. Also available in Small, Medium, Large, X Large, XX Large, 3XL, 4XL and 5XL sizes.
With summer arriving very suddenly this week, people’s thoughts suddenly turn to holidays and at Allanda we are very aware of the difficulties that can exist when travelling with those who have incontinence. Therefore when we saw some comments about how to make travel less stressful from the CareGiver Partnership we thought they were worth featuring.
Family travel can be highly rewarding, but it has the potential to be stressful as well, says Lynn Wilson, Co-Founder of The CareGiver Partnership.
“If you’re traveling with a loved one who needs special care due to issues such as a disability, heart condition or incontinence, the key to success is in planning,” says Wilson. “Consider the following summer travel tips, and increase the odds that your vacation truly will be a pleasure trip.”
- If a budget allows, professional assistance, such as from a specialized travel agent or skilled respite worker who travels with a family, can make planning and vacationing easier and more enjoyable.
- Medical clearance from a doctor, along with extra medication and copies of medical records, can offer peace of mind. Patients and caregivers should ask about medication side effects, such as when combined with sun or certain types of foods.
- Most airlines offer priority check-in and boarding and on-board wheelchair availability for passengers with special needs. It’s helpful to allow for longer connection times between flights and arrange wheelchair or cart transportation between terminals or gates.
- When driving with someone who’s elderly or disabled, allowing time for frequent stops for eating, stretching and using a restroom makes a trip more enjoyable.
- Hotels can accommodate needs through first-floor rooms, adjoining rooms, rooms close to elevators, or special accommodations for wheelchairs.
- Support stockings are a simple, inexpensive way to manage leg pain or numbness, which is common when a senior sits for prolonged periods. Frequent walking breaks also can help keep blood moving in legs and feet.
- Keeping a slower pace on a vacation, including designated rest periods, can help reduce stress for everyone.
- It’s easy to become constipated on vacation, sometimes due to sitting for longer periods or eating unhealthy foods. Drinking plenty of water and nutrition shakes, eating healthfully and stretching can help prevent constipation. Travellers who frequently get constipated might consider packing laxatives.
“If you are traveling and an elderly loved one is staying home, make sure a family member or other caregiver has emergency medical contact information, is stocked up on needed health care supplies, and knows his or her daily schedule,” says Wilson.
In new phase II results presented recently an investigation intoi beta3-adrenoceptor agonist Solabegron yielded statistically significant improvements in symptoms of overactive bladder (urge incontinence) compared to placebo and was safe and well tolerated, Dutch researchers reported.
The multicenter randomized, double-blind, placebo-controlled parallel-group study compared solabegron in 50 mg and 125 mg, to a placebo in 258 women with moderate to severe overactive bladder (urge incontinence) symptoms (averaging 4.5 incontinence episodes per day), more than half of whom had unsuccessful prior treatment with muscarinic agents. Solabegron, 125 mg, dosed twice daily over 8 weeks, produced a 66.5% reduction from baseline in incontinence episodes, a statistically significant adjusted mean difference from placebo of 25% (p=.025).
Patients treated with the agent also reported a significant reduction in the frequency of urination (−0.8, p=.036) and a marked and significant increase in the volume of urine voided (+27%, p<.001) compared to placebo.
Adverse events did not differ between the placebo and active treatment groups. Unfortunately Headache and nasopharyngitis were the most frequently reported adverse events across treatment groups, with no notable changes in any cardiovascular parameters measured by 24-hour ambulatory blood pressure, clinical chemistry, hematology, or ECG parameters. Urinary retention was not observed.
“Solabegron is efficacious, safe, and well tolerated in the treatment of patients with Overactive Bladder,” reported the study authors, led by Martin C. Michel, MD, PhD, of Academic Medical Centre of the University of Amsterdam, Amsterdam, the Netherlands. A phase IIb/III study of solabegron for OAB is planned to start enrolling later this year.
Increasing body mass index (BMI) is associated with an increased prevalence of urinary incontinence (UI) symptoms, and BMI status varies substantially by gender and Urinary Incontinence subgroup, according to results presented at the American Urological Association 2012 annual meeting.
“This suggests a different mechanism for the higher rate of UI than purely a mechanical stress on the bladder,” researchers led by Karen S. Coyne, PhD, United BioSource Corporation in Chevy Chase, Md., concluded.
In a cross-sectional survey conducted over the Internet in the United States, United Kingdom, and Sweden, 10,070 men and 13,178 women were evaluated for urinary symptoms, including urge urinary incontinence (UUI), stress urinary incontinence (SUI), and other forms of leaking.
The investigators found that obesity rates (BMI of 30 kg/m2 or greater) were highest among both male and female subjects with symptoms of both UUI and SUI.
In men, obesity was associated with any Urinary Incontinence, Urge Incontinence only, Urge Incontinence and other forms of leaking, and other forms of leaking only. In women, obesity was associated with any Urinary Incontinence, both Urge and Stress Incontinence, Urge Incontinence only, Stress Incontinence only, and Stress Incontinence with other forms of leaking, while being overweight (BMI 25-29.9) was associated with Stress Incontinence only, Urge Incontinence only, and Stress Incontinence with other forms of leaking.
Compared with overweight subjects, the obese group showed an increased prevalence of both Urge and Stress Incontinence as well as Urge Incontinence only, but not Stress Incontinence only.
“Obesity is a modifiable risk factor for Urinary Incontinence,” the authors reported in a poster presentation. “Men and women who maintain a healthy weight in the normal BMI range may be able to reduce their risk for developing Urinary Incontinence, and those who lose weight may be able to decrease their episodes of Urinary Incontinence.”
We’ve had a number of positive comments about our new video about How to apply Incontinence Products so thought this was worth mentioning again. The video covers how to apply disposable incontinence products, including Shaped Pads, Lighter Shaped Pads, Men’s Incontinence Pads, Pull up Incontinence Pants, All in One (Slip) Incontinence Pads and Belted All in One Pads. As well as talking through key products features such as wetness indicators it also shows how the products should be put applied to the wearer to avoid risk of the products moving and leaks occuring.