...Wound, Ostomy and Continence Nurses Society Join WOCN Society today and be a leader in WOC care. Discover the Benefits of Membership * Wound, ostomy, continence nursing (WOCN) was founded in 1968 and has more than 5,000 health care members. WOCN is an international nursing society who are experts in the care of patients with wound, ostomy and incontinence (WOCN, n.d.). * Our Vision is to become the trusted nursing organization in the world for advancing wound, ostomy and continence care. * Our Mission is to ensure optimal WOC care through initiatives focused on educational, clinical & research opportunities that will guide the nurse professionals to deliver expert care with wounds, ostomies, & incontinence care. * The Purpose of WOCN is to advance the practice of wound, ostomy and continence care and to improve better rehabilitation outcomes. * Leading health care organizations recognize WOCN Society as the premiere nursing specialty organization to improve WOC patient outcomes (WOCN, n.d.). * WOCN is dedicated to the professional growth, success and achievement of its members. WOCN MEMBERSHIP BENEFITS INCLUDE * A subscription to WOCN bi-monthly publication as well as online access to archived and current issues. * Wound Care, Ostomy, & Continence Improvement Courses. * The opportunity to attend conferences. * Access to the online Resource Library including, pictures, forms, policies, and guidelines provided by members...
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...DULOXETINE VS PLACEBO FOR URINARY INCONTINENCE DULOXETINE VS PLACEBO FOR URINARY INCONTINENCE TAMMY RILEY OKLAHOMA PANHANDLE STATE UNIVERSITY STRESS INCONTINENCE Stress urinary incontinence is the involuntary leakage of urine on effort or exertion or on sneezing, coughing, or laughing. These symptoms affect many women between the ages of 33-75 years of age. The current treatment options for stress incontinence is limited to pelvic floor muscle training, devices, behavioral interventions and surgery . EVIDENCE BASED PRACTICE GUIDELINES The title of the guideline is Diagnosis and treatment of overactive bladder (non-neurogenic) in adults: AUA/SUFU guidelines. The guideline was developed as a framework for diagnosis and treatment of non-neurogenic overactive bladder (OAB) and to provide direction to clinicians and patients regarding how to recognize non neurogenic overactive bladder. The direction of the study was to “conduct a valid diagnostic process and approach treatment with the goals of maximizing symptom control and patient quality of life while minimizing adverse events and patient burden” (National Guideline Clearinghouse, 2014). Another guideline objective was to serve as a guide for all types of providers who evaluate and treat OAB patients, including those in general practice as well as those who specialize in various branches of medicine. The guideline of the evidence based practice states that the first line of treatment...
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...stress incontinence in women with obesity. I chose this topic because currently I am working in urology department in hospital X, I am always have the chance to deal with women experiencing stress incontinence. In current practice we will teach them behavioral intervention program (pelvic floor exercise and bladder training) to lower the severity of urine leakage. That is why I want to explore more on this issue and see whether the use of vaginal cones also effective in treatment with behavioral intervention program. Obesity is a common problem in developed countries, with an incidence of 33% (Roreyt 1998), this problem may directly leading to stress urinary incontinence (Ouslander 1996) which may hinder the normal daily life of an adult. In Hong Kong Hospital Authority (HA) policy, there are no guideline in related to treatment regarding stress incontinence, it is always depends on surgeon’s preferences. Therefore I want to search for research evidence in associated with treatment of urinary stress incontinence which may beneficial in my working place. Main Body The two answerable questions formulated using PICO tool are: Quantitative Question – In women with obesity, how does behavioral intervention program compared to vaginal cones influence the occurrence of stress urinary incontinence? Qualitative Question – How do obesity women perceive the method of behavioral intervention program in comparison to vaginal cones in regards to stress urinary incontinence? ...
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...Chinese restaurants. It was served with a spicy black bean sauce, which I found to be interesting because I never thought of that as a Japanese flavor. However, I must say I have never tasted a better flavor to go along with edamame. Also as an appetizer, I ordered the Philadelphia Cream Cheese Wonton, which was my favorite part of the meal. This dish definitely had an American feel to go along with the Asian style because of the cream cheese. They were deep-fried and served hot with a sweet duck sauce to dip them in. They were unbelievable. Next up was my entrée! I decided to order the Chicken Pad Thai, which is a traditional Thai dish. The rice noodles were stir fried with carrots and scallions in a traditional Mandarin sweet and spicy Pad Thai sauce. The sauce included a hint of Thai curry, which blended all the flavors of spicy, sweet, and peanut into a delectable dish. I have had many Pad Thai dishes before, but this one was right up there with the best of them. Being at an Asian restaurant, I decided to go away from my norm and picked the Green Tea Crème Brulee. I was very interested to see how it would come out considering Crème Brulee is a French dessert that is usually flavored with vanilla. Green Tea has Asian origins, which is why they used that flavor. The dessert was not my favorite, but I had to try what is customary to the restaurant. Overall, this meal was delicious and I plan on returning in the near...
