ADDITIONAL RESOURCES - VEA

ADDITIONAL RESOURCES
MANAG26
24 Minutes
2008
Incontinence, due to the embarrassing nature of the
problem, has long been a subject that sufferers have tried
to hide.
Resource written by:
Tim Gerard BEd, Dip App Sci (Nursing), Grad. Dip. Gerontology,
Cert IV Workplace Training and Assessment
5
CNE Points
This resource has been endorsed by APEC number
120903432 as authorised by Royal College of Nursing,
Australia according to approved criteria. Completion of
all activities attracts 5 CNE points.

Managing Incontinence
Introduction
These additional resources and activities are designed for use in conjunction with the video content:
- for individual and/or group learning in a formalised training environment
- for individual self-paced and self directed learning
- for accredited, self-directed nursing professional development – appropriate Continuing Nurse
Education points are indicated below:
Activity
CNE points
Activity Set One: Reflection and Comprehension* 2
Activity Set Two: Application of knowledge 2
Activity Set Three: Professional resource review 1
Total possible CNE points: 5
*includes time for viewing video once or twice
Description of Video Content
Incontinence, due to the embarrassing nature of the problem, has long been a subject that sufferers have
tried to hide. This reluctance to disclose their problems and seek treatment and advice from health
professionals has meant many sufferers remain socially isolated because of the fear, embarrassment and
loss of dignity related to possible incidents of public incontinence. In addition to their feelings of shame
and embarrassment the extra financial burdens of laundering, clothes replacement, appliances and aids
costs can have devastating effects for some people. Sometimes these added burdens can lead to more
severe disorders such as anxiety, stress disorders and clinical depression for the sufferer.
Timeline
00:00:00 Introduction
00:00:59 An Introduction to Incontinence
00:04:36 Types of Incontinence: Stress and Urge
00:08:46 Types of Incontinence: Functional
00:12:05 Types of Incontinence: Overflow and Enuresis
00:16:20 Types of Incontinence: Faecal
00:19:53 Strategies to Assist
00:23:51 Conclusion
00:24:16 Credits
00:25:22 End Program
Related Titles
Geriatrics
Nutrition and Ageing
Ageing Populations
Ageing Well
2
© VEA Group Pty Ltd 2013
Reproducing these support notes
You may download and print one copy of these support notes from our website or ClickView for your reference.
Further copying or printing must be reported to CAL as per the Copyright Act 1968.

Managing Incontinence
Activity Set One – Reflection and Comprehension
This set of activities starts with three questions for reflection prior to viewing the video content. You may
or may not wish to write down some responses. If you are in a group-learning environment, share those
thoughts and reflections.
The following 22 questions relate directly to your understanding of the material covered in the video.
Space has been provided to write down responses to these questions.
Reflective questions
1. Think of how you might feel, and what you would do, if you were incontinent in any of the following
locations:
a) staying overnight at a friend’s house and finding the bed wet in the morning
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
b) walking down a very busy street
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
c) riding on crowded public transport
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
3
© VEA Group Pty Ltd 2013
Reproducing these support notes
You may download and print one copy of these support notes from our website or ClickView for your reference.
Further copying or printing must be reported to CAL as per the Copyright Act 1968.

Managing Incontinence
2. Consider the emotions and feelings that sufferers of incontinence might experience. Make a list of at
least six emotions or feelings.
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
3. List reasons why you think incontinence might be something of a “taboo” subject that people don’t like
to talk about.
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
Questions specifically relating to video content
4. Fill in the missing words to complete this definition of incontinence:
Incontinence is the _____________ or_____________ loss of _____________ from the
_____________ or _____________ or _____________ from the_____________.
5. Women are twice as likely to suffer from incontinence as men.
TRUE
FALSE
6. Circle all responses: The kinds of behaviours that sufferers of incontinence may be likely to exhibit.
increase fluid intake decrease fluid intake wear dark clothing
wear light coloured clothing
decrease going out and socialising
increase going out and socialising
avoid places with accessible toilets
4
© VEA Group Pty Ltd 2013
Reproducing these support notes
You may download and print one copy of these support notes from our website or ClickView for your reference.
Further copying or printing must be reported to CAL as per the Copyright Act 1968.

