The experience of urinary incontinence in stroke survivors: A follow-up qualitative study

Abstract

UI continued well beyond discharge and was shaped by limited advice, distress, and role loss. Occupational therapists are encouraged to engage in assessment, management, and treatment of UI, including the provision of education that promotes continence, attenuates negative experiences, and enhances community participation.

Life after Stroke: Coping mechanisms among African Caribbean Women

“…Issues around sensitive topics such as urinary incontinence, which may continue long after discharge, also impacted on daily functioning (White et al . ). Concerns such as finance or dependence on others are also important and may impact on social and mental health.…”

“…These deficits can also impact on daily living; for example, Guidetti et al (2014) noted that at 3 and 12 months post stroke, difficulties are experienced in daily activities of living. Issues around sensitive topics such as urinary incontinence, which may continue long after discharge, also impacted on daily functioning (White et al 2014). Concerns such as finance or dependence on others are also important and may impact on social and mental health.…”

Fallbeispiel: Kontinenzförderung nach Apoplex

“…2,3 Diese Urininkontinenz wirkt sich negativ auf die Lebensqualität der Betroffenen aus und hat weiter auch einen negativen Einfluss auf den Rehabilitationserfolg. 4,5 In einer Langzeitbeobachtung hat sich gezeigt, dass Personen, die bei Austritt aus der Erstrehabilitation urininkontinent sind, ein Jahr später häufiger in einer stationären Langzeiteinrichtung leben (45 %) im Vergleich zu den Schlaganfallpatienten, die bei Austritt kontinent waren (5 %). 6 Dranginkontinenz ist die am häufigsten vorkommende Inkontinenzform nach einem Apoplex.…”

Impairment in toileting behavior after a stroke

“…Therefore, stroke patients, as well as their families, seek restoration of the ability for independent toileting, which should be addressed in rehabilitation. Therapists working with stroke patients spend a large proportion of their day teaching patients how to carry out toileting activities . However, previous studies on functional independence in patients after stroke have suggested that activities related to toileting are difficult for post‐stroke patients to carry out .…”

“…Therapists working with stroke patients spend a large proportion of their day teaching patients how to carry out toileting activities. 6 However, previous studies on functional independence in patients after stroke have suggested that activities related to toileting are difficult for post-stroke patients to carry out. 7 In fact, despite rehabilitation, 11-25% of patients are still unable to carry out toileting independently after admission to the hospital for a stroke.…”