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...CASE 35 A Sea Launch Recovery? CIRCA 2008 Sea Launch engineers say the three-week round-trip journey across the Pacific Ocean is the most rewarding part of their jobs. The cruise is the culmination of nearly two months of work preparing the rocket, payload, and launch teams for the mission. Prior to operations at Home Port, about 18 months goes into the planning, flight design, and logistics. “It’s really nice to know most of the reviews are over and we’re finally ready to launch,” said Bill Rujevcan, mission director for the company’s next flight. More than 300 people take the trip to the company’s equatorial launch site about 1,400 miles south of Hawaii. The crew includes workers from several nations, including: Ukraine, Russia, Norway, the Philippines, and the United States. Ukraine-based Yuzhnoye and Yuzhmash build the Zenit 3SL rocket’s first and second stages, while Energia of Russia manufactures the Block DM-SL upper stage for the rocket. Norwegian ship officers manage marine operations, and Filipino deckhands work on both the Sea Launch Commander and the Odyssey launch platform. U.S. employees from the Boeing Co. fill management roles and provide the flight design, payload fairing, and satellite adapter. Astrotech, a contractor, oversees processing of customer payloads inside a clean room at the company’s Payload Processing Facility at Home Port in Long Beach, California. After 27 missions in nine years of business, Sea Launch is thriving in the do-or-die...
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...CASE 35 A Sea Launch Recovery? CIRCA 2008 Sea Launch engineers say the three-week round-trip journey across the Pacific Ocean is the most rewarding part of their jobs. The cruise is the culmination of nearly two months of work preparing the rocket, payload, and launch teams for the mission. Prior to operations at Home Port, about 18 months goes into the planning, flight design, and logistics. “It’s really nice to know most of the reviews are over and we’re finally ready to launch,” said Bill Rujevcan, mission director for the company’s next flight. More than 300 people take the trip to the company’s equatorial launch site about 1,400 miles south of Hawaii. The crew includes workers from several nations, including: Ukraine, Russia, Norway, the Philippines, and the United States. Ukraine-based Yuzhnoye and Yuzhmash build the Zenit 3SL rocket’s first and second stages, while Energia of Russia manufactures the Block DM-SL upper stage for the rocket. Norwegian ship officers manage marine operations, and Filipino deckhands work on both the Sea Launch Commander and the Odyssey launch platform. U.S. employees from the Boeing Co. fill management roles and provide the flight design, payload fairing, and satellite adapter. Astrotech, a contractor, oversees processing of customer payloads inside a clean room at the company’s Payload Processing Facility at Home Port in Long Beach, California. After 27 missions in nine years of business, Sea Launch is thriving in the do-or-die commercial launch industry...
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...Neurological System (Headaches, head injuries, dizziness, convulsions, tremors, weakness, numbness, tingling, difficulty speaking, difficulty swallowing, etc., medications): Patient denies any head injuries, headaches, convulsions, tremors, numbness, tingling, difficulty speaking or swallowing. Patient denies taking any medication in correlation to her neurological system. Patient states, “When I get up sudden I have to wait a moment because I get dizzy.” Head and Neck (Pain, headaches, head/neck injury, neck pain, lumps/swelling, surgeries on head/neck, medications): Patient denies any problems in the head and neck but states, “When I travel I bring a special pillow because my neck gets sore on the wrong pillows.” Patient denies taking medication. Eyes (eye pain, blurred vision, history of crossed eyes, redness/swelling in eyes, watering, tearing, injury/surgery to eye, glaucoma testing, vision test, glasses or contacts, medications): Patient states she has a history of dry macular degeneration and it is being well controlled. Patient uses special eye drops for her eye disease. Patient wears corrective lenses at all times for both reading and sighting with blurred vision occasionally. Negative glaucoma testing 02/15/2014Eye surgery in relation to the macular degeneration 08/13/2013 Ears (Earache or other ear pain, history of ear infections, discharge from ears, history of surgery, difficulty hearing, environmental noise exposure, vertigo, medications): Patient...
