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Screening for incontinence in a secure psychiatric service for women
Author(s) -
Long Clive G.,
West Rachel,
Siddique Rizwana,
Rigg Samantha,
Banyard Ellen,
Stillman SweeKit,
Butler Sarah,
Dolley Olga
Publication year - 2015
Publication title -
international journal of mental health nursing
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.911
H-Index - 54
eISSN - 1447-0349
pISSN - 1445-8330
DOI - 10.1111/inm.12141
Subject(s) - enuresis , urinary incontinence , medicine , stress incontinence , obesity , psychiatry , dominance (genetics) , incidence (geometry) , physical therapy , surgery , biochemistry , chemistry , physics , optics , gene
Abstract Incontinence is associated with mental illness and neuroleptic medications but diagnosis and treatment is often poor or non‐existent. Problems of incontinence are compounded in secure psychiatric services for women by poor health, obesity, and a sedentary lifestyle. Addressing the physical health of this group necessitates a more accurate picture of the nature, incidence, and management of incontinence. A point‐in‐time survey of 108 women who agreed to be interviewed (93%) covered presence, frequency, and nature of incontinence, and information on management case note data was used to gather demographic and previous medical history, comparisons were made between patients with and without problems of incontinence. Findings indicate a problem of incontinence in 48% of women with a dominance of problems of stress and urge enuresis. Of modifiable factors that contribute to enuresis, the current study highlighted the contribution of obesity, smoking and clozapine medication. A further finding was the preference for managing rather than treating problems of incontinence. Actions to improve the detection and treatment of this problem are described.