Advanced Practice in Women s Health and Continence Physiotherapy Project. Robyn Brennen Grade 4 Physiotherapist, Monash Health
|
|
|
- Shauna Anderson
- 5 years ago
- Views:
Transcription
1 Advanced Practice in Women s Health and Continence Physiotherapy Project Robyn Brennen Grade 4 Physiotherapist, Monash Health
2 Acknowledgements Desiree Terrill, Wendy Davis, Duncan Baulch Sarah Cleaver, Dr Margaret Sherburn Sarah Lorentzen, Jane Carlin, Hayley Irving, Cath MacRae Hannah Graetz, Naomi Nalder, Fiona Brennan
3
4 Pelvic Floor Physiotherapy International Continence Society (ICS) PFTM for urinary incontinence (UI) Level 1 evidence PFMT for pelvic organ prolapse (POP) Level 1 evidence PFMT for faecal incontinence (FI) Level 2 evidence National Institute for Health and Care Excellence guidelines UI - At least 3 months PFMT FI - Specialist management including ٠PFMT ٠Electrical stimulation ٠Bowel retraining ٠Biofeedback
5 Advanced Practice Physiotherapy Within currently recognised scope of practice Customarily performed by other professions May require Additional training Significant professional experience Competency development
6 Workforce Innovation Grants Program
7 Objectives Timely access to evidence-based best-practice care Workforce integration and collaboration Continence and women s health physiotherapy competency toolkit Improve satisfaction of patients with the management of their pelvic floor dysfunction
8 Previous model of care Monash Health Investigations Referral received and triaged by Registrar Medical/Surgical Assessment appointment Outpatient physiotherapy Medical/Surgical management Medical/Surgical review Discharge Discharge
9 Previous model of care Monash Health Referral received and triaged by Registrar Medical/Surgical Assessment appointment Outpatient physiotherapy Medical/Surgical management Medical/Surgical review 1 week +18 months +3 months +3 months = 2 years + 1 week
10 Previous model of care Barwon Health
11 The change Integrated advanced practice continence and women s health physiotherapy models
12 New model of care - Monash Discharge Referral received and triaged by Registrar & Physio Advanced Practice Physiotherapy Assessment Medical/Surgical Assessment appointment Outpatient physiotherapy Outpatient physiotherapy Medical/Surgical management Medical/Surgical review Medical/Surgical review
13 New model of care Barwon Health
14 Criteria Led Discharge No red flags (haematuria, dysuria) No medical issues could not be managed by their GP Not clinically appropriate for surgery Symptoms have resolved OR patient is able and desires to self-manage Patient agrees to be discharged by physiotherapist
15 Patient inclusion criteria Adult females referred to existing Monash Health Urogynaecology clinics for: Urinary incontinence (stress/urge/mixed) Faecal incontinence Mild-moderate vaginal / uterine prolapse (with or without urinary symptoms)
16 Exclusion criteria Haematuria Urinary tract infections Stage III or IV pelvic organ prolapse Rectal intussusception Suspected malignant mass or genital fistula
17 Clinical competencies Developed in consultation with medical & nursing staff. POP-Q assessment Ultrasonic assessment of post-void residual bladder volume Dipstick urinalysis Referral for urodynamics Pessary assessment and management
18 Analysis
19 Results Start Finish No. Clinics Patients DNAs Monash Dec 2014 Dec Barwon Mar 2015 Dec
20 Primary presenting condition Frequency of Presenting Condition Stress urinary incontinence Urgnecy and/or urge urinary incontinence Mixed urinary incontinence Faecal incontinence Frequency of Presenting Condition Stage I and II vaginal prolapse Voiding dysfuntion Innappropriate referral
