Download or read book Effective Management of Bladder and Bowel Problems in Children written by Mandy Wells and published by Class Publishing Ltd. This book was released on 2007-07-02 with total page 391 pages. Available in PDF, EPUB and Kindle. Book excerpt: Under normal circumstances, a child will gain control of his or her bladder and bowels by the age of four. If this does not happen, the child's social, mental and physical health can be affected. Health professionals have a duty of care to enable continence problems to be overcome as far as possible. This book explains how this can be done.

Download or read book Neurogenic bladder and bowel dysfunction written by Peter Wide and published by Linköping University Electronic Press. This book was released on 2020-09-11 with total page 71 pages. Available in PDF, EPUB and Kindle. Book excerpt: Spinal dysraphism (SD) is a congenital malformation that to a varying extent, often severely, affects the life of the child and the family. Most individuals with SD suffer from neurogenic bladder and bowel dysfunction—with the risk of urinary tract infections, renal deterioration, urinary and fecal incontinence—that affects social participation and quality of life negatively. In newborns with SD, early detection of neurogenic bladder dysfunction and determination of post-void residual urine are required to determine the need of clean intermittent catheterization (CIC) and follow-up. The non-invasive method of four-hour voiding observation with provocation test (VOP) was used to evaluate bladder function in 50 newborn children with SD. Voiding patterns for the children were described and compared with those of 50 healthy newborns evaluated with VOP in an earlier study. Comparison revealed significant differences among several variables. In particular, leakage at provocation test and not voiding with a stream were common in newborns with SD but did not occur in healthy newborns. VOP is a non-invasive standardized method to determine residual urine in newborns with SD. It also adds information on voiding pattern, frequency, voiding with a stream and leakage at provocation. Findings in neonatal VOP of the same cohort of newborns with SD were then related to radiology, presence of urinary tract infections during the first year, and urodynamic findings and use of CIC at the age of one year. It was found that, in children with SD, not voiding with a stream may have a predictive value for the need of CIC at the age of one year, followed probably by lifelong CIC. Despite this, the presence of an open SD per se has stronger predictive value, and each child needs to be evaluated individually while considering a number of factors. The main value of VOP may be as a structured non-invasive screening method to uncover neurogenic bladder-sphincter dysfunction in the newborn. Studies with a larger number of subjects than the present are needed to evaluate the potential of VOP in newborns with closed spinal dysraphism in whom the neurological consequences vary. A retrospective analysis detected renal damage on DMSA scintigraphy in 5 of 41 children with SD who were followed according to a proactive national program with minimal use of surgery. Median follow-up time was 10 years. High baseline pressure was confirmed as a risk factor for renal damage. Compliance with treatment and follow-up is likely to be an important factor for renal health. Therefore, efforts to support children and their families are crucial. A questionnaire-based study of 107 children with SD (age 6–16y) in Sweden and Norway examined aspects of treatment for neurogenic bowel dysfunction focusing on incontinence, independence, general satisfaction and quality of life. It was found that transanal irrigation (TAI) and antegrade colonic enemas (ACE) are effective treatments, but are time-consuming and difficult to perform independently. The majority of children using TAI (72%) and ACE (63%) never went to the toilet alone to empty their bowels. As children achieving independence on the toilet reported higher quality of life, efforts to support independence are beneficial. Continent, self-managing children with healthy kidneys enjoy high quality of life and contribute