3.3 – Case study: Joyce who has an overactive bladder
Please note that as of 6th June 2023, the Association for Continence Advice (ACA) has now changed its name to the Association for Continence Professionals (ACP). Some of the videos included in this module will still have the ACA branding, and we can confirm that these videos are still current.
Meet ‘Joyce’ who is the first of our four case studies of people with different types of bladder dysfunction. Joyce has an overactive bladder.
In this video interview Joyce talks about how having an overactive bladder affects her life.
Joyce is a 64 year old woman. She is a retired nurse who was widowed two years ago. Her husband died of cancer and she cared for him during his illness. Her health is good, she has asthma which is controlled well with medication.
She found it hard to cope after her loss but during the last year she has joined several local groups and has made new friendships and started new activities including yoga, line dancing and walking.
About six months ago Joyce noticed she suddenly needed to rush to the toilet and was worried she would wet herself. On several occasions she only just made it to the toilet in time and twice in one week she did not reach the toilet before she started to pass urine.
She reduced her drinks to see if this would solve the problem. She continued with her mug of tea at meal times but cut down the amount of lemonade or water she was drinking between meals and the glass of wine at night. This helped for a short time only.
Then the desperate feeling came back and got worse, she was now needing to rush to the toilet lots of times during the day and was waking at night needing to pass urine at least twice.
Sometimes, she wet her pants as she was pulling them down before sitting on the toilet and twice wet her clothing before she got to the toilet. She did not always feel she had emptied her bladder and was frustrated as she often only passed small amounts which only dribbled out.
Joyce was worried that she would smell as she had noticed her urine had an odour at times. She was constantly washing herself and changing her underwear and sometimes she felt sore and itchy.
Joyce tried wearing a pad when she was out, but hated them, and was worried they would be seen through her clothing. She had stopped going dancing, what would she say if someone asked her why she kept going to the toilet?
Joyce was also aware that she has been struggling to open her bowels and that her motion had become harder. This has never been a problem to her before, she eats a healthy diet with five portions of fruit/vegetables every day. She was becoming anxious about this.
Your task
Read the case study and answer the following questions:
- What makes you think Joyce has an overactive bladder?
- What factors aggravate an overactive bladder?
- How do you think Joyce’s bladder problem is affecting her lifestyle?
- What do you think the implications of Joyce reducing her fluid intake might be?