Urinary continence and stroke
Overview
Urinary incontinence is common after stroke and often an indicator of poor outcome.
The Hunter Stroke Service in the Hunter New England Local Health District, NSW, has provided the content for this suite of eight short, interactive learning modules. The modules have been reviewed by stroke and continence experts and contain practical advice for assessing and treating urinary incontinence for most people.
The modules were developed by the Hunter Stroke Service to support their Structured Continence Assessment and Management Plan (SCAMP). SCAMP gives clinicians a standardised, evidence-based protocol to improve continence for people after stroke.
SCAMP is based on the principles of early assessment, diagnosis, and person-centred management. It reflects the Stroke Foundation’s Clinical Guidelines for Stroke Management.
Modules and their learning objectives
- Explain the three main levels of neurological bladder control.
- Identify the parts of the body involved in urine storage and micturition.
- Describe which factors influence continence in children.
2. Why is continence an issue in stroke?
- Describe urinary incontinence.
- Describe the three most common types of urinary incontinence following stroke.
- Describe the consequences of post-stroke urinary incontinence.
- Explain the principles of the Structured Continence Assessment and Management Plan.
- Define functional urinary incontinence.
- Describe the assessment of functional urinary incontinence.
- Explain how functional urinary incontinence should be managed.
- Describe the causes of urinary retention.
- Explain detrusor dysfunction.
- Identify the difference between acute and chronic urinary retention.
- Describe the assessment and management of urinary retention.
5. Nocturia
- Define nocturia
- List the causes of nocturia
- Describe the assessment and management strategies for nocturia.
6. Urgency urinary incontinence
- Define urgency urinary incontinence
- List the causes or urgency urinary incontinence
- Describe the assessment and management strategies for urgency urinary incontinence.
- Define stress incontinence.
- List the causes of stress incontinence.
- Explain the causes of urethral hypermobility.
- Describe the assessment and management strategies of stress incontinence.
- Define neurogenic urinary incontinence.
- Explain the differences between neurogenic and severe neurogenic urinary incontinence.
- Describe the assessment and management strategies for neurogenic incontinence.
Acknowledgements
Authors: Louise-Anne Jordan, Di Marsden, Debbie Quain, Kathy Bullen, Sally Wright, Renae Galvin, Judith Dunne, Helen Baines and Kerry Boyle, from the Hunter Stroke Service and rehabilitation services, Hunter New England Local Health District, NSW.
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