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...“Urodynamics is a collection of tests used to measure bladder, urethral, and pelvic floor muscle function, as well as diagnose functional disorders of the lower urinary tract” (Gray, 2010, p. 321). Urodynamics is used in addition to the patient’s history and a complete patient assessment. Moore (2013) states that urodyamics encompasses a number of tests, these include: flow study, cystometry, urethral pressure profile and leak point pressure. For the purpose of this paper a urodynamic test will be analysed to highlight normal and abnormal results. Possible reasons for these abnormalities will be discussed. In this study the patient is a 42 year old lady who presented with a number of pelvic floor problems including urgency, urge incontinence and prolapse. Examination revealed a moderate cystocoele and rectocele. Urodynamic evaluation was performed in order to objectively assess bladder function and therefore assist in recommendations for further treatment. Cystometry “is a measure of bladder pressure in response to filling. Several parameters are measured: bladder filling, sensation, stability, compliance, capacity, control over micturition, detrusor contractility and empting” (Ghoniem & Khater, 2008, p. 36) Mahfouz, Afraa, Campeau, and Corcos, (2011) report that the normal parameters during filling for females are as follows: first sensation at 100-250mls, first desire at 200-330mls and strong desire at 350mls-560mls.A healthy bladder should accommodate 500mls comfortably...
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...Graphic Design IT/236 Introduction to Web Design I May 20th 2015 Professor Frank Futyma Project Proposal: Graphic Design My website, LVsplashpads.com, will be incorporating a few different plug-ins and multimedia features. When the site is first introduced, I anticipate to only having pictures from splash pads from around the city, however, I would eventually like to have live streams available of specific splash pads if possible. I would like to set up a feature where user’s of the website may upload small video’s to the website and they can be broadcast to everyone who logs in, so they can see the conditions of a specific splash pad as well as how busy it may be on that particular day. I would like to include small videos that I will personally upload to the site, showing a brief walk through each park for all users to view when they would like. Graphics will most definitely make up a majority of my site, as it will give the user a visual of the place that they would like to visit. I will have a few scattered pictures of random splash pads incorporated on the main page, however, I will have a specific page on the site where I will put all other splash pad pictures as well as give users a chance to upload their own! I know it is out of the spectrum of things that I could include now but having a live feed on my page is something that I would like to have and having the ability to load graphics onto this live feed would be very interesting in my opinion. I believe...
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...Therapeutics: The Pharmacotherapy Preparatory Review and Recertification Course 31 Geriatrics Learning Objectives: The following case pertains to questions 2 and 3. J.T. is an 82-year-old community-dwelling woman with a history of stage III Parkinson disease, hypertension, and urinary incontinence (UI). She is receiving carbidopa/levodopa, pramipexole, selegiline, tolterodine, diazepam, metoprolol, and hydrochlorothiazide. When she comes to your pharmacy to get her prescriptions, she walks slowly with a cane, and she is stooped over. 1. Identify age-related pharmacokinetic and pharmacodynamic changes in older people. 2. Evaluate the pharmacotherapy regimens of older people to support the maintenance of optimal physical and mental function. 3. Identify inappropriate medication prescribing in older people. 4. Recommend appropriate pharmacotherapy for patients with dementia. 5. Evaluate the risks and benefits of the use of antipsychotics (APs) (including atypical APs) in older patients with dementia. 6. Recommend appropriate interventions for patients suffering from behavioral symptoms related to dementia. 7. Identify the types of urinary incontinence and recommend appropriate treatments. 8. Given a patient’s American Urology Association Symptom Index for benign prostatic hyperplasia, recommend appropriate therapy. 9. Recommend appropriate analgesic therapy for older patients with osteoarthritis. 10. Discuss risks and benefits of medication...
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...Introduction Normally, needing to urinate does not bring about positive emotions, as individuals can describe it to be quite uncomfortable. Although the sensation may be unpleasant, a full bladder can feel great, for liars. The Inhibitory Spillover Effect shows individuals with a full bladder resulted in better lying. The lying and deception is correlated with inhibition, a central cognitive mechanism. Typically, lying and a full bladder are not associated with one another, but both effect inhibitory abilities. When lying, individuals use more brainwork, as they have to think of the truth, keep it in mind, while placing layers of lies on top. Compared to telling the truth, areas in the prefrontal cortex and the anterior cingulate cortex operate greater. There is also more activity in the front and cingulate regions (p.113). Experiments were done in order to determine whether or not a full bladder does actually help create better liars (p. 114). Predictions were made that the high inhibition lying individuals with a full bladder would have better control of their behavioral cues. It was also predicted that third-party observers would not be able to easily detect the full bladder liars. Method During the first experiment, participants were selected into high control or low control conditions. These participants were questioned on their opinions, since lying about opinions tend to be more difficult. The participants consisted of twenty-two university students, both male and female...