more fully to society. Therefore, further research is required to investigate and develop existing and new technologies and methods that mitigate the problems related to SD, and to make them accessible to all children with spinal dysraphism. Under de senaste 50 åren har det skett en enastående utveckling av möjligheterna för barn som föds med ryggmärgsbråck. Tidigare har majoriteten av barn med ryggmärgsbråck avlidit redan som spädbarn men idag överlever de flesta till vuxen ålder. Utan aktiva insatser och uppföljning är dock risken för medicinska problem och allvarlig påverkan på livet mycket stor. Nu när nästan alla barn överlever ligger fokus på att också nå okad livskvalitet och självständighet för personer med ryggmärgsbråck. Nästan alla med ryggmärgsbråck måste hantera en allvarlig påverkan på blåsan och tarmen med risk för njurskador, inkontinens och förstoppning. I avhandlingens två första studier värderade vi en metod att, med minimalt obehag för barnet, bedöma blåsfunktionen. Detta för att kunna skilja ut de barn som behöver genomgå mer avancerade undersökningar och få hjälp med blåstömningen genom täta tappningar med kateter, sa kallad ren intermittent kateterisering, RIK. När vi jämförde resultatet av testet för 50 nyfödda med ryggmärgsbråck med samma undersökning av 50 friska nyfödda fann vi stora skillnader. Mest tydligt var att de flesta nyfödda med ryggmärgsbråck (69%) men inga friska nyfödda läckte urin när man tryckte över blåsan. Av nyfödda med ryggmärgsbråck kissade de flesta (74%) inte med stråle vilket alla friska nyfödda gjorde. Att inte kissa med stråle talade också starkt för att barnet skulle komma att behöva hjälp med RIK för att tomma blåsan vid ett ars ålder, och då sannolikt livet ut. Sammantaget visade avhandlingens två första arbeten att den metod för bedömning av blåsfunktion vi undersökt kan användas för att styra uppföljning och behandling av nyfödda med ryggmärgsbråck. Avhandlingens tredje studie visade att aktiv uppföljning av barnen enligt ett nationellt vårdprogram lyckades förhindra njurskador hos de flesta, men att höga tryck i urinblåsan och återkommande urinvägsinfektioner ökade risken för skador. Även familjernas förmåga att i en pressad vardag klara av att genomföra de ofta krävande behandlingar och undersökningar som rekommenderas verkade vara viktig för att förhindra njurskador. Stöttning av familjerna är därför viktig. Avhandlingens fjärde arbete berörde tarmen som nästan alltid är påverkad vid ryggmärgsbråck, med risk för svår förstoppning och avföringsläckage. Detta har påtaglig påverkan på barnen och deras familjer. En tredjedel av de 107 familjerna i vår enkätundersökning i Sverige och Norge (barn 6-16 år) beskrev att man fått avstå från aktiviteter såsom resor på grund av barnets tarmproblem och de barn som hade avföringsläckage rapporterade tydligt lägre livskvalitet än andra. Trots denna allvarliga påverkan finns det hittills inga studier som jämför de olika behandlingar som barnet kan använda. I vår enkät kartlade vi därför vilka metoder som användes och hur bra de fungerade. Vi ställde frågor till både barn och föräldrar, särskilt om avföringsläckage, hur nöjd man var med metoden, barnens livskvalitet och självständighet på toaletten. Det var utifrån svaren tydligt att båda de vanligaste typerna av tarmsköljning var effektiva men tidskrävande och svara för barn och ungdomar att klara att utföra på egen hand. Ingen metod visade sig överlägsen den andra men de barn som klarade att skota tarmtomningen själva skattade sin livskvalitet klart högre än övriga. Vi drar därför slutsatsen att det är viktigt att vårdpersonal diskuterar de olika behandlingsalternativen med barn och föräldrar, och tillsammans med dem väljer den metod som passar det enskilda barnet bäst. Då skapas bästa förutsättningar för att gemensamt arbeta vidare för att uppnå största möjliga självständighet. Självständiga individer, med friska njurar och utan urin- och avföringsinkontinens upplever högre livskvalitet och behöver mindre sjukvård och andra samhällsinsatser. Det behövs mer forskning för att utveckla existerande och nya metoder att hantera de allvarliga komplikationer som riskerar att drabba barn och vuxna med ryggmärgsbråck.