21 Efficiency savings
22 Efficiency savings
23 Evidence-based care Receiving conservative management Before: 0% (Barwon) - 10% (Monash) After: 68% 100% agreed with their management plan
24 Waiting lists and wait times Pre- Post- Now Monash Waitlist (no. patients) May Dec July Barwon Waitlist (no. patients) Feb Dec
25 Results 40%-50% reduction in time and cost per occasion of service Reduction in time from referral to first appointment 58% improvement in meeting best-practice guidelines 100% patient agreement with clinical care and decision-making No adverse events
26 Barriers Succession planning Access to training with Medical Specialists Staffing for physiotherapy outpatient clinics to follow up increased number of referrals
27 Key steps to success Broad engagement Communication Flexibility and perseverance
28 Thank you Contact: Robyn Brennen Clinic Lead Monash Health Community Continence Service Specialist Clinics Clinical Lead Women s and Men s Health Physiotherapy Allied Health t: (Tues-Thurs) e: robyn.brennen@monashhealth.org MonashHealth Community & Allied Health One Team - making a difference together
Telford and Wrekin Clinical Commissioning Group
Telford and Wrekin Clinical Commissioning Group Agenda Item 9.2 CLINICAL COMMISSIONING GROUP GOVERNANCE BOARD EXECUTIVE SUMMARY DATE: 9 th April 2013 TITLE OF PAPER: Continence pathway and Referral letter
CONTINENCE MODULE 1 MIMIMUM STANDARDS FOR THE SPECIALIST ASSESSMENT & CONSERVATIVE MANAGEMENT OF FEMALE LOWER URINARY TRACT SYMPTOMS
CONTINENCE MODULE 1 MIMIMUM STANDARDS FOR THE SPECIALIST ASSESSMENT & CONSERVATIVE MANAGEMENT OF FEMALE LOWER URINARY TRACT SYMPTOMS The minimum standards required to initiate specialised conservative
Post operative voiding dysfunction and the Value of Urodynamics. Dr Salwan Al-Salihi Urogynaecologist Obstetrician and Gynaecologist
Post operative voiding dysfunction and the Value of Urodynamics Dr Salwan Al-Salihi Urogynaecologist Obstetrician and Gynaecologist Learning objectives: v Pathophysiology of post op voiding dysfunction.
Women's physiotherapy
The women s health physiotherapy outpatient team treats a variety of conditions affecting women: chronic pelvic pain urinary incontinence birth-related perineal trauma antenatal and postnatal musculoskeletal
2012/13 NHS STANDARD CONTRACT FOR ACUTE, AMBULANCE, COMMUNITY AND MENTAL HEALTH AND LEARNING DISABILITY SERVICES (MULTILATERAL)
E10d 2012/13 NHS STANDARD CONTRACT FOR ACUTE, AMBULANCE, COMMUNITY AND MENTAL HEALTH AND LEARNING DISABILITY SERVICES (MULTILATERAL) SECTION B PART 1 - SERVICE SPECIFICATIONS Service Specification No.
2012/13 NHS STANDARD CONTRACT FOR ACUTE, AMBULANCE, COMMUNITY AND MENTAL HEALTH AND LEARNING DISABILITY SERVICES (MULTILATERAL)
2012/13 NHS STANDARD CONTRACT FOR ACUTE, AMBULANCE, COMMUNITY AND MENTAL HEALTH AND LEARNING DISABILITY SERVICES (MULTILATERAL) SECTION B PART 1 - SERVICE SPECIFICATIONS Service Specification No. Service
Stress Incontinence. Susannah Elvy Urogynaecology CNS
Stress Incontinence Susannah Elvy Urogynaecology CNS Definitions Prevalence Assessment Investigation Treatment Surgery Men International Continence Society define as the complaint of any involuntary leakage
PELVIC PHYSIOTHERAPY EDUCATION GUIDELINE
PELVIC PHYSIOTHERAPY EDUCATION GUIDELINE Initiated at the International Continence Society (ICS) Annual Meeting in San Francisco 2009 Initially Adopted by the ICS Physiotherapy Committee September 2010
