How to tackle a tricky subject
Incontinence can be a difficult subject for your patients to discuss, because there is such a taboo around the subject. The truth is that it's a very common condition, and often manageable once the problem is identified. The association of shame and guilt mean many patients will deny the condition even when it is apparent.
How to begin
Make it a routine issue. Treat incontinence as just another part of your discussion about the patient’s health. There’s no reason to treat it in a special way – because bladder control problems are common and treatment is often available.
By letting patients know that the condition is common, it will help to remove the stigma of embarassment, making them feel less awkward and more ready to accept treatment of their condition. Because of the stigma, patients can feel that they have no control over the situation. By teaching them how to manage the condition, you can give them a sense of responsibility and security.
Don't Delay
It’s important to address the subject and start any treatment as early as possible. Of course this helps patients avoid continued emotional and physical strain from their condition, but it also can prevent some even more severe social consequences. Incontinence is an all too frequent reason for admission into a nursing home –a drastic step for patients, their families and society as a whole. By talking early, and offering hope for the future through effective management, you can help patients stay in their own homes longer.
Offer hope
The condition is often treatable but too many patients believe it’s a natural sign of ageing or simply can’t be cured. By telling them that the majority of incontinence cases can be significantly improved, it is far easier for these patients to face their condition and start discussing treatment.
Different words can make a real difference when raising the topic. Many patients are confused or in denial about ‘incontinence’ so using words such as ‘bladder weakness’ or ‘bladder problem’ can be less daunting and easily understood.
Discuss healthy bladder basics, such as encouraging patients to drink enough liquid; 8-10 glasses a day, increasing fibre in their diet, regular exercising and discuss the benefits of pelvic floor muscle exercises.
You can also direct them here to our site for more information and advice on ways to manage their particular situaion.
Keep talking about it
Bring up the subject regularly to all patients. Incontinence can affect people of all ages, not just the frail elderly. Prostate conditions, pregnancy and the menopause can all bring bladder weakness issues.
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