This document discusses bladder and bowel incontinence. It defines the different types of each condition and describes their causes, clinical features, and management. Bladder incontinence types include stress, urge, mixed and overflow incontinence. Causes involve weakening of pelvic floor muscles from childbirth, surgery, or age. Bowel incontinence results from issues with the rectum, sphincter muscles, or nerves. Clinical features and management by medications, devices, surgery, and physiotherapy exercises are outlined.
Retraining of motor control basing on understanding of normal movement & analysis of motor dysfunction.
Emphasis of MRP is on practice of specific activities, the training of cognitive control over muscles & movt. Components of activities & conscious elimination of unnecessary muscle activity.
In rehabilitation programme involve – real life activities included.
Hierachical theory- says that higher centers control on lower center; but when higher center damage then this inhibitory control from the higher center is loss which leads to exageration of the movt.
In normal individual, these occur a smooth, rhythmic movt. Because there is a presence of control from higher center on lower center.
THE URINARY INCONTINENCE AND IT'S MANAGEMENT DETAILS WITH APPROPRIATE EXPLANATION
Introduction of urinary incontinence,
Etiology of urinary incontinence,
Risk factors associated with urinary incontinence,
Types of urinary incontinence,
Pathophysiology of Urinary incontinence,
Clinical manifestations of urinary incontinence,
Diagnostic evaluations of urinary incontinence,
Management of urinary incontinence- Behavioural techniques, Drug therapy, surgical management, medical devices and Physiotherapy assessment and management in details with appropriate explanation with the help of the SlideShare .
Telegram channel - https://t.me/bhuneshwarmishra08/4?single
Facebook page - https://m.facebook.com/Bhuneshwarmishra08/
Instagram page - https://www.instagram.com/the_perfect_physio_tutorial/?r=nametag
YouTube channel - https://youtube.com/channel/UCCIEa_xDe3B-6BLfQaJb8PQ
Retraining of motor control basing on understanding of normal movement & analysis of motor dysfunction.
Emphasis of MRP is on practice of specific activities, the training of cognitive control over muscles & movt. Components of activities & conscious elimination of unnecessary muscle activity.
In rehabilitation programme involve – real life activities included.
Hierachical theory- says that higher centers control on lower center; but when higher center damage then this inhibitory control from the higher center is loss which leads to exageration of the movt.
In normal individual, these occur a smooth, rhythmic movt. Because there is a presence of control from higher center on lower center.
THE URINARY INCONTINENCE AND IT'S MANAGEMENT DETAILS WITH APPROPRIATE EXPLANATION
Introduction of urinary incontinence,
Etiology of urinary incontinence,
Risk factors associated with urinary incontinence,
Types of urinary incontinence,
Pathophysiology of Urinary incontinence,
Clinical manifestations of urinary incontinence,
Diagnostic evaluations of urinary incontinence,
Management of urinary incontinence- Behavioural techniques, Drug therapy, surgical management, medical devices and Physiotherapy assessment and management in details with appropriate explanation with the help of the SlideShare .
Telegram channel - https://t.me/bhuneshwarmishra08/4?single
Facebook page - https://m.facebook.com/Bhuneshwarmishra08/
Instagram page - https://www.instagram.com/the_perfect_physio_tutorial/?r=nametag
YouTube channel - https://youtube.com/channel/UCCIEa_xDe3B-6BLfQaJb8PQ
Spina Bifida: Physiotherapy in the management of meningomyeloceleAyobami Ayodele
Spina bifida is a treatable spinal cord malformation that occurs in varying degrees of severity. Meningomyelocele is associated with abnormal development of the cranial neural tube, which results in several characteristic CNS anomalies. About 90% of babies born with Spina Bifida now live to be adults, about 80% have normal intelligence and about 75% play sports and do other fun activities. Most do well in school, and many play in sports.
This presentation contains detailed knowledge about Down's Syndrome its types, clinical presentation, diagnosis, medical and physio therapeutic management of the condition.