21/03/2016. The urogynaecologist approach. Urinary continence management in women: a multidisciplinary approach. Dr Anna Rosamillia
Urinary continence management in women: a multidisciplinary approach The urogynaecologist approach Dr Anna Rosamillia What is normal bladder function? Incontinence is not normal Normal voiding is 7-8 times
Tertiary, regional and local pelvic floor service providers: the future. model? Andrew Williams
Tertiary, regional and local pelvic floor service providers: the future Andrew Williams model? Pelvic Floor Unit Guy s and St Thomas NHS Foundation Trust Background 23% women suffer at least one pelvic
GUIDELINES FOR THE MANAGEMENT OF URINARY INCONTINENCE IN THE PALLIATIVE CARE SETTING
GUIDELINES FOR THE MANAGEMENT OF URINARY INCONTINENCE IN THE PALLIATIVE CARE SETTING 43.1 GENERAL PRINCIPLES Urinary continence can be defined as the ability to store urine in the bladder and to excrete
International Urogynecological Association (IUGA) Observership Grant. Final Report
International Urogynecological Association (IUGA) 2009-10 Observership Grant Final Report Observership Grant Recipient: Renato Silva Martins 5 th Year Obstetrics and Gynaecology Resident at Coimbra s University
Physiotherapy in the Context of Vesicovaginal Fistula. Jessica L. McKinney, PT, MS 20 March 2017
Physiotherapy in the Context of Vesicovaginal Fistula Jessica L. McKinney, PT, MS 20 March 2017 Disclosures Renovia, Inc: strategic consultant Training centers to report the types of physiotherapy available
Disease Management. Incontinence Care. Chan Sau Kuen Continence Nurse Consultant United Christian Hospital 14/11/09
Disease Management in Incontinence Care Chan Sau Kuen Continence Nurse Consultant United Christian Hospital 14/11/09 What is incontinence? Definition of Incontinence - Is the compliant of any involuntary
CONTINENCE MODULE 1 MIMIMUM STANDARDS FOR THE BASIC ASSESSMENT & CONSERVATIVE MANAGEMENT OF BLADDER AND BOWEL SYMPTOMS
CONTINENCE MODULE 1 MIMIMUM STANDARDS FOR THE BASIC ASSESSMENT & CONSERVATIVE MANAGEMENT OF BLADDER AND BOWEL SYMPTOMS The minimum standards required to initiate a basic continence assessment of bladder
Lower Urinary Tract Symptoms K Kuruvilla Zachariah Associate Specialist
Lower Urinary Tract Symptoms K Kuruvilla Zachariah Associate Specialist Lower Urinary Tract Symptoms Storage Symptoms Frequency, urgency, incontinence, Nocturia Voiding Symptoms Hesitancy, poor flow, intermittency,
The Management of Female Urinary Incontinence. Part 1: Aetiology and Investigations
The Management of Female Urinary Incontinence Part 1: Aetiology and Investigations Dr Oseka Onuma Gynaecologist and Pelvic Reconstructive Surgeon 4 Robe Terrace Medindie SA 5081 Urinary incontinence has
Guidelines for referring patients to Physiotherapy for the treatment of Pelvic Floor Dysfunction
Guidelines for referring patients to Physiotherapy for the treatment of Pelvic Floor Dysfunction N.B. Staff should be discouraged from printing this document. This is to avoid the risk of out of date printed
Lets talk about Faecal incontinence (FI) in Scleroderma
Lets talk about Faecal incontinence (FI) in Scleroderma Dr. Shamaila Butt Gastroenterology Research Registrar GI Physiology unit University College Hospital London GI manifestations in Scleroderma Oesophagus
URINARY INCONTINENCE FOR FALLS PREVENTION. by Susan Elms P.T. Elms Physiotherapy
URINARY INCONTINENCE PHYSIOTHERAPY MANAGEMENT FOR FALLS PREVENTION by Susan Elms P.T. Elms Physiotherapy OR How to avoid the mad dash to the bathroom! INCONTINENCE INFORMATION TALK What is incontinence?