Managing Incontinence
7. What percentage of bladder and bowel problems can be reduced by simple measures?
30% 50% 70% 90%
Types of Incontinence: Stress and Urge Incontinence
8. Circle any of the following that could cause an episode of stress urinary incontinence.
sneezing yawning coughing sleeping laughing
lifting exercising blinking a sudden fright or scare
9. Performing pelvic floor exercises is a good way for men and women to strengthen pelvic floor muscles
and decrease the likelihood of episodes of stress and urge urinary incontinence.
TRUE
FALSE
10. Urge urinary incontinence is caused by an overactive bladder for which there may be many causes.
List five possible causes.
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
11. List three types of food or drink that may irritate the bladder causing episodes of urge urinary
incontinence.
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
Types of Incontinence: Functional Incontinence
12. Functional urinary incontinence may be caused by one or both of either mental or physical disabilities
and is the most common form of urinary incontinence in the elderly residents of residential aged care
services.
TRUE
FALSE
5
© VEA Group Pty Ltd 2013
Reproducing these support notes
You may download and print one copy of these support notes from our website or ClickView for your reference.
Further copying or printing must be reported to CAL as per the Copyright Act 1968.

Managing Incontinence
13. People with Alzheimer’s disease or dementia may not recognise the urge to urinate or be able to plan
a trip to the toilet.
TRUE
FALSE
14. Treatment and management of functional urinary incontinence may involve all or some of the
following: improving functional status and physical strength, reducing environmental obstacles to
toilets, bladder retraining and timed toilet scheduling.
TRUE
FALSE
Types of Incontinence: Overflow and Enuresis/Bed Wetting
15. Which of the following is NOT a symptom of overflow urinary incontinence? Circle your response.
bladder distension
straining to pass urine
reduced urine flow and changes to the urine stream flow
urinating less than three times a day
16. Which of the following is NOT a treatment or management strategy for overflow urinary incontinence?
Circle your response.
surgery medication meditation
Crede’s manoeuvre
indwelling catheters
17. Enuresis, or nocturnal bed wetting, can be treated by any of the following: surgical repair of physical
injury or trauma, decreasing evening fluid intake, changing sleep patterns and pelvic floor exercises.
TRUE
FALSE
Types of Incontinence: Faecal Incontinence
18. List four possible causes of constipation.
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
6
© VEA Group Pty Ltd 2013
Reproducing these support notes
You may download and print one copy of these support notes from our website or ClickView for your reference.
Further copying or printing must be reported to CAL as per the Copyright Act 1968.

Managing Incontinence
19. List four possible causes of diarrhoea.
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
20. List four types of food or drink that should be avoided when suffering faecal incontinence.
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
Strategies to Assist in Managing Incontinence
21. List four different types of products available to assist sufferers and carers to manage incontinence in
the home or residential care setting.
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
For nursing professional development, when used in conjunction with the video content, completion of
this activity set carries 2 CNE points
7
© VEA Group Pty Ltd 2013
Reproducing these support notes
You may download and print one copy of these support notes from our website or ClickView for your reference.
Further copying or printing must be reported to CAL as per the Copyright Act 1968.

Managing Incontinence
Activity Set Two: Application of knowledge
You have become aware that an elderly person you know or care for has been trying to hide evidence of
his or her problems with maintaining urinal continence.
1. How would you approach this person about the problem?
2. What advice would you suggest to them?
3. How might you go about helping them manage their problem?
4. Research how constipation can cause faecal incontinence – a common condition in the aged.
For nursing professional development, when used in conjunction with the video content, completion of
this activity set carries 2 CNE points
Activity Set Three: Professional resource review
Summarise and review this video resource, commenting on:
- what is covered by the content (aim for a 150 word summary)
- to whom is the content targeted
- its usefulness and relevance to that target group
- the effectiveness of content delivery
- strengths and limitations you perceive in the video resource
A review is heavily opinionative by its nature – draw on the video content and your professional
knowledge and experience to explain and/or justify any opinions you express, or recommendations you
make, in the review.
For nursing professional development, when used in conjunction with the video content, completion of
this activity carries 1 CNE point
8
© VEA Group Pty Ltd 2013
Reproducing these support notes
You may download and print one copy of these support notes from our website or ClickView for your reference.
Further copying or printing must be reported to CAL as per the Copyright Act 1968.