Down syndrome is a condition in which a person has an extra chromosome. Chromosomes are small “packages” of genes in the body. They determine how a baby’s body forms and functions as it grows during pregnancy and after birth. Typically, a baby is born with 46 chromosomes. Babies with Down syndrome have an extra copy of one of these chromosomes, chromosome 21. A medical term for having an extra copy of a chromosome is ‘trisomy.’ Down syndrome is also referred to as Trisomy 21. This extra copy changes how the baby’s body and brain develop, which can cause both mental and physical challenges for the baby.
Spina Bifida: Physiotherapy in the management of meningomyeloceleAyobami Ayodele
Spina bifida is a treatable spinal cord malformation that occurs in varying degrees of severity. Meningomyelocele is associated with abnormal development of the cranial neural tube, which results in several characteristic CNS anomalies. About 90% of babies born with Spina Bifida now live to be adults, about 80% have normal intelligence and about 75% play sports and do other fun activities. Most do well in school, and many play in sports.
This presentation contains detailed knowledge about Down's Syndrome its types, clinical presentation, diagnosis, medical and physio therapeutic management of the condition.
Down syndrome is a condition in which a person has an extra chromosome. Chromosomes are small “packages” of genes in the body. They determine how a baby’s body forms and functions as it grows during pregnancy and after birth. Typically, a baby is born with 46 chromosomes. Babies with Down syndrome have an extra copy of one of these chromosomes, chromosome 21. A medical term for having an extra copy of a chromosome is ‘trisomy.’ Down syndrome is also referred to as Trisomy 21. This extra copy changes how the baby’s body and brain develop, which can cause both mental and physical challenges for the baby.
Precise guide for DGNM, B.Sc Nursing & M.Sc Nursing Students .. regarding Bowel Incontinence / Fecal Incontinence, and its management. Highly recommended for II B.Sc Nursing Students
Precise guide for DGNM, B.Sc Nursing & M.Sc Nursing Students .. regarding Uirinary incontinence / Bladder Incontinence, and its management. Highly recommended for II B.Sc Nursing Students
Urinary incontinence refers to the symptoms associated with the involuntary leakage of urine. It is an ailment that affects both men and women equally but is more prevalent in females. Incontinence in males has been related to various diseases including prostate enlargement and injury to the continence structure after prostate cancer surgery or radiation. In women, on the other hand, incontinence has frequently been associated with pelvic floor or bladder muscle dysfunction, with the condition generally manifesting after pregnancy, delivery or menopause.
- Video recording of this lecture in English language: https://youtu.be/lK81BzxMqdo
- Video recording of this lecture in Arabic language: https://youtu.be/Ve4P0COk9OI
- Link to download the book free: https://nephrotube.blogspot.com/p/nephrotube-nephrology-books.html
- Link to NephroTube website: www.NephroTube.com
- Link to NephroTube social media accounts: https://nephrotube.blogspot.com/p/join-nephrotube-on-social-media.html
Title: Sense of Smell
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the primary categories of smells and the concept of odor blindness.
Explain the structure and location of the olfactory membrane and mucosa, including the types and roles of cells involved in olfaction.
Describe the pathway and mechanisms of olfactory signal transmission from the olfactory receptors to the brain.
Illustrate the biochemical cascade triggered by odorant binding to olfactory receptors, including the role of G-proteins and second messengers in generating an action potential.
Identify different types of olfactory disorders such as anosmia, hyposmia, hyperosmia, and dysosmia, including their potential causes.
Key Topics:
Olfactory Genes:
3% of the human genome accounts for olfactory genes.
400 genes for odorant receptors.
Olfactory Membrane:
Located in the superior part of the nasal cavity.
Medially: Folds downward along the superior septum.
Laterally: Folds over the superior turbinate and upper surface of the middle turbinate.
Total surface area: 5-10 square centimeters.
Olfactory Mucosa:
Olfactory Cells: Bipolar nerve cells derived from the CNS (100 million), with 4-25 olfactory cilia per cell.
Sustentacular Cells: Produce mucus and maintain ionic and molecular environment.
Basal Cells: Replace worn-out olfactory cells with an average lifespan of 1-2 months.
Bowman’s Gland: Secretes mucus.
Stimulation of Olfactory Cells:
Odorant dissolves in mucus and attaches to receptors on olfactory cilia.