Download or read book Bladder and Bowel Issues for Kids written by Janet A. Hulme P.T. and published by . This book was released on 2021-11-19 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: This book develops a personally tailored program of diet, exercise and behavioral interventions that can lead to improved bladder and bowel control in children 4-12 years old. It is a total program for parent and child. The book provides parents and clinicians with essential information about childhood bladder and bowel dysfunction patterns including constipation, nighttime bedwetting , and daytime loss of control. Bobby Bladder and Carrie Colon debut in the illustrated children's story. With this program, children can experience control and success with their bladder/bowel dysfunction.

Download or read book Pediatric Incontinence written by Israel Franco and published by John Wiley & Sons. This book was released on 2015-10-26 with total page 354 pages. Available in PDF, EPUB and Kindle. Book excerpt: Pediatric incontinence: evaluation and clinical management offers urologists practical, 'how-to' clinical guidance to what is a very common problem affecting up to 15% of children aged 6 years old. Introductory chapters cover the neurophysiology, psychological and genetic aspects, as well as the urodynamics of incontinence, before it moves on to its core focus, namely the evaluation and management of the problem. All types of management methods will be covered, including behavioural, psychological, medical and surgical, thus providing the reader with a solution to every patient's specific problem. The outstanding editor team led by Professor Israel Franco, one of the world’s leading gurus of pediatric urology, have recruited a truly stellar team of contributors each of whom have provided first-rate, high-quality contributions on their specific areas of expertise. Clear management algorithms for each form of treatment support the text, topics of controversy are covered openly, and the latest guidelines from the ICCS, AUA and EAU are included throughout. Perfect to refer to prior to seeing patients on the wards and in the clinics, this is the ideal guide to the topic and an essential purchase for all urologists, pediatric urologists and paediatricians managing children suffering from incontinence.

Download or read book Bladder and Bowel Issues for Kids written by Janet A. Hulme and published by Phoenix Publishing. This book was released on 2003-01-01 with total page 91 pages. Available in PDF, EPUB and Kindle. Book excerpt: "Bowel & Bladder dysfunction in children 4-12 years old & behavioral, exercise & nutritional treatment."

Download or read book Management of Disorders of Bladder and Bowel Control in Children written by Alexander von Gontard and published by Mac Keith Press. This book was released on 2006-08-11 with total page 368 pages. Available in PDF, EPUB and Kindle. Book excerpt: Clinics in Developmental Medicine No. 170 Elimination disorders (nocturnal enuresis, urinary incontinence and encopresis) are among the most common disorders of childhood. Some disorders are primarily genetically determined, in others environmental factors predominate. Also, the rate of comorbid behavioural disturbances differs greatly from one syndrome to another. Because of this variety and heterogeneity, each disorder requires specific approaches in assessment and treatment. This book provides an evidence-based overview of functional elimination disorders. It draws on the standardisation and terminology suggested by the International Children's Continence Society. Short case vignettes, photos and line drawings, as well as questionnaires and charts are provided. To enable a quick orientation for clinical purposes, each chapter is followed by summaries, guidelines and diagrams. It will be of interest to all professionals working in the field.

Download or read book Overcoming Childhood Bladder and Bowel Problems written by D. Preston Smith and published by Potty MD Llc. This book was released on 2004 with total page 140 pages. Available in PDF, EPUB and Kindle. Book excerpt: Parents, families, and physicians dealing with bladder and bowel problems in children can better understand normal and abnormal bladder and bowel functions with this all-inclusive handbook, written by a pediatric urologist, complete with treatment plans, tools, and suggestions to overcome even the most difficult situations, including urinary frequency, urgency, infections, accidents, bed-wetting, constipation, and encopresis. Includes fiber calculations and recipes. Original.