Pelvic Physio 101. OMA Sports Med 2019 Conference. Nelly Faghani PT. January 25,
Pelvic Physio 101 OMA Sports Med 2019 Conference January 25, 2019 Nelly Faghani PT www.pelvichealthsolutions.ca CFPC CoI Templates: Slide 1 used in Faculty presentation only. Faculty/Presenter Disclosure
Clinical Model for IC 5
Clinical Model for IC 5 The WHAT What is ideal clinical care for urinary incontinence? SELF-ASSESSMENT What components of ideal continence care is the hospital currently following? The HOW How can you
Focus on Post-Partum Incontinence
Focus on Post-Partum Incontinence A one day intensive course for Nurses, Midwives and Physiotherapists Old Main Building Law Faculty Stellenbosch 24 January 2013 9h00-17h00 Sponsored by the International
Introducing a pelvic floor telephone assessment service
Introducing a pelvic floor telephone assessment service Carlene Igbedioh, Andrew B Williams, Alexis Schizas This article looks at a telephone triage assessment clinic that was set up to improve the bowel,
Kingston Continence Service Clinical Audit on the Use of Video Urodynamic Studies
Kingston Continence Service Clinical Audit on the Use of Video Urodynamic Studies Lead researcher Dr. Anika Kibria Advanced Trainee in Geriatric Medicine A Video urodynamic Study (VUS) The technique combines
Prolapse & Stress Incontinence
Advanced Pelvic Floor Course Prolapse & Stress Incontinence OVERVIEW Day One and morning of Day Two- Pelvic Organ Prolapse The Prolapse component covers the detailed anatomy of POP including the DeLancey
Module 5 Management Of Urinary Incontinence
Management Of Urinary Incontinence V3: Last Reviewed September 2017 Learning Outcomes Outline conservative management options Discover the options available to manage the different types of incontinence
Project to evaluate patient self-referral to women s health physiotherapy pilot sites
14 Bedford Row, London WC1R 4ED Tel +44 (0)20 7306 6666 Web www.csp.org.uk Project to evaluate patient self-referral to women s health physiotherapy pilot sites reference PD105 issuing function Practice
Lower Urinary Tract Symptoms (LUTS) and Nurse-Led Clinics. Sean Diver Urology Advanced Nurse Practitioner candidate Letterkenny University Hospital
Lower Urinary Tract Symptoms (LUTS) and Nurse-Led Clinics Sean Diver Urology Advanced Nurse Practitioner candidate Letterkenny University Hospital 01/02/2018 Lower Urinary Tract Symptoms LUTS - one of
Prolapse and Urogynae Incontinence. Lucy Tiffin and Hannah Wheldon-Holmes
Prolapse and Urogynae Incontinence Lucy Tiffin and Hannah Wheldon-Holmes 66 year old woman with incontinence PC: 7 year Hx of urgency, frequency, nocturia (incl. incontinence at night), and stress incontinence
How to Integrate Continence Services and Secondary Care to Develop Pathways of Care.
How to Integrate Continence Services and Secondary Care to Develop Pathways of Care. Jenny Stuart. RGN, Post Reg Dip Nursing, Bmidwif (Hons), NMP, PG Dip. Continence Service Lead Community and Integrated
Women s & Children s Directorate The TVT Operation - a guide for patients
Women s & Children s Directorate The TVT Operation - a guide for patients This leaflet was written for women who are considering having a TVT operation. If you have any questions that aren't answered by
1) What conditions is vaginal mesh used to commonly treat? Vaginal mesh is used to treat two different health issues in women:
Vaginal Mesh Frequently Asked Questions 1) What conditions is vaginal mesh used to commonly treat? Vaginal mesh is used to treat two different health issues in women: a) stress urinary incontinence (SUI)
PRE-OPERATIVE URODYNAMIC
PRE-OPERATIVE URODYNAMIC STUDIES: IS THERE VALUE IN PREDICTING POST-OPERATIVE STRESS URINARY INCONTINENCE IN WOMEN UNDERGOING PROLAPSE SURGERY? Dr K Janse van Rensburg Dr JA van Rensburg INTRODUCTION POP
SELF CARE IN URINARY INCONTINENCE
O P I N I O N SelfCare 2011;2(6):160-166 Advancing the study&understanding of self-care JULIAN SPINKS General Practitioner, Medway Primary Care Trust ABSTRACT Urinary incontinence and its associated urinary
PARTICULARS, SCHEDULE 2- THE SERVICES, A- SERVICE SPECIFICATIONS. A08/S/d Colorectal: Faecal Incontinence (Adult)
A08/S/d 2013/14 NHS STANDARD CONTRACT FOR COLORECTAL: FAECAL INCONTINENCE (ADULT) PARTICULARS, SCHEDULE 2- THE SERVICES, A- SERVICE SPECIFICATIONS Service Specification No. Service Commissioner Lead Provider
Priorities Forum Statement GUIDANCE
Priorities Forum Statement Number 61 Subject The management of female incontinence Date of decision May 2016 Date refreshed May 2017 Date of review May 2019 Introduction: GUIDANCE Urinary incontinence
