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Improving Care for Women With Urinary Incontinence in Primary Care

Published:September 18, 2017DOI:https://doi.org/10.1016/j.nurpra.2017.08.010

      Highlights

      • Urinary incontinence (UI) is prevalent and burdensome, primarily impacting women.
      • UI is undertreated due to lack of regular leakage screening by clinicians.
      • Targeted history and physical exam skills can lead to accurate UI diagnoses.
      • Nonpharm first-line interventions are effective at improving UI and quality of life.
      • Clinicians should screen for and offer first-line treatment for women with leakage.

      Abstract

      Urinary incontinence (UI) is highly prevalent in primary care, disproportionately impacts women, and is associated with poor quality of life related to significant psychological, physical, social, and financial burdens. UI places significant economic burden on the United States health care system. Cost-effective, first-line UI treatments improve continence and can be successfully offered in primary care. Unfortunately, UI is largely untreated, in part because health care providers fail to inquire about involuntary urine leakage and are uncomfortable with UI diagnosis and treatment. The aim of this article is to familiarize clinicians with UI risk factors and effective nonpharmacologic management strategies for primary care.

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      Biography

      Susan G. Wiers, DNP, FNP-BC, is a clinical assistant professor at Wayne State University in Detroit, MI. She can be reached at [email protected].

      Biography

      Linda J. Keilman, DNP, GNP-BC, is an assistant professor in health programs in the College of Nursing at Michigan State University in East Lansing, MI.