NICE Guidelines Recommend Assessment for Those Suffering Incontinence with Neurological Disease


Urinary incontinence in neurological disease is not uncommon, a fact that NICE (National Institute of Health and Clinical Excellence) is now trying to stress in their guidelines. NICE sets the standards for the quality of care that individuals suffering from specific conditions should receive.

NICE Guideline 148 details the care and treatment that people with neurological conditions should receive, including those suffering from MS, head and spinal cord injuries, stroke, diabetes and other neurological conditions that may impact the urinary tract system or the nerves supplying this system.

The guidelines address the very real and distressing effects that urinary issues have on people living with neurological conditions, as well as the families who care for them. The guidelines recommend the following actions:

  • assessment of bowel/sexual functioning
  • review of current medications, as well as medications the patient may have tried in the past
  • therapies that the patient is currently using and/or any that have been tried before
  • mobility
  • cognitive function
  • ability to use the hands
  • lifestyle factors (fluid intake habits, use of alcohol, caffeine and other bladder irritants)
  • social support

Assessment of these areas should be addressed at least every three years or more often if necessary. Often, lifestyle changes, changes in medications, trying different therapies and the use of assistive devices can dramatically improve or reduce episodes of incontinence, improving the quality of life of people with neurological conditions and their caregivers.

Filed under: Incontinence News

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