DERBYSHIRE JOINT AREA PRESCRIBING COMMITTEE (JAPC)
DERBYSHIRE JOINT AREA PRESCRIBING COMMITTEE (JAPC) GUIDELINE FOR WOMEN WITH INCONTINENCE IN PRIMARY CARE (in north Derbyshire) This is an updated guideline It includes details on locations of continence
One Stop Prostate Biopsy Protocol Author Consultation Date Approved
One Stop Prostate Biopsy Protocol Author Consultation Date Approved Urology Nurse Practioner PROTOCOL FOR MEN ATTENDING A ONE STOP PROSTATE BIOPSY CLINIC RATIONALE Prostate cancer is the most common cancer
Management of Urinary Incontinence in Older Women. Dr. Cecilia Cheon Department of Obs. & Gyn. Queen Elizabeth Hospital
Management of Urinary Incontinence in Older Women Dr. Cecilia Cheon Department of Obs. & Gyn. Queen Elizabeth Hospital Epidemiology Causes Investigation Treatment Conclusion Elderly Women High prevalence
Urogynaecology. Colm McAlinden
Urogynaecology Colm McAlinden Definitions Urinary incontinence compliant of any involuntary leakage of urine with many different causes Two main types: Stress Urge Definitions Nocturia: More than a single
Content. Terminology Anatomy Aetiology Presentation Classification Management
Prolapse Content Terminology Anatomy Aetiology Presentation Classification Management Terminology Prolapse Descent of pelvic organs into the vagina Cystocele ant. vaginal wall involving bladder Uterine
John Laughlin 4 th year Cardiff University Medical Student
John Laughlin 4 th year Cardiff University Medical Student Prolapse/incontinence You need to know: Pelvic floor anatomy in relation to uterovaginal support and continence The classification of uterovaginal
Urinary incontinence. Urology Department. Patient Information Leaflet
Urinary incontinence Urology Department Patient Information Leaflet Introduction This leaflet is for people who have been diagnosed with urinary incontinence. It contains information about the bladder,
Overactive Bladder Syndrome
Overactive Bladder Syndrome behavioural modifications to pharmacological and surgical treatments Dr Jos Jayarajan Urologist Austin Health, Eastern Health Warringal Private, Northpark Private, Epworth Overactive
Urodynamics in women. Aims of Urodynamics in women. Why do Urodynamics?
Urodynamics in women Chendrimada Madhu MD, MA, MRCOG Subspecialty Trainee in Urogynaecology Southmead Hospital 2013 Aims of Urodynamics in women n Confirmation of incontinence and its cause n Definition
Urinary Incontinence for the Primary Care Provider
Urinary Incontinence for the Primary Care Provider Diana J Scott FNP-BC https://youtu.be/gmzaue1ojn4 1 Assessment of Urinary Incontinence Urge Stress Mixed Other overflow, postural, continuous, insensible,
Faecal Incontinence: Assessment and Management
Mrs PK; 56 yrs; Married; 2 children Faecal Incontinence: Assessment and Management Professor Marc A Gladman MBBS DFFP PhD MRCOG FRCS (UK) FRACS Professor of Colorectal Surgery >10 years of incontinence
Appendix B Protocol for management of obstetric anal sphincter injury THE MANAGEMENT OF THIRD- AND FOURTH-DEGREE PERINEAL TEARS
Appendix B Protocol for management of obstetric anal sphincter injury Document Type: THE MANAGEMENT OF THIRD- AND FOURTH-DEGREE PERINEAL TEARS PURPOSE & SCOPE To provide a guideline that will assist in
Urinary Incontinence. Lora Keeling and Byron Neale
Urinary Incontinence Lora Keeling and Byron Neale Not life threatening. Introduction But can have a huge impact on quality of life. Two main types of urinary incontinence (UI). Stress UI leakage on effort,
INCONTINENCE. Continence and Pelvic Floor Rehabilitation TYPES OF INCONTINENCE STRESS INCONTINENCE STRESS INCONTINENCE STRESS INCONTINENCE 11/08/2015
INCONTINENCE Continence and Pelvic Floor Rehabilitation Dr Irmina Nahon PhD Pelvic Floor Physiotherapist www.nahonpfed.com.au Defined as the accidental and inappropriate passage of urine or faeces (ICI
Promoting Continence with Physiotherapy
A Common problem for Men and women Promoting Continence with Physiotherapy This leaflet contains information about physiotherapy advice and treatment for anyone with bladder and bowel problems. This may
Using Physiotherapy to Manage Urinary Incontinence in Women
Using Physiotherapy to Manage Urinary Incontinence in Women Bladder control problems are common, and affect people of all ages, genders and backgrounds. These problems are referred to as urinary incontinence
Clinical Curriculum: Urogynecology
Updated July 201 Clinical Curriculum: Urogynecology GOAL: The primary goal of the Urogynecology rotation at the University of Alabama at Birmingham (UAB) is to train physicians to have a broad knowledge
Mr. GIT KAH ANN. Pakar Klinikal Urologi Hospital Kuala Lumpur.