Managing Incontinence
Suggested Responses to Activity Set One: Reflection and Comprehension
Questions specifically relating to video content
4. Fill in the missing words to complete this definition of incontinence:
Incontinence is the accidental or involuntary loss of urine from the bladder or faeces or wind from
the bowel.
5. Women are twice as likely to suffer from incontinence as men.
TRUE
FALSE
6. Circle all responses: The kinds of behaviours that sufferers of incontinence may be likely to exhibit.
increase fluid intake decrease fluid intake wear dark clothing
wear light coloured clothing
decrease going out and socialising
increase going out and socialising
avoid places with accessible toilets
7. What percentage of bladder and bowel problems can be reduced by simple measures?
30% 50% 70% 90%
Types of Incontinence: Stress and Urge Incontinence
8. Circle any of the following that could cause an episode of stress urinary incontinence.
sneezing yawning coughing sleeping laughing
lifting exercising blinking a sudden fright or scare
9. Performing pelvic floor exercises is a good way for men and women to strengthen pelvic floor muscles
and decrease the likelihood of episodes of stress and urge urinary incontinence.
TRUE
FALSE
10. Urge urinary incontinence is caused by an overactive bladder for which there may be many causes.
List five possible causes.
Stress
Anxiety
Bladder infection
Prostate disease
Diabetes
Stroke
Medications
11. List three types of food or drink that may irritate the bladder causing episodes of urge urinary
incontinence.
Coffee
Alcohol
Citrus fruits and juices
9
© VEA Group Pty Ltd 2013
Reproducing these support notes
You may download and print one copy of these support notes from our website or ClickView for your reference.
Further copying or printing must be reported to CAL as per the Copyright Act 1968.

Managing Incontinence
Types of Incontinence: Functional Incontinence
12. Functional urinary incontinence may be caused by one or both of either mental or physical disabilities
and is the most common form of urinary incontinence in the elderly residents of residential aged care
services.
TRUE
FALSE
13. People with Alzheimer’s disease or dementia may not recognise the urge to urinate or be able to plan
a trip to the toilet.
TRUE
FALSE
14. Treatment and management of functional urinary incontinence may involve all or some of the
following: improving functional status and physical strength, reducing environmental obstacles to
toilets, bladder retraining and timed toilet scheduling.
TRUE
FALSE
Types of Incontinence: Overflow and Enuresis/Bed Wetting
15. Which of the following is NOT a symptom of overflow urinary incontinence? Circle your response.
bladder distension
straining to pass urine
reduced urine flow and changes to the urine stream flow
urinating less than three times a day
16. Which of the following is NOT a treatment or management strategy for overflow urinary incontinence?
Circle your response.
surgery medication meditation
Crede’s manoeuvre
indwelling catheters
17. Enuresis, or nocturnal bed wetting, can be treated by any of the following: surgical repair of physical
injury or trauma, decreasing evening fluid intake, changing sleep patterns and pelvic floor exercises.
TRUE
FALSE
Types of Incontinence: Faecal Incontinence
18. List four possible causes of constipation.
Lack of fibre in diet
Too much fibre in diet
Decreased fluid intake
Decreased exercise
Some medications
Nerve damage
Bowel disease or disorders: haemorrhoids, irritable bowel syndrome
10
© VEA Group Pty Ltd 2013
Reproducing these support notes
You may download and print one copy of these support notes from our website or ClickView for your reference.
Further copying or printing must be reported to CAL as per the Copyright Act 1968.

Managing Incontinence
19. List four possible causes of diarrhoea.
Laxative misuse
Bowel or stomach infection
Bowel disease
Some medications
Food allergies
Food intolerances
Alcohol
Radiotherapy
20. List four types of food or drink that should be avoided when suffering faecal incontinence.
Excessive coffee
Excessive alcohol
Too much fruit
Spicy and fatty foods
Dairy products
Artificial sweeteners
Cured meats
Strategies to Assist in Managing Incontinence
21. List four different types of products available to assist sufferers and carers to manage incontinence in
Light, medium or heavy incontinence pads or nappies
Male pads or sheaths
Absorbent bed sheets
Condom/uridome drainage
Specialised easy on/off clothing
11
© VEA Group Pty Ltd 2013
Reproducing these support notes
You may download and print one copy of these support notes from our website or ClickView for your reference.
Further copying or printing must be reported to CAL as per the Copyright Act 1968.