Involves a cascade effect through G-proteins and second messengers, leading to depolarization and action potential generation in the olfactory nerve.
Quality of a Good Odorant:
Small (3-20 Carbon atoms), volatile, water-soluble, and lipid-soluble.
Facilitated by odorant-binding proteins in mucus.
Membrane Potential and Action Potential:
Resting membrane potential: -55mV.
Action potential frequency in the olfactory nerve increases with odorant strength.
Adaptation Towards the Sense of Smell:
Rapid adaptation within the first second, with further slow adaptation.
Psychological adaptation greater than receptor adaptation, involving feedback inhibition from the central nervous system.
Primary Sensations of Smell:
Camphoraceous, Musky, Floral, Pepperminty, Ethereal, Pungent, Putrid.
Odor Detection Threshold:
Examples: Hydrogen sulfide (0.0005 ppm), Methyl-mercaptan (0.002 ppm).
Some toxic substances are odorless at lethal concentrations.
Characteristics of Smell:
Odor blindness for single substances due to lack of appropriate receptor protein.
Behavioral and emotional influences of smell.
Transmission of Olfactory Signals:
From olfactory cells to glomeruli in the olfactory bulb, involving lateral inhibition.
Primitive, less old, and new olfactory systems with different path
Explore natural remedies for syphilis treatment in Singapore. Discover alternative therapies, herbal remedies, and lifestyle changes that may complement conventional treatments. Learn about holistic approaches to managing syphilis symptoms and supporting overall health.
Ozempic: Preoperative Management of Patients on GLP-1 Receptor Agonists Saeid Safari
Preoperative Management of Patients on GLP-1 Receptor Agonists like Ozempic and Semiglutide
ASA GUIDELINE
NYSORA Guideline
2 Case Reports of Gastric Ultrasound
Ethanol (CH3CH2OH), or beverage alcohol, is a two-carbon alcohol
that is rapidly distributed in the body and brain. Ethanol alters many
neurochemical systems and has rewarding and addictive properties. It
is the oldest recreational drug and likely contributes to more morbidity,
mortality, and public health costs than all illicit drugs combined. The
5th edition of the Diagnostic and Statistical Manual of Mental Disorders
(DSM-5) integrates alcohol abuse and alcohol dependence into a single
disorder called alcohol use disorder (AUD), with mild, moderate,
and severe subclassifications (American Psychiatric Association, 2013).
In the DSM-5, all types of substance abuse and dependence have been
combined into a single substance use disorder (SUD) on a continuum
from mild to severe. A diagnosis of AUD requires that at least two of
the 11 DSM-5 behaviors be present within a 12-month period (mild
AUD: 2–3 criteria; moderate AUD: 4–5 criteria; severe AUD: 6–11 criteria).
The four main behavioral effects of AUD are impaired control over
drinking, negative social consequences, risky use, and altered physiological
effects (tolerance, withdrawal). This chapter presents an overview
of the prevalence and harmful consequences of AUD in the U.S.,
the systemic nature of the disease, neurocircuitry and stages of AUD,
comorbidities, fetal alcohol spectrum disorders, genetic risk factors, and
pharmacotherapies for AUD.
New Drug Discovery and Development .....NEHA GUPTA
The "New Drug Discovery and Development" process involves the identification, design, testing, and manufacturing of novel pharmaceutical compounds with the aim of introducing new and improved treatments for various medical conditions. This comprehensive endeavor encompasses various stages, including target identification, preclinical studies, clinical trials, regulatory approval, and post-market surveillance. It involves multidisciplinary collaboration among scientists, researchers, clinicians, regulatory experts, and pharmaceutical companies to bring innovative therapies to market and address unmet medical needs.
Flu Vaccine Alert in Bangalore Karnatakaaddon Scans
As flu season approaches, health officials in Bangalore, Karnataka, are urging residents to get their flu vaccinations. The seasonal flu, while common, can lead to severe health complications, particularly for vulnerable populations such as young children, the elderly, and those with underlying health conditions.