Download or read book Surgical Treatment of Colorectal Problems in Children written by Alberto Peña and published by Springer. This book was released on 2015-04-14 with total page 497 pages. Available in PDF, EPUB and Kindle. Book excerpt: This superbly illustrated book on the surgical treatment of pediatric colorectal problems focuses in particular on the specific technical maneuvers that may be considered key to successful results. The presented management concepts are based on a database comprising over 5000 patients, more than 2300 of whom have been operated on by one of the authors as lead surgeon over the past 30 years. The full range of colorectal disorders in children is thus covered, from cloaca and fistulas to rare presentations. In addition, chapters are included on topics such as prenatal diagnosis, minimally invasive techniques, recent advances in imaging, and a bowel management program for fecal incontinence. Surgical Treatment of Colorectal Problems in Children is eminently a practical book. Clarity, simplicity and applicability are emphasized throughout. The excellence of the illustrations and photographs is a crucial feature and the reader will also have access to instructive videos of procedures.

Download or read book It s No Accident written by Steve Hodges and published by Rowman & Littlefield. This book was released on 2012-02-07 with total page 102 pages. Available in PDF, EPUB and Kindle. Book excerpt: Proven, practical advice for treating and preventing potty problems.

Download or read book The Overactive Pelvic Floor written by Anna Padoa and published by Springer. This book was released on 2015-12-01 with total page 346 pages. Available in PDF, EPUB and Kindle. Book excerpt: This textbook provides a comprehensive, state-of-the art review of the Overactive Pelvic Floor (OPF) that provides clinical tools for medical and mental health practitioners alike. Written by experts in the field, this text offers tools for recognition, assessment, treatment and interdisciplinary referral for patients with OPF and OPF related conditions. The text reviews the definition, etiology and pathophysiology of non-relaxing pelvic floor muscle tone as well as discusses sexual function and past sexual experience in relation to the pelvic floor. Specific pelvic floor dysfunctions associated with pelvic floor overactivity in both men and women are reviewed in detail. Individual chapters are devoted to female genital pain and vulvodynia, female bladder pain and interstitial cystitis, male chronic pelvic and genital pain, sexual dysfunction related to pelvic pain in both men and women, musculoskeletal aspects of pelvic floor overactivity, LUTS and voiding dysfunction, and anorectal disorders. Assessment of the pelvic floor is addressed in distinct chapters describing subjective and objective assessment tools. State of the art testing measures including electromyographic and video-urodynamic analysis, ultrasound and magnetic resonance imaging are introduced. The final chapters are devoted to medical, psychosocial, and physical therapy treatment interventions with an emphasis on interdisciplinary management The Overactive Pelvic Floor serves physicians in the fields of urology, urogynecology and gastroenterology as well as psychotherapists, sex therapists and physical therapists.

Download or read book Pediatric and Adolescent Gynecology written by Sarah M. Creighton and published by Cambridge University Press. This book was released on 2018-02-08 with total page 176 pages. Available in PDF, EPUB and Kindle. Book excerpt: Pediatric and adolescent gynecology (PAG) is recognized as a specialist area and clinicians working in PAG need specific expertise. A wide spectrum of conditions needs to be addressed, ranging from simple disorders which respond to basic treatment to complex congenital anomalies with a genetic origin and life-long health consequences. Investigations must be appropriate and treatment should reduce symptoms and distress whilst optimizing gynecological and reproductive potential. Centered upon a series of common clinical presentations, this book includes stepwise guidance on the initial investigations, management, and treatment options. Guidance is supported by the most up-to-date evidence-base, written by clinicians with dedicated clinical and research experience in PAG. New techniques - such as laparoscopic surgery - are included and the importance of the psychological assessment of children with specific PAG disorders is highlighted. The book also includes an authoritative chapter on safeguarding - recognizing the unique opportunity for gynecologists in child protection.

Download or read book Abnormal Psychology in Context written by Nadine Pelling and published by Cambridge University Press. This book was released on 2017-02-01 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: Abnormal Psychology in Context is a practical and contemporary handbook for both students of abnormal psychology and allied mental health practitioners. This text is one of the first of its kind, providing a specific focus on abnormal psychology from Australian and New Zealand - rather than US - perspectives. Nadine Pelling and Lorelle Burton have crafted a highly relevant resource, showcasing the most recent Australasian research in a clear format designed for ease of use. Written by leading researchers from Australia and New Zealand, each chapter examines a particular psychological disorder, details symptoms and responses, and includes relevant statistics, case studies, further reading and links to community resources. The chapters give equal weight to Australian and New Zealand experiences in abnormal psychology matters. Succinctly written yet richly detailed, Abnormal Psychology in Context is an essential resource that students can carry from the classroom into the workplace.

