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Understanding Continence Promotion: Effective Management of Bladder & Bowel Dysfunction in Adults
Welcome to the course
Introduction to Module 1
1.1 – Capturing your thinking
1.2 – What do we mean by ‘continence’ and ‘incontinence’?
1.3 – Attitudes towards incontinence
1.4 – Incontinence is a ‘Big Issue’!!!
1.5 – How does a person’s bladder and bowel affect their life?
1.6 – Impact of bladder and bowel dysfunction on a person with spinal cord injury
1.7 – Impact of incontinence
1.8 – The continence paradigm
1.9 – Is incontinence inevitable and normal?
1.10 – Separating continence promotion from managing incontinence
1.11 – Reflection
Welcome to Module 2
2.1 – Anatomy of the lower urinary tract
2.2 – Lower Urinary Tract Quiz
2.2 – Lower Urinary Tract
2.3 – Male urethra
2.4 – Male urethral sphincters
2.5 – Female urethra and urethral sphincter
2.6 – The pelvic floor
2.7 – Pelvic floor muscles
2.8 – How continence is acquired and maintained
2.9 – Bladder cycle of filling and emptying
2.10 – Pressures acting on the bladder to maintain continence
2.11 – Innervation of the bladder
2.12 – Micturition control centres
2.13 – Check your understanding
2.13 – Check your understanding
2.14- Reflect on what you have learned
Welcome to Module 3
3.1 – Causes of urinary incontinence
3.2 – Overactive bladder
3.3 – Case study: Joyce who has an overactive bladder
3.4 – How to diagnose overactive bladder
3.5 – Causes of stress incontinence
3.6 – Case study: Susan who has stress incontinence
3.7 – Underactive bladder
3.8 – Case study: Jean who has an underactive bladder
3.9 – Identifying an underactive bladder
3.10 – Bladder outlet obstruction
3.11 – Case study: James who has bladder outlet obstruction
3.12 – Reflex incontinence
3.13 – How neurological conditions affect bladder function
3.14 – Check your understanding
3.14 – Check your understanding
3.15 – Spinal cord injuries and the bladder
3.16 – Bladder dysfunction associated with Multiple Sclerosis
3.17 – Bladder dysfunction associated with Parkinson’s
3.18 – Bladder dysfunction after a stroke
3.19 – Bladder dysfunction with diabetes mellitus
3.20 – Transient causes
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Welcome to Module 4
4.1 – Anatomy and physiology of the large bowel
4.2 – Functions of the large bowel
4.3 – Stool production: what is normal and what influences it?
4.4 – The structures involved in maintaining continence and defaecation
4.5 – Physiology of defaecation
4.6 – Extrinsic and enteric nervous systems
4.7 – Gastro intestinal Reflexes
4.8 – Check your understanding
4.8 – Check your understanding
4.9 – Faecal incontinence
4.10 – Common causes of faecal incontinence
4.11 – Gut motility, stool consistency and diarrhoea
4.12 – Anal sphincter and pelvic floor damage
4.13 – Ano-rectal pathology
4.14 – Rectocele
4.15 – Neurological bowel disease
4.16 -Autonomic dysreflexia
4.17 – Neurological levels associated with bowel disorders
4.18 – How neurological conditions affect bowel function
4.19 – Incontinence secondary to degenerative neurological disease
4.20 – Case study: Jim who has faecal incontinence
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Welcome to Module 5
5.1 – Principles of assessment
5.2 – Components of a comprehensive bladder and bowel assessment
5.3 – Assessing bladder dysfunction – taking a history
5.4 – Assessing bowel dysfunction – taking a history
5.5 – Bladder diary analysis
5.6 – Urinalysis
5.7 – Bladder scanning
5.8 – Physical examination – female
5.9 – Digital vaginal assessment
5.10 – Physical examination – Male
5.11 – Digital rectal examination – men
5.12 – Assessing in practice
5.13 – Diagnosing type of bladder and/or bowel dysfunction
5.14 – The ‘Incontinence’ Poem
5.15 – Reflection
Welcome to Module 6
6.1 – What does self-management of continence involve?
6.2 – Behavioural Intervention Groups
6.3 – Using ISC to self-manage bladder dysfunction
6.4 – Self-managing bowel dysfunction
6.5 – Evidence on effectiveness of lifestyle changes
6.6 – Fluid management
6.7 – What is behavioural therapy?
6.8 – Pelvic floor muscle exercises
6.9 – Bladder training
6.10 – Toileting Assistance Programmes (TAPs)
6.11 – Abdominal massage
6.12 – Electrical stimulation
6.13 – Medication
6.14 – Laxatives
6.15 – Challenges of bladder and bowel problems
6.16 – Promoting continence in people with dementia
6.17 – Reflection
Welcome to Module 7
7.1 – Managing incontinence by containing leakage using absorbent products
7.2 – Managing urinary incontinence by containing leakage using indwelling catheters
7.3 – Exploring the effectiveness of health and social care support services
7.4 – Sharing ideas for service improvement
7.5 – Delivering better services for people with long-term conditions
7.6 – Facts and myths about effects of ageing on continence
7.7 – Is using the toilet a fundamental human right?
7.8 – Do bladder and bowels get sufficient media and government recognition?
Course Roundup
7.9 – Thank you and goodbye
7.10 – Reflection
7.11 – Key resources to support effective management of bladder and bowel dysfunction
7.12 – Continue learning with the Association for Continence Professionals
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2.2 – Lower Urinary Tract Quiz

  1. Understanding Continence Promotion: Effective Management of Bladder & Bowel Dysfunction in Adults
  2. Welcome to Module 2
  3. 2.2 – Lower Urinary Tract Quiz
Quizzes
2.2 – Lower Urinary Tract
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