Dr. Vidisha Kumari, a leading epidemiologist in Bangalore, emphasizes the importance of getting vaccinated. "The flu vaccine is our best defense against the influenza virus. It not only protects individuals but also helps prevent the spread of the virus in our communities," he says.
This year, the flu season is expected to coincide with a potential increase in other respiratory illnesses. The Karnataka Health Department has launched an awareness campaign highlighting the significance of flu vaccinations. They have set up multiple vaccination centers across Bangalore, making it convenient for residents to receive their shots.
To encourage widespread vaccination, the government is also collaborating with local schools, workplaces, and community centers to facilitate vaccination drives. Special attention is being given to ensuring that the vaccine is accessible to all, including marginalized communities who may have limited access to healthcare.
Residents are reminded that the flu vaccine is safe and effective. Common side effects are mild and may include soreness at the injection site, mild fever, or muscle aches. These side effects are generally short-lived and far less severe than the flu itself.
Healthcare providers are also stressing the importance of continuing COVID-19 precautions. Wearing masks, practicing good hand hygiene, and maintaining social distancing are still crucial, especially in crowded places.
Protect yourself and your loved ones by getting vaccinated. Together, we can help keep Bangalore healthy and safe this flu season. For more information on vaccination centers and schedules, residents can visit the Karnataka Health Department’s official website or follow their social media pages.
Stay informed, stay safe, and get your flu shot today!
micro teaching on communication m.sc nursing.pdfAnurag Sharma
Microteaching is a unique model of practice teaching. It is a viable instrument for the. desired change in the teaching behavior or the behavior potential which, in specified types of real. classroom situations, tends to facilitate the achievement of specified types of objectives.
Couples presenting to the infertility clinic- Do they really have infertility...Sujoy Dasgupta
Dr Sujoy Dasgupta presented the study on "Couples presenting to the infertility clinic- Do they really have infertility? – The unexplored stories of non-consummation" in the 13th Congress of the Asia Pacific Initiative on Reproduction (ASPIRE 2024) at Manila on 24 May, 2024.
ARTIFICIAL INTELLIGENCE IN HEALTHCARE.pdfAnujkumaranit
Artificial intelligence (AI) refers to the simulation of human intelligence processes by machines, especially computer systems. It encompasses tasks such as learning, reasoning, problem-solving, perception, and language understanding. AI technologies are revolutionizing various fields, from healthcare to finance, by enabling machines to perform tasks that typically require human intelligence.
NVBDCP.pptx Nation vector borne disease control programSapna Thakur
NVBDCP was launched in 2003-2004 . Vector-Borne Disease: Disease that results from an infection transmitted to humans and other animals by blood-feeding arthropods, such as mosquitoes, ticks, and fleas. Examples of vector-borne diseases include Dengue fever, West Nile Virus, Lyme disease, and malaria.
NVBDCP.pptx Nation vector borne disease control program
Incontinence bowel and bladder
1. UNIVERSITI TEKNOLOGI MARA
PUNCAK ALAM CAMPUS
FACULTY OF HEALTH SCIENCES
DIPLOMA IN PHYSIOTHERAPY (HS114)
INCONTINENCE OF BLADDER AND
BOWEL
LECTURER: CIK AIMAN NADIA AKMAR BINTI RAHMAN
NO STUDENT’S NAME MATRIX NUMBER
1. MOHD KHAIRI BIN MOHD AMIN 2011417444
2. ADLIN HANI BINTI MAZLAN HANAFI 2011445252
3. NAZATUL AINA BINTI AZIZLAN 2011446786
4. NUR ALIA NABILAH BINTI RASHID 2011475332
2. DEFINITION
- Bladder Incontinence -
• Urinary incontinence means there is loss of bladder
control which leads to unintentional passing of urine
• There are several types of bladder incontinence
which are:
Stress incontinence – occurs during certain activities like
coughing, sneezing, laughing