Mr. GIT KAH ANN Pakar Klinikal Urologi Hospital Kuala Lumpur drgitka@yahoo.com 25 Jan 2007 HIGHLIGHTS Introduction ICS Definition Making a Diagnosis Voiding Chart Investigation Urodynamics Ancillary Investigations
LUTS & Cancer pathway. Mr Francis Thomas Urology Consultant DRI &BDGH
LUTS & Cancer pathway Mr Francis Thomas Urology Consultant DRI &BDGH Topics Male and female LUTS Urinary retention Post void Residual urine Referral pathway LUTS Raised PSA Hematuria Services in community
Managing Female Urinary Incontinence Within Primary Care
Managing Female Urinary Incontinence Within Primary Care Angela Patterson Lead Clinical Nurse Specialist in Bladder and Bowel Dysfunction. South Eastern HSCT Background More than 14 million in the UK affected
Female Pelvic Medicine & Reconstructive Surgery
Female Pelvic Medicine & Reconstructive Surgery APPLICATION FOR NEW FELLOWSHIP Name of Institution: McGill University Location: Royal Victoria Hospital (Glen Site), St Mary s Hospital Centre Type of Fellowship:
Pelvic Floor Disorders. Amir Darakhshan MD FRCS (Gen Surg) Consultant Colorectal and General Surgeon
Pelvic Floor Disorders Amir Darakhshan MD FRCS (Gen Surg) Consultant Colorectal and General Surgeon What is Pelvic Floor Disorder Surgical perspective symptoms of RED, FI or prolapse on the background
NATIONAL INSTITUTE FOR CLINICAL EXCELLENCE SCOPE. Urinary incontinence: the management of urinary incontinence in women
NATIONAL INSTITUTE FOR CLINICAL EXCELLENCE 1 Guideline title SCOPE Urinary incontinence: the management of urinary incontinence in women 1.1 Short title Urinary incontinence 2 Background a) The National
Trainee Assessment. Incontinence. Unit standard Version Level Credits
Trainee Assessment Incontinence Unit standard Version Level Credits 28546 Describe incontinence and interventions to assist a person in a health or wellbeing setting 1 3 5 Your name: Your workplace: Your
Prolapse and Urogynae. By Sarah Rangan & Daniel Warrell
Prolapse and Urogynae By Sarah Rangan & Daniel Warrell Anatomy and physiology of the pelvic supports The pelvic floor supports the pelvic viscera and vaginal, urethral and rectal openings Endopelvic fascial
Gynaecology Department Patient Information Leaflet
Vaginal pessaries Gynaecology Department Patient Information Leaflet Introduction We have developed this information leaflet to answer some commonly-asked questions about what a vaginal pessary is, how
Pessary for Prolapse Priority Setting Partnership (PSP) interim ranking survey
Pessary for Prolapse Priority Setting Partnership (PSP) interim ranking survey Background: Prolapse is a very common problem affecting many women. Pessaries are commonly used as a treatment for prolapse.
