Incontinence: It takes a Team; Categorizing Incontinence
Publication: Provider Magazine
Author: Amy Mendoza
Publisher: American Health Care Association/National Center for Assisted Living
“Vetter Health Services, headquartered in Elkhorn, Neb., takes a restorative approach to bowel and bladder retraining. When new residents walk in the door, staff assess them for incontinence and take it a step further to determine the type of incontinence they have.
‘This can fall into one of four categories—stress, urge, transient, and functional,’ says Michelle Wallace, RN-BC, a certified registered rehabilitation nurse and clinical coordinator at Vetter. One of four clinical coordinators for Vetter, she has overseen operations regionally for the past six years and has a self-described passion for restorative care.”
Stress: Incontinence related to the weakening of the muscle structure. Sneezing, coughing, standing up, any kind of movement can cause a leakage.
Urge: Incontinence brought on by irritation of the urinary system. Stimulants come into play, and serious urgency is related to it. When a resident needs to go, they need to go immediately.
Transient: Incontinence of a reversable type. The resident may have a urinary tract infection, or they are on a type of medication, something that is typically reversible. Once the particular issue is addressed, continence is restored.
Functional: Incontinence related to a functional limitation either with the resident’s ability to move or things in their environment that functionally inhibit them from being continent.
Mixed: Incontinence that could be a combination of any of the four types.”
“Incontinence: It takes a Team”; Provider Magazine, COPYRIGHT 2019.