AccessMyLibrary provides FREE access to over 30 million articles from top publications available through your library.
Create a link to this page
Copy and paste this link tag into your Web page or blog:
'Prescribe' strategies to treat incontinence. (Behavioral Approaches).
BALTIMORE -- Behavioral approaches to urinary incontinence will be more successful if the treatment is "prescribed" in much the same way medication is, Dr. Ananias Diokno said at a urogynecology meeting sponsored by Johns Hopkins University.
National surveys indicate that 38% of elderly women living in the community develop urinary incontinence, as do at least half of both men and women residing in nursing homes.
"You can expect that roughly half of the women over 60 in the average gyn. practice will be incontinent. In about one-fourth of them it will be pure stress incontinence, a few will have pure urge incontinence, and approximately 60% will have mixed incontinence," said Dr. Diokno, chief of urology at William Beaumont Hospital in Royal Oak, Mich.
Behavioral treatment combined with drug therapy should be the first-line approach in these women. Surgery should be reserved for the women who fail to respond to behavioral and pharmacologic measures, he said.
Pelvic exercises, with or without biofeedback training, can be effective for a significant majority of patients, but only if they are taken seriously. "If a patient practices Kegels only when she urinates, then she's only practicing about 10 times a day Tell her that Kegels are like a medicine that she has to take throughout the day for them to be effective," he said.
The physician should show the patient where the muscles are during a physical exam and teach the Kegel technique then. Have the patient demonstrate contracting the muscles for a full 10 seconds, then relaxing for 10 seconds, at this exam. Then the physician should "prescribe" an exercise routine with a specific "dose" on a prescription pad to reinforce this instruction.
"You can motivate these patients by telling them the cure ...
- Behavioral approaches to improving wound care.(Feature Article)
- Magazine article from: Nursing Homes April 1, 1996 700+ words
...training that stimulates creative ive in regard to reaching behavioral approaches or situational wound care goals. changes that foster...educational products" is entitled Healing People: Using Behavioral Approaches to Improve Wound Care Effectiveness. The booklet focuses...
- Behavioral Approaches to Law and Economics. (National Bureau of Economic...
- Magazine article from: NBER Reporter December 22, 1997 700+ words
...economists and academic lawyers gathered in Cambridge on November 14 for the NBER's first "Conference on Behavioral Approaches to Law and Economics." The conference was organized by Robert Gertner and Richard H. Thaler, of NBER...
- Behavioral Approaches Focus On People, Not Prohibited Items.
- Magazine article from: Airport Security Report July 13, 2005 700+ words
The behavioral observation techniques being pursued at Boston Logan Int'l Airport (BOS), and now by the Transportation Security Administration (TSA) on a trial basis, could help TSA and the nation's airports get past the post-9/11 preoccupation with prohibited "things" and focus more on potentially
- The Behavioral Oncology Interest Group reports on their annual meeting.
- Newspaper article from: Cancer Weekly April 6, 2004 700+ words
...com & NewsRx.net) -- Behavioral approaches to cancer prevention are important...current state-of-the-science in behavioral approaches to cancer prevention and control...key areas were considered: (a) behavioral approaches to cancer genetic risk assessment...
- Mood disorders, depression, brain chemistry relationship to weight loss and...
- Magazine article from: Townsend Letter for Doctors and Patients Anderson, Robert A. April 1, 2004 700+ words
...psychotropic medicines. Use of behavioral approaches such as hypnosis used...handling of stress, and behavioral approaches for enhancement of sleep...vicious cycle. The behavioral approaches which improve stress...
- Defining the Differences Between OUTCOME-BASED EDUCATION AND MASTERY LEARNING.
- Magazine article from: School Administrator GUSKEY, THOMAS R. September 1, 1994 700+ words
...objectives became associated with behavioral approaches to instruction. These approaches...seemingly mechanistic nature of behavioral approaches soon fell out of favor among mainstream...suffered from the same linkages to behavioral approaches as did "objectives." Another...
- Combining schema-focused cognitive therapy and psychodrama: a model for...
- Magazine article from: Journal of Group Psychotherapy Psychodrama and Soiometry Griffith, Lucy F. December 22, 2003 700+ words
...to be a driving force. Many cognitive and cognitive-behavioral approaches are brief therapies, and there is empirical evidence...functioning. In a review of recent practice in cognitive-behavioral approaches, I found indications of significant use of psychodramatic...
- Insomnia in elderly: medicate with care; Many clinicians prefer...
- Magazine article from: Clinical Psychiatry News Sherman, Carl October 1, 2007 700+ words
...should be prescribed, if at all, in the context of behavioral approaches. At the least, this means addressing sleep hygiene...indicated when symptoms don't improve sufficiently" with behavioral approaches, or for quicker relief and to facilitate participation...
Source: HighBeam Research, 'Prescribe' strategies to treat incontinence. (Behavioral Approaches).