What do we mean by ‘continence’ and ‘incontinence’?
‘Continence’ is the ability to voluntarily control emptying the bladder and bowels effectively in a socially acceptable place and hygienic way.
Development of bladder and bowel control
Basic continence skills
|Basic skills||What might affect a person’s skills?|
|Skill 1: The ability to recognise the need for a bladder or bowel movement||How do you know you need to void or defeacate?; Which individuals may find it difficult to recognise the need?|
|Skill 2: Identify the correct place to empty bladder/bowel||Who would find it difficult to identify the correct place?|
|Skill 3: Be able to reach the appropriate place||What could make it difficult/impossible for the individual to reach the toilet?|
|Skill 4: Be able to hold on until the appropriate place is reached and delay micturition/defeacation until reached||What problems may prevent an individual from ‘holding on’ until they reach the toilet?|
|Skill 5: The ability to initiate a void/ bowel movement when the right place is reached||What may prevent an individual from using the toilet?|
Problems with any of the above steps could put the person at risk of incontinenceWith each individual, you need to look at what challenges there are and what actions are needed to overcome their particular challenges. These will be different for each person.For many people, especially older people, there is a fine balance between continence and incontinence and it does not take much to tip the balance.
Don’t forget to capture your thinking in your learning log or portfolio.What do you think might affect how a person develops and maintains continence? Share your thoughts with your fellow learners.
References1. NHS England. Excellence in continence care: Practical guidance for commissioners, providers, health and social care staff and information for the public. 2016.2. International Continence Society Terminology. [Cited 23 July 2018] Available from: https://www.ics.org/terminology/19
Understanding Continence Promotion: Effective Management of Bladder and Bowel Dysfunction in Adults
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