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...Case Study #1 CASE #6: ERIC Eric is an eight-year old only child who was brought to the clinic by his parents, who were very concerned about his behavior of defecating his pants at home and at school. When they first came to the clinic the parents were insistent on speaking with the clinician first, with Eric not in the room. Obviously embarrassed by her blushing, Eric’s mother confessed that over the past six months he has soiled his pants approximately once a week. In the past week, it has increased to once a day. She described him as a normal baby and was potty-trained by twenty-eight months. Until the past six months, no toileting accidents have taken place. A second grader earning all As, Eric has never been the most popular kid. He does have two good friends who have continued to play with him despite his “accidents.” Eric’s father is concerned if his behavior does not stop, the other children will tease him. With his parents insisted on not being in the room, Eric entered alone carrying a book. When questioned, Eric said he was very happy but never had time to read. His parents always wanted him to play outside, but two best friends also enjoyed reading and playing “pirates.” He described how he used reading to ignore the kids who teased him on the bus. Eric began to squirm when asked about the “accidents.” He stated he really didn’t mind except his parents were really upset and he didn’t want to lose his friends. He explained that when it did...
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...function and quality of life usually by an interdisciplinary team. While assessing a geriatric patient, the nurse should consider that at this point in their lives a lot is going on, there is degenerative changes, multiple disorders, caregiver problems, missed or delayed diagnosis. On average, elderly patients have 6 diagnosable disorders, which their primary care giver might be unaware of A disorder in one organ system can weaken another system, exacerbating the deterioration of both and leading to disability, dependence, and, without intervention, death . The nurse should also pay particular attention to certain common geriatric symptoms (eg, delirium, dizziness, syncope, falling, mobility problems, weight or appetite loss, urinary incontinence) because they may result from disorders of multiple organ systems. Occasionally, problems of elderly patients are related to neglect or abuse by their caregiver (see Elder Abuse).The nurse also should consider the possibility of patient abuse and drug abuse by the caregiver if circumstances and findings suggest it. Certain injury patterns are particularly suggestive, including Frequent bruising, especially in difficult-to-reach areas (eg, middle of the back) Grip bruises of the upper arms Bruises of the genitals Peculiar burns Unexplained fearfulness of a caregiver in the patient. Due to their state...
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...potty training refusal Toilet training done badly can lead to medical complications, including dysfunctional voiding, constipation and impaction-and even child abuse. This article describes in detail how to treat toilet training problems before they cause harm. Toilet training can be defined as delayed if the child is over 3 years of age, has normal development, and is not toilet trained after three or more months of training. (This definition excludes families who have not yet started toilet training.) Usually the delay is in bowel training. Taubman found that 22% of bladder-trained children were not bowel trained one month after completing bladder training.' [For information on toilet training basics, see "Toilet training: Getting it right the first time," in the March issue, accessible at wwwcontemporarypediatrics.com. ] Although the Diagnostic and Statistical Manual for Primary Care Child and Adolescent Version uses 4 years of age as a cutoff for abnormal toilet training delays, it makes sense to evaluate delays at 3 years of age to prevent ongoing harmful approaches by parents. If the parents are mishandling toilet training problems, it's a mistake to allow them to continue to do so for an additional year before intervening. If, for example, parents are punishing the child for noncompliance or forcibly holding the child on the toilet, these negative interactions will be much harder to undo and repair with time. Calling delays abnormal can wait until 4 years...
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...EXECUTIVE SUMMARY Urinary incontinence (UI) is any involuntary leakage of urine. It is a common and distressing problem, which may have a profound impact on quality of life. Urinary retention also known as ischuria is a lack of ability to urinate. Urinary retention is characterized by poor urinary stream with intermittent flow, straining, a sense of incomplete voiding and hesitancy causing the bladder to remain full and requires a catheter for drainage. Urinary incontinence and retention are the 2 main reasons why personal urinals are used. The biggest issues dealing with personal urinals both in hospital and public settings are the embarrassingly disgusting odors left from residue urine and more importantly the potentially dangerous bacteria and viruses that could reside on your urinal. We at Mario Medical, Inc. offer a solution to male and female urinal users with the Uri-mist. The Uri-mist is a portable personal urinal that has a built in spray mist system on the cap. This product is used like a normal urinal, where a user fills the urinal with urine content. When finished the urinal must be emptied and cleaned. The old process was to empty the urinal contents in the toilet, and then rinse the urinal out with water which will be disposed in the toilet. At this point some users are finished cleaning such as hospitals in most cases and those with dexterity issues while others use a more sterile method by cleaning the urinal with disinfectant or bleach mix that...
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