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Interdisciplinary Approach to Continence Improvement

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1.  The average number of voids for an elderly person per 24 hours is: 3-6 5-8 6-10 8-12

2.  Urge Incontinence can be caused by: Parkinson's UTI Dementia All of the above

3.  The pelvic floor muscles group is also known as and includes the: Pelvic diaphragm Urogenital diaphragm Internal and external urethral sphincters Internal and external anal sphincters

4.  The successful treatment of urinary incontinence depends on: The patient having a cognitive level high enough to actively participate in the treatment program. A rehab team consisting of willing participants from OT/PT, Nursing, Social Services and Dietary Management. A well informed family and significant others. All of the above.

5.  Important environmental issues to address with the patient with urinary incontinence include all but which of the following: The patient's ability to manage their clothing in a timely manner. Removal of environmental barriers in the patient's room and surroundings. Ignore the patient's requests for assistance. Sufficient night lighting.

6.  Which of these is not true regarding including E-stim in the treatment plan for management of pelvic muscle dysfunction: E-stim can be used if the patient is not responding to or is not making progress with pelvic muscle exercises. E-stim can be used if the patient has a diagnosis of stress and/or urge incontinence. E-stim can be used if a course of pelvic muscle exercises was successful within the last two months E-stim can be used if the patient has exceptionally weak pelvic muscles.

7.  Pelvic muscle exercises should include the following: Focus on contraction of the pelvic muscles without the assistance of accessory muscles such as abdominals, thighs, or buttocks. Focusing on very gently squeezing the anal sphincter- as if to hold back gas, isolating a pelvic muscle contraction without the assistance of accessory muscles. Begin the PME training session with a series of 4-6 quick contractions. This will help with strengthening of the fast twitch fibers which are important because they act with speed and help prevent leaking during coughing, sneezing, and transfers. All of the above

8.  Which of the following is not considered to be irritating to the bladder lining: Apples and applesauce Cherry juice Coffee Tomatoes and tomato products

9.  Urinary Incontinence can lead to all but which of the following: Peptic ulcers Skin irritation Falls Pressure ulcers

10.  The primary member of the interdisciplinary team addressing continence is/are: Physician Dietary Nursing Therapy