Urge incontinence - leakage of urine which involves a
strong and sudden need to urinate
(American College of Obstetricians and Gynecologists, 2011)
3. Mixed incontinence – combination of both stress and urge
incontinence symptoms
Overflow incontinence – loss of small amounts of urine
when the bladder does not empty all the way during
voiding
(American College of Obstetricians and Gynecologists, 2011 & NHS Choices, 2013)
4. DEFINITION
- Bowel Incontinence -
• Bowel incontinence is the inability to control the
bowel movements, resulting in the involuntary
passage of stools
• Types:
Urge bowel incontinence – sudden need to defecate, with
little time to reach a toilet
Passive incontinence or soiling – experience of no
sensation before leakage of stools
(American College of Obstetricians and Gynecologists, 2011 & NHS Choices, 2013)
5. ETIOLOGY
• Bladder incontinence:
Stress incontinence
- weakening of urethral sphincter and pelvic floor muscles
- pregnancy
- childbirth
- age
- obesity
- menopause
- surgical procedures, e.g. hysterectomy
(Medical News Today, 2013 & The Browning Pelvic Pain & Organic Dysfunction Treatment Center, 2010)
6. Urge incontinence
- overactivity of the detrusor muscles
- cystitis
- central nervous system (CNS) problems
- an enlarged prostate
Overflow incontinence
- an obstruction or blockage to the bladder
- an enlarged prostate gland
- a tumor pressing against the bladder
- urinary stones
- constipation
(Medical News Today, 2013)
7. • Bowel incontinence
Rectum problems
- constipation
- diarrhoea d/t infection or irritable bowel syndrome,
Crohn’s disease, ulcerative colitis
Sphincter muscles problem
- the muscles are weakened or damaged d/t childbirth,
complication of rectal surgery
(NHS Choices, 2013)
8. Nerve damage
- decreased awareness of sensation of rectal fullness
- d/t diabetes, multiple sclerosis, stroke, spina bifida
Health condition – dementia or severe learning
ability, rectal prolapse
Weakness of pelvic floor muscles - puborectalis
(NHS Choices, 2013)
11. Incontinence of the bladder occurs when those pelvic
muscles that involves in urination get traumatized, either
overstretched or tear, that leads to weakness of the muscles.
As time goes by, the muscles become weaker until at certain
point, they cannot support the bladder anymore.
When there is high pressure from the abdominal such as
coughing, sneezing, lifting or pushing heavy things, the
bladder forces urine past the urethral sphincter causing
incontinence to occur.
(The American College of Obstetricians and Gynecologists, 2011)
13. Bowel function is controlled by few factors: anal sphincter
pressure, rectal storage capacity and rectal sensation. Anything
that interferes with these factors can result in incontinence.
Fecal incontinence occur when there is direct trauma to the
sphincter muscles (internal and external) such as chronic
constipation or obstetric trauma.
The sphincter muscles stretched, weaken and not strong enough to
maintain the continence and stool will leak out.
Patients with impaired continence will also decreased thermal and
electrical sensitivity to stimuli.
(Satish S. C. R., 2010)
14.
15. CLINICAL FEATURES
BOWEL INCONTINENCE
1) Constipation
2) Diarrhea
3) Abdominal pain
4) Lower back pain
5) Bloating
6) Stomach cramp
7) Loss of appetite
8) Insomnia
(Vorvick, 2011)
16. CLINICAL FEATURES
BLADDER INCONTINENCE
STRESS INCONTINENCE OCCURS WHEN:
1) Cough
2) Sneeze
3) Laughing
4) Lifting heavy objects
5) Vigorous exercise
6) Have sexual intercourse
7) Standing in prolonged time
(Vorvick, 2011)
17. URGE INCONTINENCE OCCURS :
1) Frequent urination, in a day and at nighttime
2) Loss of urine without meaning to urinate
3) Sudden and urinary urgency
OVERFLOW INCONTINENCE OCCURS:
1) Bladder never feels empty
2) Frequent urination, in a day and at nighttime
urinate
1) Inability to void when when the urge is felt
2) Urine dribbles even after voiding
(Vorvick,2011)
(Remedy’s health Communities, 2011)
18. DOCTOR MANAGEMENT
• Medication
- Anticholinergics (medication to calm an overactive
bladder)
- Topical estrogen.