Download or read book Pocket Book of Hospital Care for Children written by World Health Organization and published by World Health Organization. This book was released on 2013 with total page 442 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Pocket Book is for use by doctors nurses and other health workers who are responsible for the care of young children at the first level referral hospitals. This second edition is based on evidence from several WHO updated and published clinical guidelines. It is for use in both inpatient and outpatient care in small hospitals with basic laboratory facilities and essential medicines. In some settings these guidelines can be used in any facilities where sick children are admitted for inpatient care. The Pocket Book is one of a series of documents and tools that support the Integrated Managem.

Download or read book Diabetes Through the Looking Glass written by and published by Class Publishing Ltd. This book was released on 2009-07 with total page 313 pages. Available in PDF, EPUB and Kindle. Book excerpt: The author combines her own experience growing up with diabetes and interviews with children and adults to provide an insight into what it feels like to grow up with diabetes. It covers the different phases of diagnosis and acceptance, hypos, blood tests and injections, school and teenage years, life beyond home.

Download or read book Therapeutic Management of Incontinence and Pelvic Pain written by J. Haslam and published by Springer Science & Business Media. This book was released on 2007-10-26 with total page 296 pages. Available in PDF, EPUB and Kindle. Book excerpt: This 2nd revised edition covers management and treatment of bladder and bowel dysfunctions in men and women, pelvic organ prolapse, issues concerning the elderly, neurologically impaired patients and those with pelvic pain. New chapters cover quality of life, treatment of bladder and bowel dysfunction in children, the history of pelvic floor muscle exercise and manual therapy. The use of real-time ultrasound to evaluate pelvic floor muscle contractility is discussed, and a new section covers ethical issues in the management of incontinence. This is a useful reference and practical guide for health professionals dealing with incontinence and pelvic floor disorders.

Download or read book Fecal Incontinence and Constipation in Children written by Onnalisa Nash and published by CRC Press. This book was released on 2019-08-13 with total page 374 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book focuses on the management of children with fecal incontinence and constipation. Despite accurate anatomic reconstruction, many children still suffer from a variety of functional bowel problems. These include not only children with congenital anatomic problems such as anorectal malformations and Hirschsprung disease, but also includes the huge population of children who suffer from constipation, with or without soiling, and a large spinal population (spina bifida) who have bowel problems.

Download or read book Management of Spinal Cord Injuries E Book written by Lisa Harvey and published by Elsevier Health Sciences. This book was released on 2008-01-10 with total page 316 pages. Available in PDF, EPUB and Kindle. Book excerpt: Combining 25 years of clinical, research and teaching experience, Dr Lisa Harvey provides an innovative 5-step approach to the physiotherapy management of people with spinal cord injury. Based on the International Classification of Functioning, this approach emphasises the importance of setting goals which are purposeful and meaningful to the patient. These goals are related to performance of motor tasks analysed in terms of 6 key impairments. The assessment and treatment performance of each of these impairments for people with spinal cord injury is described in the following chapters: training motor tasks strength training contracture management pain management respiratory management cardiovascular fitness training Dr Harvey develops readers' problem-solving skills equipping them to manage all types of spinal cord injuries. Central to these skills is an understanding of how people with different patterns of paralysis perform motor tasks and the importance of differentmuscles for motor tasks such as: transfers and bed mobility of people wheelchair mobility hand function for people with tetraplegia standing and walking with lower limb paralysis This book is for students and junior physiotherapists with little or no experience in the area of spinal cord injury but with a general understanding of the principles of physiotherapy. It is also a useful tool for experienced clinicians, including those keen to explore the evidence base that supports different physiotherapy interventions.