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Inform issue 25 – Winter 2018

  • Text
  • Disability
  • Catheter
  • Cyberbullying
  • Ensure
  • Provider
  • Chronic
  • Supports
  • Bladder
  • Australia
  • Ndis
In this issue of Inform we focus on new beginnings and changes. We follow the story of Joel who following a traumatic accident, had to start from scratch in his career.

Featured Product TENA

Featured Product TENA FOR MEN to help with prostate enlargement Enlargement of the prostate is a normal part of ageing for men. The prostate gland surrounds the top part of the urethra and enlargement narrows the urethra and puts pressure on the base of the bladder. This can affect the passing of urine and can cause a variety of symptoms, including urinary incontinence for some men. Some will have enlargement with no symptoms and others will have symptoms requiring intervention. One in seven men will be diagnosed with prostate cancer by the age of 85. It is more common in older men, with 63% of cases diagnosed in men over 65 years of age (1) . Surgery is usually only considered for incontinence after non-invasive treatments have failed and the condition is interfering with the individual’s quality of life. It is a big decision for anyone as there can be complications, such as infection, bleeding and damage to surrounding tissue and nerves, so it is usually considered as a last resort option. The following are non- invasive strategies to help address enlarged prostate symptoms: • loss of weight can reduce pressure on the pelvic floor and bladder • avoidance of caffeinated drinks (alcohol, fizzy drinks, coffee, tea) that can irritate the bladder and increase urinary frequency • reduction or cessation of smoking as it can also irritate the bladder (2) • pelvic floor muscle exercises can support the bladder and urethra to improve urinary control (referral to a specialist men’s health physiotherapist if needed) (3) • bladder retraining can improve bladder capacity (4) • Use of a discreet pad for dribbles or incontinence so that one can feel dry, maintain dignity and feel confident in social situations If all these measures have not improved symptoms, surgical options may need to be explored. Of course if the prostate is cancerous, an individual may require surgery or radiation therapy as immediate treatment, but this will be determined by the Urologist. TENA has an excellent range of products specially designed for men. They come in a range of sizes, levels of absorbency and with a discreet design. Free samples can be ordered via TENA website: www.tena.com.au 1.https://www.cancer.org.au 2.https://www.tena.com.au/men/causes-of-urinary-incontinence/being-a-smoker/ 3.https://www.tena.com.au/men/incontinence-treatments/pelvic-floor-exercises-for-men 4.https://www.tena.com.au/women/incontinence-treatments/bladder-retraining/ 6

Your Health Your health Staying free from Urinary Tract Infections A urinary tract infection (UTI) is a relatively common but unpleasant problem that affects the bladder and/ or kidneys. Symptoms may include; changes in bladder habits, burning pain with urination, back or tummy pain, urinary urgency, incontinence, a high fever and even delirium if left untreated. Not all infections are easy to detect, and some people may feel only mildly unwell or have unexplained changes to their bladder habits. Carers of people who cannot communicate clearly often report that the only outward indication of a UTI is strong smelling urine or a change in mood or behaviour. Fact: women and the elderly have a slightly higher risk of UTI Most urinary infections are caused by a bacteria that has made its way into the bladder via the urethra or via continence aids such as a catheter. This requires direct contact between the entrance to the bladder and the bacteria. Bad smells and public toilet seats are not to blame for UTIs, because they do not make contact with the entrance to the bladder. UTIs are more likely caused by: 1. Poor wiping techniques after toileting. It is important to wipe from front to back, particularly after a bowel action. Bacteria that belong in the bowel can cause problems if they get into the urethra and bladder. 2. Bacteria on your hands or other surfaces making contact with the urethra or continence aids. Make sure you know the correct clean techniques for using catheters and use single-use catheters where possible. Care workers should wash their hands well and wear gloves for intimate care. 3. Broken, wet and fragile skin, which is more susceptible to infection. Good skin care and appropriate use of continence aids can ensure skin is healthy and more resistant to infection. Powders and harsh soaps should not be used on intimate areas. 4. Poor fluid intake. A good flow of urine can wash away any stray bacteria that may be in or near the urethra, therefore preventing an infection. Drinking about 1500ml of fluid a day ensures a good amount of urine. 5. Not emptying your bladder fully. If you hover instead of sitting properly on the toilet, some urine stays inside the bladder which encourages stray bacteria to multiply rather than being flushed out. Other causes of incomplete emptying include constipation and prostate enlargement. 7