- Anti depressant
-Imipramine
- Duloxetine
• Medical device
– Urethral insert (FemSoft insert)
– Pessary
(Urinary incontinence: Incontinence products to help keep you dry, 2011)
19. • Surgery
- Sling procedures
- Bladder neck suspension
- Artificial urinary spinchter
(Urinary incontinence: Incontinence products to help keep you dry, 2011)
21. Physiotherapy treatment
Pre - operation
• Keep lungs clear of fluid and
prevent chest infection.
o Chest physiotherapy
(Breathing exercises)
• Help maintain muscles tone
and promote the return of
blood in veins to heart.
o Limb physiotherapy
(Circulatory exercises)
• Bed mobility
Post - operation
• Clear lungs and prevent chest
infection
o Support abdomen with soft
pillow , take 4 to 5 deep slow
breaths then 1 deep cough.
• Reduce muscle weakness and
pain on the incision site
o posterior basal and lower costal
breathing, concentrating on the
affected side
• Improve coughing, chest
expansion, breathing pattern
o ACBT
o Triflow meter 5x hourly during
awake time
22. • Patient education
o Posture awareness
o Advice patient to continue
exercises as taught
• Improve muscle tone and
promote the return of blood
in veins to heart
o Circulatory exercise
• Progression for bed mobility
• Ambulate patient around
bed site
• Patient education
o Posture awareness
o Cont exercising 3x/day
o Avoid heavy weight lifting
23. REFERENCES
• Anonymous, (2011). About incontinence - types of incontinence - fecal or bowel
incontinence. The Simon Foundation for Continence. Retrieved June 26, 2013
http://www.simonfoundation.org /About _Incontinence
Types_Incontinence_Fecal_Bowel_Incontinence.html
• Anonymous, (2013). What I need to know about bowel control. National Digestive
Disease Information Clearinghouse. Retrieved June 24, 2013
http://www.digestive.niddk.nih.gov/ ddiseases/pubs/bowel control_ez/
• Haas E.(2009). Fecal incontinence, Colorectal Surgical Associates. Retrieved June
25, 2013 http://www.houstoncolon.com/fecal-incontinence/causes-texas/
• Forciea, M.A. Geriatrics Secrects. 2nd ed. Philadelphia, PA. 2000
• Medical News Today. (2013). What is urinary incontinence? What causes urinary
incontinence? Retrieved June 24, 2013, from
http://www.medicalnewstoday.com/articles/165408.php
24. • NHS Choices. (2013). Bowel incontinence. Retrieved June 24, 2013, from
http://www.nhs.uk/Conditions/Incontinence-bowel/Pages/Causes.aspx
• Pickles, B. Physiotherapy with Older People. Canada. 2003
• Sandip P. V., (2009). Urinary incontinence. Retrieved June 22, 2013
http://emedicine.medscape.com/ article/452289-overview#aw2aab6b2b4aa
• Satish S. C. R., American Journal Gasteroenterology. Diagnosis and Management
of Fecal Incontinence. 2010; 1585-1604.
http://s3.gi.org/physicians/guidelines/FecalIncontinence.pdf. Retrieved June 25,
2013.
• The American College of Obstetricians and Gynecologists. (2011). Urinary
incontinence. Retrieved June 24, 2013, from
http://www.acog.org/~/media/For%20Patients/faq081.pdf?dmc=1&ts=20130623T
0447075241
25. • The Browning Pelvic Pain & Organic Dysfunction Treatment Center. (2010).
Incontinence- loss of bladder or bowel control. Retrieved June 24, 2013, from
http://ppodsyndrome.com/441/ incontinence-loss-of-bowel-control/
• Tortora GJ., Derrickson B. Principle of anatomy and physiology. 13th ed. Riverstreet,
Hoyoken,NJ.John Wiley & Sons. 2011
• Vorvick. L J. Urinary Incontinence. Sept 19,2011. Medline Plus. http:// www.
Nlm.nih.gov/medlineplus/ency/article/003142.htm. Retrieved on June 23,2013.
• Remedy’s Health Communities. Overflow Incontinence. 2013. http:// www.
Healthcommunities.com/overflow-incontinence/overview-of-overflow-
incontinence-shtml. Retrieved on June 27,2013.