Managing and Treating Urinary Incontinence

Incontinence is not an inevitable part of aging, nor is it untreatable once it develops. Thoroughly revised and updated, this new edition of a trusted resource teaches diverse and effective strategies for assessing, managing, and even eliminating urinary incontinence in all care settings. Managing and Treating Urinary Incontinence presents a full range of treatment options, explaining how each method works and who benefits most from its use. In pragmatic, easy-to-understand language, readers will learn essential information about the anatomy and physiology of the lower urinary tract and pelvic floor the types and causes of incontinence and overactive bladder the impact of bowel dysfunction on incontinence the value of incontinence education and self-care techniques the efficacy of behavioral treatments, such as bladder retraining and toileting programs the role of drug therapy and surgery in managing incontinence This second edition provides expanded content on surgical interventions and pelvic organ prolapse, the latest information on available overactive and incontinence drug therapy, and a glossary of clinical terminology. Plus, a comprehensive review of incontinence containment products with illustrations and their availability is included. An accompanying CD-ROM contains new patient teaching tools, detailed assessment forms, and useful care plans for 12 common incontinence scenarios. With the knowledge in this comprehensive guidebook, nursing staff will measurably improve the health and independence of residents or patients, and managers will reduce facility costs and staff burden. This book is a must-have for nurses, medical directors and nursing home administrators, incontinence specialists, occupational therapists, physical therapists, primary care physicians, social workers, and other health care professionals who work with older adults.

Ms. Newman is an adult nurse practitioner and a recognized expert in the field of nonsurgical management and treatment of urinary incontinence and related disorders. She is Co-Director of the Penn Center for Continence and Pelvic Health in the Division of Urology University of Pennsylvania Health System in Philadelphia. Her clinical practice is dedicated to the evaluation, treatment, and management of urinary incontinence and related problems. She treats clients in long-term care, home care, and office practice environments. Ms. Newman participated in several research projects on the effects of behavioral treatment for urinary incontinence.

Ms. Newman received her master of science in nursing from the University of Pennsylvania. She was appointed the Chair of the Committee on Promotion, Organization and Education in Continence for the 2001 World Health Organization’s International Consultation on Incontinence. She was also a member of the Project Task Force for the National Association for Continence, Blueprint of Continence Care Guidelines for Assisted Living Facilities, and Co-Chair of the 1996 Update Panel for the Clinical Practice Guidelines called “Urinary Continence in Adults,” published by the Agency for Health Care Policy and Research, U.S. Department of Health and Human Services. In 1998, the Federal Drug Administration (FDA) appointed Ms. Newman to the Gastroenterology and Urology Device Panel. She is a member of the Centers for Medicare & Medicaid Services’ Scope and Severity of Nursing Care Deficiencies guideline panel of experts on long-term care.

Ms. Newman is an internationally known speaker on urinary incontinence and the use of devices and products in the management of incontinence. A prolific writer, Ms. Newman has written and presented more than 75 scientific papers, chapters, and articles in major journals on the subject of assessment, behavioral treatment, and management of incontinence with an emphasis on the nurse’s role. She is the author of The Urinary Incontinence Sourcebook (Revised edition; 1999, McGraw-Hill). Alan J. Wein, M.D., Ph.D., is professor and chair of the Division of Urology at the University of Pennsylvania School of Medicine and Chief of Urology at the Hospital of the University of Pennsylvania. He is a graduate of Princeton University and received his MD from the University of Pennsylvania School of Medicine.

Dr. Wein has been recognized nationally and internationally through his many affiliations and professional memberships which include the American Association of Genitourinary Surgeons, Clinical Society of Genitourinary Surgeons, American Surgical Association, Society of Surgical Oncology, Society of Urologic Oncology, Society of Pelvic Surgeons, Society for Urodynamics and Female Urology, Société Internationale d’Urologie, American Urological Association (AUA) and the Royal Society of Medicine. He is a recipient of the Urodynamics Society Lifetime Achievement Award, the F. Brantley Scott Award of the American Foundation for Urologic Diseases, the Hugh Hampton Young Award of the American Urological Association, and both the Distinguished Service Award and the Distinguished Contribution Award of the American Urological Association.

Dr. Wein has authored or co-authored more than 830 articles and chapters, edited or co-edited 24 books, and has multiple multimedia presentations to his credit. He has been an editor of the gold standard text in the field, Campbell’s Urology, since 1992 and is currently the editor-in-chief. He is a prodigious lecturer with over 600 invited academic activities over the course of his career, including the co-chairmanship of the 1st, 2nd, 3rd, and 4th International Consultations on Incontinence.

His fields of interest lie in urologic oncology, the physiology and pharmacology of the lower urinary tract, the evaluation and management of voiding function, and dysfunction and urinary incontinence.