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| | Medical Self-Care: Urinary Incontinence in Adults: Acute and Chronic Management | |
Bladder Health Council
c/o American
Foundation for Urologic Disease
300 West Pratt Street, Suite 401
Baltimore, MD 21201
(800) 242-2383
(410) 727-2908
National Association for Continence
(formerly Help for
Incontinent People)
P.O. Box 8310
Spartanburg, SC 29305
(864) 579-7900
(800) BLADDER or (800) 252-3337
International Continence Society
The Continence Foundation
2
Doughty Street
London WC1N 2PH
44-714046875
Simon Foundation for Continence
Box 835
Wilmette, IL 60091
(800) 23-SIMON
(708) 864-3913
For Further Information
The information in this booklet
was taken from the Clinical Practice
Guideline Update on Urinary Incontinence in Adults: Acute and Chronic
Management. The guideline was developed by an expert panel of
doctors, nurses, other health care providers, and consumers sponsored by the
Agency for Health Care Policy and Research. Other guidelines on common health
problems are being developed and will be released in the near future. For more
information about the guidelines or to receive additional copies of this
booklet, contact: Agency for Health Care Policy and Research, Publications
Clearinghouse, Post Office Box 8547, Silver Spring, MD 20907. (800) 358-9295
|
| Name of Test
| Purpose
|
| Blood tests
| Examines blood
for levels of various chemicals
|
| Cystoscopy
| Looks for
abnormalities in bladder and lower urinary tract. It works by inserting a
small tube into the bladder[a]
that has a telescope for the doctor to look through.
|
| Postvoid
residual (PVR) measurement
| Measures how much urine is left in the bladder
after urinating by placing a small soft tube into the bladder or by using
ultrasound (sound waves).
|
| Stress test
| Looks for urine loss when
stress is put on bladder muscles usually by coughing, lifting, or exercise.
|
| Urinalysis
| Examines urine for signs of infection, blood, or
other abnormality.
|
| Urodynamic testing
| Examines bladder and
urethral sphincter function (may involve inserting a small tube into the
bladder; x-rays also can be used to see the bladder). |
[a] Because
you may be uncomfortable during this part of the test, you may be given some
medication to help relax you.
| NAME: ____________________________________________
|
| DATE: ____________________________________________
|
| INSTRUCTIONS: Place a check in the appropriate column next to
the time you urinated in the toilet or when an incontinence episode occurred.
Note the reason for the incontinence and describe your liquid intake (for
example, coffee, water) and estimate the amount (for example, one cup).
|
| Time interval
| Urinated in toilet
| Had a small incontinence episode
| Had a large incontinence episode
| Reason for incontinence episode
|
Type/amount of liquid intake
|
| 6-8 a.m.
|
__________________
| __________________
| __________________
|
__________________
| __________________
|
| 8-10 a.m.
|
__________________
| __________________
| __________________
|
__________________
| __________________
|
| 10-noon
|
__________________
| __________________
| __________________
|
__________________
| __________________
|
| Noon-2 p.m.
|
__________________
| __________________
| __________________
|
__________________
| __________________
|
| 2-4 p.m.
|
__________________
| __________________
| __________________
|
__________________
| __________________
|
| 4-6 p.m.
|
__________________
| __________________
| __________________
|
__________________
| __________________
|
| 6-8 p.m.
|
__________________
| __________________
| __________________
|
__________________
| __________________
|
| 8-10 p.m.
|
__________________
| __________________
| __________________
|
__________________
| __________________
|
| 10-midnight
|
__________________
| __________________
| __________________
|
__________________
| __________________
|
| Overnight
|
__________________
| __________________
| __________________
|
__________________
| __________________
|
|
|
| No. of pads used today:
| No. of episodes:
|
|
|
|
|
|
Comments:
_______________________________________
|
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