Home' Australian Pharmacist : Australian Pharmacist Sept 2013 Contents Australian Pharmacist September 2013 I © Pharmaceutical Society of Australia Ltd.
1. Which one of the following types
of incontinence is associated with
bladder leakage upon physical
2. Which of the following medications
is MOST likely to cause overflow
3. Obese patients are most likely
to experience which type of
4. Patients with diabetes may
experience urinary incontinence due
to a variety of factors, such as:
a) decreased bladder capacity.
b) detrusor hyper-contractibility.
c) raised intra-abdominal pressure.
d) all of the above.
5. Urinary tract infections can cause
urinary urge incontinence due to:
a) detrusor overactivity.
b) urinary sphincter failure.
c) increased bladder capacity.
d) constriction of bladder outlet.
Key learning points
Urinary incontinence can have a
significant impact on a patient’s
quality of life. It is an embarrassing
topic for patients, and often, they do
not seek help.
Pharmacists are well placed to identify
potential cases of urinary incontinence
and probable causes. Patients can be
asked a series of detailed questions
to elicit a comprehensive patient
history, and via this method, several
risk factors for incontinence can
be eliminated. Following this, the
provision of detailed information
regarding the condition, treatment
and preventive measures can be
communicated with the patient.
Pharmacists can also provide a clear
and simple explanation of pelvic floor
muscle exercises, in an attempt to
provide holistic patient care.
1. Khandelwal C, Kistler C. Diagnosis of urinary incontinence. Am
Fam Phys. 2013;87(8):543–50.
2. Robinson D. Staskin D, Latzera R, Koebl H. Defining female
voiding dysfunction: ICI-RS 2011. Neurology and Urodynamics.
3. Delasobera B, Rogers W. A case of sudden, painless, and
persistent urinary incontinence. The Journal of Emergency
4. Hobgood E. Midlife women and urinary incontinence: causes,
lifestyles and treatments. Medsurg Nursing. 1999;8(1):19–24.
5. Vaughan C, Goode P, Burgio K, Markland A. Urinary
incontinence in older adults. Mount Sinai Journal of Medicine.
6. Goepel M, Kirschner-Hermanns R, Welz-Barth A, Steinwachs K,
Ruben H. Urinary incontinence in the elderly. Dtsch Arztebl Int.
7. Norton P, Brubaker L. Urinary incontinence in women. The
8. Murtagh J. Murtagh’s general practice. Fifth edn. Sydney: Mc
Graw-Hill; 2011. P. 225 .
9. Tsakiris P, Oelke M, Michel M. Drug-induced urinary
incontinence. Drugs Aging. 2008;25(7):541–9 .
10. WA Research Unit of the Royal Australian College of General
Practitioners. Managing Incontinence in General Practice –
Clinical Practice Guidelines, 1stedn. 2002. At: www.health.gov.
11. Medicines and urinary incontinence. In: Sansom LN, ed.
Australian pharmaceutical formulary and handbook. 22nd edn.
Canberra: Pharmaceutical Society of Australia, 2012.
12. Urinary incontinence in adults [revised Nov 2102]. In: Merck
Manual of Diagnosis and Therapy. At: www.merckmanuals.
13. Medicines that may cause or make incontinence worse. In:
NPS News 66: Managing urinary incontinence. NPS Dec 2009.
14. Rossi S, ed. Australian medicines handbook. Adelaide:
Australian Medicines Handbook; 2012. At: www.amh.net.au/
15. National Institute for Health and Clinical Excellence. Urinary
incontinence; the management of urinary incontinence
in women. Oct 2006. At: www.nice.org.uk/nicemedia/
16. Continence Foundation of Australia. Pelvic floor muscle
training for women. At: http://www.continence.org.au/
Blackmores tackles inactivity
Blackmores has launched a campaign
tackling the issue of inactivity and
encouraging Australian’s to live healthier
lives with a simple, straightforward message
– do less unhealthy, and more healthy
activities. The campaign then centers around
a website (www.alittlelesslittlemore.com)
encouraging people to pledge what they
are going to do a little less of, and a little
more of. To complement this, Blackmores will
promote the hashtag #littlelesslittlemore for
use on instagram and twitter, encouraging
users to share their commitment with
pictures and updates about the positive
changes they have made. A TV, and print
campaign encourages people to visit the
site and will conclude with the Blackmore’s
Sydney Running Festival on 22 September.
The Australian Institute of Health and Welfare
(AIHW) has released two reports related to
men’s health. The first, The health of Australia’s
males: from birth to young adulthood
(0-24 years) found that male babies born in
2009-11 can expect to live to the age of 79.7,
nearly five years less than female babies
born the same year (84.2The second report,
The health of Australia’s males: 25 years and
over, found that males aged 25 and over in
2011 can expect, on average, to live to 80
or over. One in 10 males aged 50–59 (11%)
and 60–69 (10%) are daily at risk of injury
resulting from excessive alcohol.
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