Skip to 0 minutes and 4 secondsHello, and welcome to our online course on Understanding Continence Promotion brought to you by the Association for Continence Advice. I'm Jo Booth and my role is to guide you on your journey through the course. As a nurse working with elderly patients I spent years putting pads on people especially those who had had a stroke. In those days it was accepted that incontinence was part of growing older. The thinking was that if you’d had a stroke, your bladder function would either return or not. There was very little that could be done about it.

Skip to 0 minutes and 39 secondsBut as an active continence researcher I now know this negative attitude what we call ‘therapeutic nihilism’ - is wrong There are lots of ways we can support people to regain their bladder and bowel function when it’s lost. We can even prevent them from developing incontinence in the first place. But to do this successfully we have to change how we think about bladder & bowel problems. We need to break the taboos surrounding them, and raise awareness of the challenges they create for people in their everyday lives. In this course we tackle these contemporary issues, and support your learning about tried and tested methods of continence promotion and care.

Skip to 1 minute and 23 secondsWhether you’re new to continence issues - or an experienced continence advisor you’ll find a lot of useful material in this course.

Skip to 1 minute and 32 secondsYou’ll increase your knowledge and understanding about: how bladder and bowel control works, what can go wrong, and how we can treat it. And you’ll gain the confidence to talk to others about continence care and encourage them to seek help where necessary. In this first week we look at the underlying concepts of promoting continence and managing incontinence, and the differences between them. You’ll begin to explore your attitudes and beliefs about continence and bladder and bowel health looking at your own practice and reflecting on the care you currently provide. We introduce the Continence Paradigm, to help you to think about what you’re trying to achieve with any particular patient.

Skip to 2 minutes and 20 secondsWe’ll also hear from people living with different types of bladder and bowel dysfunction about the impact it has on their lives. As well as course materials our experts bring to you, a very important part of this course is the discussion and comment forum. I very much encourage you to introduce yourselves on the forum, share your experiences, ask questions, and get involved in the discussions. We know that talking about continence really helps us understand it better. So please, be brave, be confident and get involved. I hope you find this course interesting, useful, and fun and I hope it stimulates your thinking about continence promotion. I look forward to working with you.

Welcome to the course

In the video Professor Jo Booth, an active continence researcher, welcomes you to the course ‘Understanding Continence Promotion: Effective Management of Bladder and Bowel Dysfunction in Adults’.

She asks you to start thinking about how we can break down the taboos surrounding bladder and bowel problems and how you can start gaining confidence to talk to others about continence care, encourage them to seek help where necessary and ultimately how to support self-management of continence conditions.

On this course you’ll examine the principles and practice of promoting continence with people who have bladder or bowel dysfunction.

You’ll learn how to recognise and assess the common conditions experienced. You’ll develop the skills to work with adults with different types of continence problems.

You’ll also learn how to create effective management plans to treat the condition, and explore how to minimise the impact of these stigmatising conditions.

By the end of the course you’ll understand how to effectively treat the condition, and support the person to self-manage their condition.


Week-by-week

Understanding Continence Promotion: Effective Management of Bladder and Bowel Dysfunction in Adults

  • Week 1: Promoting continence or managing incontinence?

  • Week 2: Bladder function

  • Week 3: Bladder dysfunction

  • Week 4: Bowel function and dysfunction

  • Week 5: Assessing bladder and bowel conditions

  • Week 6: Promoting bladder and bowel continence

  • Week 7: Effective bladder and bowel management


Meet the team from the Association for Continence Advice (ACA)

This course has been created by the Association for Continence Advice (ACA). The association is a multi-professional membership organisation, open to all health and care professionals working with adults and children, who are working in, or have an interest in, the field of bladder and bowel health.

The main purpose of the ACA is to provide education and support to professionals working to promote continence and effectively manage bladder and bowel health.

Professor Jo Booth is your Lead Educator. Professor of Rehabilitation Nursing at Glasgow Caledonian University, Scotland and an active continence researcher, she is the Education and Research Lead for the Association for Continence Advice.

Photo of Professor Jo Booth

She is joined by:

Dr Rona Agnew, Service Manager for NHS Greater Glasgow and Clyde SPHERE Bladder and Bowel Services, Scotland.

Photo of Rona Agnew

Kate Boyce, Bladder and Bowel Specialist Nurse, NHS Greater Glasgow and Clyde SPHERE Bladder and Bowel Service, Scotland.

Photo of Kate Boyce

Janice Reid, Clinical Lead, Western Trust Continence Advisory Services, Northern Ireland.

Photo of Janice Reid

Fiona Saunders, Retired Head of Continence Advisory Service, Nottinghamshire Healthcare NHS Foundation Trust, England.

Photo of Fiona Saunders

The team also includes course Host Kate Dickens.

You can follow them by selecting the link to their FutureLearn profile page and selecting ‘Follow’. That way, you’ll be able to see all the comments that they make including course updates and feedback.


DISCLAIMER

All content and opinions presented throughout this course are for informational purposes only and do not constitute personal medical advice. If you have any concerns about a particular health condition or the management of it, please seek medical advice from a qualified practitioner or your continence care team. Never disregard professional medical advice or delay in seeking it because of something that you have read on this course.

For health professionals: Please note that the content and opinions presented throughout this course are provided for informational and reference purposes only and do not constitute medical advice. The course is not designed to take into account the individual circumstances of a patient and will not contain all the information you require to treat a patient. As such, it should not be used as a basis for prescribing any drugs or the care of any patient.


Your task

In the video we heard that Professor Jo Booth, as an active continence researcher, is passionate about overcoming the negative attitude ‘therapeutic nihilism’ as there are lots of ways we can support people to regain their bladder and bowel function when it’s lost and that we can even prevent them from developing incontinence in the first place.

Use the comments to introduce yourself and to share why finding out more about promoting continence is important to you and what you hope to gain from participating in this course.

Don’t forget to have a look at other learners’ comments. If you can relate to a comment someone else has made, why not ‘Like’ it or leave a reply. You can filter comments in a variety of ways including ‘Most liked’ and you can also ‘Bookmark’ comments.

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This video is from the free online course:

Understanding Continence Promotion: Effective Management of Bladder and Bowel Dysfunction in Adults

Association for Continence Advice

Get a taste of this course

Find out what this course is like by previewing some of the course steps before you join: