Urinary incontinence is the involuntary loss of urine and can range from mild dribbling to severe leakage. It affects up to 20% of older adults and 50% of nursing home residents, with prevalence increasing with age. The main types are stress, urge, overflow, and functional incontinence. Treatment includes behavioral modifications like pelvic floor exercises, pharmacotherapy with medications like anticholinergics and alpha-agonists, injections, surgery such as slings and colposuspensions, and devices like pessaries. Behavioral treatments aim to strengthen pelvic floor muscles or modify bladder habits while medications and surgeries treat underlying causes.
Prostate cancer or tumor is the most common cancer in men other than non-melanoma skin cancer.
The majority (more than 75%) of cases occur in men over age 65.
Risk factors for prostate cancer including increasing age, the incidence of prostate cancer increase rapidly after the age of 50 years. And more than 70% cases occur in men older than 65 year of age.
Phototherapy in neonatal jaundice: Introduction, definition, indication, purposes, rule of thumb, lights used in phototherapy mechanism of phototherapy, techniques of phototherapy, phototherapy units, nursing care in phototherapy, short term and long term complications, nursing diagnosis in phototherapy.
Prostate cancer or tumor is the most common cancer in men other than non-melanoma skin cancer.
The majority (more than 75%) of cases occur in men over age 65.
Risk factors for prostate cancer including increasing age, the incidence of prostate cancer increase rapidly after the age of 50 years. And more than 70% cases occur in men older than 65 year of age.
Phototherapy in neonatal jaundice: Introduction, definition, indication, purposes, rule of thumb, lights used in phototherapy mechanism of phototherapy, techniques of phototherapy, phototherapy units, nursing care in phototherapy, short term and long term complications, nursing diagnosis in phototherapy.
Emergencies that occur in pregnancy or during or after labor and delivery.
main emergencies are
Ectopic Pregnancy
Uterine Inversion
Obstetrical Shock
Cord Prolepses
Amniotic Fluid Embolism
Postpartum Hemorrhage
Definition-
The destructive operations are designed to diminish the bulk of the fetus so as to facilitate easy delivery through the birth canal
types
Craniotomy
Eviceration
Decapitation
Cleidotomy
CRANIOTOMY
Definition
It is an operation to make a perforation on the fetal head to evacuate the contents followed by extraction of the fetus
DECAPITATION
Definition
It is a destructive operation whereby the fetal head is severed from the trunk and the delivery is completed with the extraction of the trunk and that of the decapitated head per vaginam
CLEIDOTOMY
Definition
The operation consist of reduction in the bulk of the shoulder girdle by division of one or both the clavicles
Indications
Dead fetus with shoulder dystocia
Procedure
The clavicles are divided by the embryotomy scissors or long straight scissors introduced under the guidance of left two fingers placed inside the vagina
Antenatal exercises are exercises performed by the women in their antenatal period to enhance the circulation and prevent various kind of complications. It also gives a feeling of well being to the women.
Emergencies that occur in pregnancy or during or after labor and delivery.
main emergencies are
Ectopic Pregnancy
Uterine Inversion
Obstetrical Shock
Cord Prolepses
Amniotic Fluid Embolism
Postpartum Hemorrhage
Definition-
The destructive operations are designed to diminish the bulk of the fetus so as to facilitate easy delivery through the birth canal
types
Craniotomy
Eviceration
Decapitation
Cleidotomy
CRANIOTOMY
Definition
It is an operation to make a perforation on the fetal head to evacuate the contents followed by extraction of the fetus
DECAPITATION
Definition
It is a destructive operation whereby the fetal head is severed from the trunk and the delivery is completed with the extraction of the trunk and that of the decapitated head per vaginam
CLEIDOTOMY
Definition
The operation consist of reduction in the bulk of the shoulder girdle by division of one or both the clavicles
Indications
Dead fetus with shoulder dystocia
Procedure
The clavicles are divided by the embryotomy scissors or long straight scissors introduced under the guidance of left two fingers placed inside the vagina
Antenatal exercises are exercises performed by the women in their antenatal period to enhance the circulation and prevent various kind of complications. It also gives a feeling of well being to the women.
Fecal Incontinence in the Scleroderma Patient: What We Know and Where We Should Go
Darren M. Brenner, MD Assistant Professor of Medicine and Surgery Northwestern University—Feinberg School of Medicine
Presented at Scleroderma Patient Education Conference - Saturday, October 19, 2013
Conference hosted by the Scleroderma Foundation, Greater Chicago Chapter and the Northwestern Scleroderma Program
Please find the power point on Hyperemesis gravidarum and its managemen. I tried to present it on understandable way and all the contents are reviewed by experts and from very reliable references. Thank you
Practical bowel management in MS - Maureen CoggraveMS Trust
Aims:
- Understand concept of neurogenic bowel dysfunction (NBD) as seen in people with MS
- Appreciate impact of NBD on quality of life
- Understand the importance of case finding
- Be aware of assessment methods in NBD
- Be aware of potential methods of management, particularly conservative interventions
- Be aware of resources to support management
Urinary Tract Infection with Nursing ManagementSwatilekha Das
Urinary Tract Infection introduction, definition, common microorganisms, classification, predisposing factors, clinical manifestations, pathophysiology, diagnostic studies, medical management and nursing management along with assessment, nursing diagnosis, goal, nursing interventions and expected outcome after the intervention.
The uterine ageing affects endometrial receptivity, implantation, decidualization, and pregnancy outcomes. Animal and human in vitro studies are discussed. Donor egg program results in relation to recipients' age were compared between age groups.
Artificial Intelligence applications on Women's Health. Issues such as the prediction for bone loss, osteoporosis, stroke, myocardial infarction, ovarian cancer, endometrial cancer, cervical dysplasias and many more are discussed.
The World Health Organization (WHO) defined «healthy ageing»
as the process of developing and maintaining the functional ability
that enables wellbeing in older age. WHO describes this functional ability as being formed by interactions between intrinsic capacity and environmental characteristics.
The intrinsic capacity includes the mental and physical capacities of a person.
The environmental characteristics are related to home, community and society as a whole
Ethnobotany and Ethnopharmacology:
Ethnobotany in herbal drug evaluation,
Impact of Ethnobotany in traditional medicine,
New development in herbals,
Bio-prospecting tools for drug discovery,
Role of Ethnopharmacology in drug evaluation,
Reverse Pharmacology.
Operation “Blue Star” is the only event in the history of Independent India where the state went into war with its own people. Even after about 40 years it is not clear if it was culmination of states anger over people of the region, a political game of power or start of dictatorial chapter in the democratic setup.
The people of Punjab felt alienated from main stream due to denial of their just demands during a long democratic struggle since independence. As it happen all over the word, it led to militant struggle with great loss of lives of military, police and civilian personnel. Killing of Indira Gandhi and massacre of innocent Sikhs in Delhi and other India cities was also associated with this movement.
Read| The latest issue of The Challenger is here! We are thrilled to announce that our school paper has qualified for the NATIONAL SCHOOLS PRESS CONFERENCE (NSPC) 2024. Thank you for your unwavering support and trust. Dive into the stories that made us stand out!
This is a presentation by Dada Robert in a Your Skill Boost masterclass organised by the Excellence Foundation for South Sudan (EFSS) on Saturday, the 25th and Sunday, the 26th of May 2024.
He discussed the concept of quality improvement, emphasizing its applicability to various aspects of life, including personal, project, and program improvements. He defined quality as doing the right thing at the right time in the right way to achieve the best possible results and discussed the concept of the "gap" between what we know and what we do, and how this gap represents the areas we need to improve. He explained the scientific approach to quality improvement, which involves systematic performance analysis, testing and learning, and implementing change ideas. He also highlighted the importance of client focus and a team approach to quality improvement.
Model Attribute Check Company Auto PropertyCeline George
In Odoo, the multi-company feature allows you to manage multiple companies within a single Odoo database instance. Each company can have its own configurations while still sharing common resources such as products, customers, and suppliers.
The Indian economy is classified into different sectors to simplify the analysis and understanding of economic activities. For Class 10, it's essential to grasp the sectors of the Indian economy, understand their characteristics, and recognize their importance. This guide will provide detailed notes on the Sectors of the Indian Economy Class 10, using specific long-tail keywords to enhance comprehension.
For more information, visit-www.vavaclasses.com
Unit 8 - Information and Communication Technology (Paper I).pdfThiyagu K
This slides describes the basic concepts of ICT, basics of Email, Emerging Technology and Digital Initiatives in Education. This presentations aligns with the UGC Paper I syllabus.
Instructions for Submissions thorugh G- Classroom.pptxJheel Barad
This presentation provides a briefing on how to upload submissions and documents in Google Classroom. It was prepared as part of an orientation for new Sainik School in-service teacher trainees. As a training officer, my goal is to ensure that you are comfortable and proficient with this essential tool for managing assignments and fostering student engagement.
How to Create Map Views in the Odoo 17 ERPCeline George
The map views are useful for providing a geographical representation of data. They allow users to visualize and analyze the data in a more intuitive manner.
2. Definition
• “Involuntary loss of urine or stool in
sufficient amount or frequency to
constitute a social and/or health problem.
• A heterogeneous condition that ranges in
severity from dribbling small amounts of
urine to continuous urinary
incontinence…”
3. Prevalence
• Affects up 20% of community-dwelling
older individuals
• Affects up to 50 % of nursing home
residents
• Increases gradually during youth
• Peaks around middle age
• Steadily increases in the elderly
4. Prevalance of UI among women
EPINCONT Study [n=27.936]
Hannestad et al, J Clin Epidemiol 2003;53:1150-1157
9. Stress
• Leakage with increase in intra-abdominal
pressure
• Urethral sphincter malfunction (intrinsic weakness) /
bladder neck hypermobility
• Associated with weakening of pelvic floor muscle
• Loss of small to moderate amount of urine
• No evidence of urgency or nocturia
10. Urge
• Voiding dysfunction associated with involuntary loss of
urine
• Detrusor overactivity
• Urgency
• Frequency
• Night time voiding
• Most common in older women
11. Overflow
• Involuntary loss of urine due to distention of the
bladder
• Filling occurs to the stretch limit of the bladder
• Underactive detrusor with/without bladder outlet
obstruction
• Large PVR >400cc
• Dribbling, frequency
• High rates of infections
21. Pharmacological Treatment
• Anticholinergics=detrusor underactivity, may cause
retention
• Cholinergics=detrusor overactivity, may cause frequency
• Alpha agonists=outlet overactivity, may cause retention
• Alpha blockers=outlet underactivity, may cause stress
incontinence
25. Physiology of Stress
Incontinence
1. Urethral sphincter fails to protect against
loss of urine
– Intrinsic weakness
– Failure to contract
2. Urethral hypermobility
3. Coexist together
26. Pharmacological Treatment of
Stress Incontinence
1. Phenylpropanolamine hydrochloride /pseudoephedrine
/midodrine
• Reduction in pad changes
• Reduction in incontinence episodes
• Improvement in subjective symptoms
2. Duloxetine (Cymbalta)
• Inhibitor of serotonin/norepinephrine reuptake
• Increases serotonin/norepinephrine levels in the sacral
spinal cord
• Increased contraction of urethral sphincters during urine
storage phase of micturition cycle
27. Physiology & Pharmacological
Treatment for Overactive Bladder
1. Neurogenic
– Cause-enhanced bladder C-fiber sensory input
– Abnormal atropine-resistant parasympathetic transmission
– Acetylcholine mediates detrusor contraction
2. Anticholinergic versus placebo control
– 41% experienced a cure or improvement in urinary
incontinence, improvement in leakage episodes/24 hours,
number of voids in 24 hours, volume at first contraction
29. Muscarinic Receptors Antagonists
• Detrusor contraction –mediated by M3 muscarinic
receptors
• Mainstay of treatment
• Choose an agent that is selective for the bladder