1) Explain how difficulties with continence can affect an individual’s self-esteem, health and their day to day activities. Difficulties with continence can affect an individual’s self-esteem, health and their day to day activities. Incontinence sufferers have been known to lose self-esteem and confidence and even withdraw from their usual circle of friends and family. The fear of being found out can make an individual feel ashamed of their condition. These feelings as a whole can impact negatively on an individual’s life. If the incontinence is due to a urinary infection, this could cause intimacy issues, leading to fear of rejection from a spouse. Family outings or sports activities may be affected due to fear of leakage or concerns about incontinence products being noticed by others. 2) List common causes of difficulties with continence.
Some common causes of difficulties with continence are
* painful bladder syndrome
* pregnancy and childbirth
* enlarged prostrate
* bladder cancer
* bladder stones
3) Explain how an individual’s personal beliefs and values may affect the management of continence. An individual’s personal beliefs and values may affect the management of continence. It may be that an individual’s values and beliefs will lead them to request clinical procedures which others may feel are not in their best interests. It may also be the case that they will refuse treatment which will greatly benefit them. Modesty is greatly valued in some religions and cultures which must be taken into consideration when caring for any individual. 4) Describe ways to protect an individual’s privacy whilst managing continence. Active participation is a way of working that recognises an individual’s right to choose. This will help when working towards maintaining privacy and dignity. Giving an individual the right to participate and become an active partner in their own care will enable them to maintain their own privacy. There are several points that must be taken into consideration when putting together a care plan for continence. Keep service users covered up whenever possible; avoid entering a room while other staffs are carrying out intimate and personal care. If it is unavoidable, knock and wait. Ensure that items others may need to access are not stored in rooms where intimate and personal care is provided. Consider developing a system that prevents other service users and staff from entering a room while intimate and personal care is being carried out, such as catches that stop doors from being pushed open easily but can be opened in an emergency.
Make time when intimate issues, such as continence care, can be discussed with other staff in private. A good example would be at staff handover, which could be held in an office. If you must discuss these issues within the earshot of others, be sensitive about language used, and your tone and volume of voice. .Avoid drawing attention to a person’s incontinence, and refrain from speaking about it unnecessarily or in front of people who do not need to know. Enable service users to wear clothing that is easy to take off and put on, and therefore promotes their independence. .Allow time for service users to use the toilet to urinate and defecate in private, provide seating in the bathroom so service users do not have to sit on the toilet to be shaved or have teeth cleaned and adhere to toileting guidelines and respond promptly to incidents of incontinence.
Consider developing systems to enable service users to take control of their intimate and personal care. A service user who is non-verbal may be able to ring a bell or press a buzzer next to their bed to alert staff when they need help. Allow service users to make choices as much as possible, and be aware that non-verbal behaviour may be meaningful communication and indicate preferences and wishes. Outcome 2
3) Explain how and when to...
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