A Strategy for Increasing Standards of Care in Female, Neurological and Urodynamic Urology
British Association of Urological Surgeons Section of Female, Neurological and Urodynamic Urology A Strategy for Increasing Standards of Care in Female, Neurological and Urodynamic Urology Prepared by
Urinary dysfunction assessment tool (community)
Addressograph label CHI:... Name:... Address:...... Urinary dysfunction assessment tool (community) Past medical history: Is the patient on medications which can affect bladder function? If, please list
Pelvic Floor Therapy for the Oncology Patient
Therapy for the Oncology Patient CARINA SIRACUSA, PT, DPT, WCS OHIOHEALTH PELVIC FLOOR PHYSICAL THERAPIST ONCOLOGY REHABILITATION PROGRAM COORDINATOR What does a pelvic floor therapist treat? Muscles Muscles
1. Purpose of the Pessary PSP and background
Pessary Priority Setting Partnership PROTOCOL May 2016 1. Purpose of the Pessary PSP and background The purpose of this protocol is to set out the aims, objectives and commitments of the Pessary Priority
URINARY INCONTINENCE
Center for Continence Care and Pelvic Medicine What is urinary incontinence? URINARY INCONTINENCE Urinary incontinence is the uncontrollable loss of urine. The amount of urine leaked can vary from only
Moneli Golara Consultant Obstetrician and Gynaecologist Royal Free NHS Trust Barnet Hospital
Moneli Golara Consultant Obstetrician and Gynaecologist Royal Free NHS Trust Barnet Hospital Pelvic Organ Prolapse (POP)- herniation of pelvic organs into vaginal walls Common Huge impact on daily activities
Pelvic organ prolapse
Page 1 of 11 Pelvic organ prolapse Introduction The aim of this leaflet is to give you information about a pelvic organ prolapse, its causes and available treatments but does not replace advice given by
Urogynecology Associates of Philadelphia URODYNAMIC TESTING
URODYNAMIC TESTING Urogynecology Associates of Philadelphia Most women with urinary incontinence will need to complete a few simple tests, performed in the office, to help your doctor assess your symptoms
ASYMPTOMATIC MICROSCOPIC HEMATURIA IN WOMEN JOLYN HILL, MD ASSISTANT PROFESSOR, CLINICAL UROGYNECOLOGY FEBRUARY14, 2017
ASYMPTOMATIC MICROSCOPIC HEMATURIA IN WOMEN JOLYN HILL, MD ASSISTANT PROFESSOR, CLINICAL UROGYNECOLOGY FEBRUARY14, 2017 DISCLOSURES No financial disclosures Urogynecologist via Ob/Gyn pathway ASYMPTOMATIC
URODYNAMICS. Special Skills Training Module. June Royal College of Obstetricians and Gynaecologists
Royal College of Obstetricians and Gynaecologists Special Skills Training Module URODYNAMICS In collaboration with the British Society of Urogynaecology June 2002 Published by the RCOG Press at the Royal
NATIONAL INSTITUTE FOR HEALTH AND CLINICAL EXCELLENCE SCOPE
NATIONAL INSTITUTE FOR HEALTH AND CLINICAL EXCELLENCE 1 Guideline title SCOPE Urinary incontinence in women: the management of urinary incontinence in women 1.1 Short title Urinary incontinence in women
Management of Female Stress Incontinence
Management of Female Stress Incontinence Dr. Arvind Goyal Associate Professor (Urology& Renal Transplant) Dayanand Medical College & Hospital, Ludhiana, Punjab, India Stress Incontinence Involuntary loss
Interventional procedures guidance Published: 28 June 2017 nice.org.uk/guidance/ipg583
Sacrocolpopexy using mesh to repair vaginal vault prolapse Interventional procedures guidance Published: 28 June 2017 nice.org.uk/guidance/ipg583 Your responsibility This guidance represents the view of
GI Physiology - Investigating and treating patients with pelvic floor dysfunction. Lynne Smith Department of GI Physiology NGH Sheffield
GI Physiology - Investigating and treating patients with pelvic floor dysfunction Lynne Smith Department of GI Physiology NGH Sheffield Aims o o o To give an overview of lower GI investigations To demonstrate
Pelvic organ prolapse. Information for patients Continence Service
Pelvic organ prolapse Information for patients Continence Service What is a pelvic organ prolapse? A pelvic organ prolapse occurs when the uterus (womb), vagina, bladder or bowel slips out of place, resulting
Urinary dysfunction assessment tool (care home)
Addressograph label CHI:... Name:... Address:...... Urinary dysfunction assessment tool (care home) Past medical history: Is the patient on medications which can affect bladder function? If, please list
Index. Note: Page numbers of article titles are in boldface type.
