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CONTINUING PROFESSIONAL DEVELOPMENT
1. Which of the following is the LEAST
appropriate self-care strategy
in the management of urinary
a) Restrict fluid intake.
b) Restrict consumption of alcohol and
c) Use barrier creams to protect skin.
d) Pelvic floor muscle exercises.
2. If a person describes loss of urine
when they cough or laugh, this is
MOST likely to be:
a) Stress incontinence.
b) Urge incontinence.
c) Overflow incontinence.
d) Functional incontinence.
3. Select the most appropriate
response. Faecal incontinence may
c) Either constipation or diarrhoea.
d) Neither constipation nor diarrhoea.
4. Which of the following is a risk factor
for urinary incontinence?
a) Male gender.
b) Never having been pregnant.
c) Of low body weight.
d) Urinary tract infection.
5. What proportion of people affected
by incontinence has it been
estimated could be better managed?
a) 20–30% .
d) 80–90% .
products are negotiated as part of the
applicant’s care plan
• they are eligible for assistance with
continence products under the
Rehabilitation Appliances Program
• incontinence is transient (not
permanent), or can be treated with
conservative treatment (e.g. pelvic
floor exercises or bladder re-training),
medicines or surgery, or is confined to
night-time bed wetting or
• they are serving a prison sentence.
A range of other schemes also operate
within States and Territories. The National
Continence Helpline can provide
assistance about the various schemes, or
the agencies administering the schemes
can be contacted directly (see Table 3).
Where can I find further
• PSA Self Care Fact Cards: Bladder and
urine control, and Pelvic floor exercises
• Continence Foundation of Australia
(the peak body for continence
management and promotion)
National Continence Helpline:
1800 330 066
Website (consumer and health
• Australian Government
Bladder Bowel website (consumer
and health professional information):
Mrs Xeniadis has a number of risk factors
for urinary continence, and when you
ask her to describe the symptoms, it
appears she has stress incontinence.
You reassure her that over half of women
her age suffer from the symptoms of
incontinence. You tell her about the
many reversible causes of incontinence,
and check her medication history to see
if any medications she is taking may be
contributing. You encourage her to have
a comprehensive assessment from a
local Continence Nurse Advisor and her
GP so that other reversible causes can
You help her select an appropriate
incontinence pad and discuss
other self-management strategies,
including ensuring adequate fluid intake and
Table 3. State and Territory funding schemes for incontinence products
ACT ACT Equipment Scheme: 02 6205 2599
NSW ENABLE NSW – Program of Appliances for Disable People: 1800 362 253
NT Disability Equipment Program (DEP) Scheme:
Darwin 08 8922 7244
Darwin remote 08 8922 8317
Katherine 08 8973 8778
Alice Springs 08 8951 6744
Nhulunbuy 08 8987 0400
QLD Medical Aids Subsidy Scheme (MASS): 07 3136 3665
SA Department for Families & Communities Equipment Program: 08 8266 5260, 1300 885 886
Novita Children’s Services Continence Assistance Program: 1800 337 443
VIC Aids and Equipment Program (A&EP), Continence Support Service (CSS) & Early Choices
Program for children 0-5 years: 1300 650 172
WA Continence Management and Advice Service: 1300 787 055
*Current schemes updated at www.continence.org.au
avoiding coffee and alcohol. You provide her
with a PSA Self Care Fact Card on Pelvic floor
exercises and tell her a physiotherapist that
specialises in this area will be able to train her
how to do them to get the best effect.
1. The Continence Guide. Melbourne: The Continence
Foundation of Australia; 2009.
2. Research Centre for Clinical and Community Practice Innovation,
Griffith University. What now? Helping clients live positively
with urinary incontinence. Canberra: Australian Government
Department of Health and Ageing; 2007.
3. Factsheet: Quotable facts and stats. Continence Foundation
of Australia. At: www.continence.org.au/resources.
php/01tA0000001b1bpIAA/quotable-stats-and-facts on 4/5/2014.
4. Incontinence in Australia: prevalence, experience and
cost. Canberra: Australian Institute of Health and Welfare;
2012. At: www.aihw.gov.au/WorkArea/DownloadAsset.
aspx?id=60129542321 on 4/5/2014.
5. Management of urinary incontinence – flow chart. Melbourne:
National Continence Foundation of Australia; 2010. At: www.
management-of-urinary-incontinence-flow-chart on 4/5/2014.
6. WA Research Unit of the RACGP. Managing incontinence in
General Practice – Clinical Practice Guidelines. Melbourne:
Royal Australian College of General Practitioners; 2002.
7. Continence Aids Payment Scheme. At: www.bladderbowel.
gov.au on 6/5/2014.
COUNSELLING IN PRACTICE
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