Index Note: Page numbers of article titles are in boldface type. A Abdominal mesh background of, 84 85 Age as factor in PFDs, 8 Anal plugs in FI management in women, 107 Anterior compartment native tissue
CONTINENCE MODULE 3 MIMIMUM STANDARDS FOR SPECIALIST ASSESSMENT & CONSERVATIVE MANAGEMENT OF CONSTIPATION AND FAECAL INCONTINENCE
CONTINENCE MODULE 3 MIMIMUM STANDARDS FOR SPECIALIST ASSESSMENT & CONSERVATIVE MANAGEMENT OF CONSTIPATION AND FAECAL INCONTINENCE The minimum standards required to initiate specialised conservative treatment
Prolapse & Urogynaecology. Hester Mannion and Fabi Sica
Prolapse & Urogynaecology Hester Mannion and Fabi Sica Take home messages Prolapse and associated incontinence is very common It has a devastating effect on the QoL of the patient and their partner Strategies
NICE guideline Published: 2 April 2019 nice.org.uk/guidance/ng123
Urinary incontinence and pelvic organ prolapse in women: management NICE guideline Published: 2 April 2019 nice.org.uk/guidance/ng123 NICE 2019. All rights reserved. Subject to Notice of rights (https://www.nice.org.uk/terms-and-conditions#notice-ofrights).
CONSERVATIVE MANAGEMENT OF URINARY INCONTINENCE IN WOMEN. Riette Vosloo Physiotherapist in Women s s Health
CONSERVATIVE MANAGEMENT OF URINARY INCONTINENCE IN WOMEN Riette Vosloo Physiotherapist in Women s s Health CONSERVATIVE TREATMENT Any therapy that does not involve Pharmacologic intervention or Surgical
Physiotherapists and prolapse: who s doing what, how and why?
Journal of the Association of Chartered Physiotherapists in Women s Health, Autumn 2008, 103, 5 11 ACPWH CONFERENCE 2007 Physiotherapists and prolapse: who s doing what, how and why? S. Hagen Nursing,
AUCKLAND REGIONAL UROLOGY GUIDELINES AND REFERRAL RECOMMENDATIONS
AUCKLAND REGIONAL UROLOGY GUIDELINES AND REFERRAL RECOMMENDATIONS This document outlines the urological conditions currently funded at Auckland District Health Board (ADHB), Counties Manukau District Health
National Cancer Action Team. Rehabilitation Care Pathway Poor Mobility and Loss of Function
National Cancer Action Team Rehabilitation Care Pathway Poor Mobility and Loss of Function Diagnosis & Care Planning Assess respiratory status especially in people with preexisting respiratory disease
Pelvic Floor Exercises
Directorate of Women, Children and Surgical Services Burton and District Urogynaecology Centre A Nationally Accredited Urogynaecology Unit Pelvic Floor Exercises You have been given this leaflet because
Paucity of Urogynaecology Research in Africa: time for change
Paucity of Urogynaecology Research in Africa: time for change SASOG 2014 Maki L, Brouard K, Jeffery S Department of Obstetrics and Gynaecology, University of Cape Town Urogynaecology and Pelvic floor reconstruction
Obesity and its effects on the pelvic floor: obesity and the risk of gynaecological surgery
Obesity and its effects on the pelvic floor: obesity and the risk of gynaecological surgery Information for patients from the British Society of Urogynaecologists (BSUG) You have been offered this information
Urogynaecology Update. Andrew Tapp Consultant Obstetrician and Gynaecologist Shrewsbury & Telford Hospital NHS Trust
Urogynaecology Update Andrew Tapp Consultant Obstetrician and Gynaecologist Shrewsbury & Telford Hospital NHS Trust Urogynaecology Training Core module 18. ATSM. Sub-specialty training. Urogynaecology
Urogynecology: Evidence-Based Clinical Practice
Urogynecology: Evidence-Based Clinical Practice Urogynecology: Evidence-Based Clinical Practice Kate H. Moore With 61 Figures Kate H. Moore, MBBS, FRCOG, FRANZCOG, MD, CU Associate Professor Department
Various Types. Ralph Boling, DO, FACOG
Various Types Ralph Boling, DO, FACOG The goal of this lecture is to increase assessment and treatment abilities for physicians managing urinary incontinence (UI) patients. 1. Effectively communicate with
Continence Promotion in
Everybody s Business- Continence Promotion in Aged Care Melissa O Grady Clinical Nurse Consultant Continence Warning Some graphic images are contained in this presentation Objectives What is Old Age? What
A. Service Specifications
A. Service Specifications SCHEDULE 2 THE SERVICES Service Specification No: Service Commissioner Lead Specialised Complex Surgery for Urinary Incontinence and Vaginal and Uterine Prolapse For local completion
Reasons why patients referred to physiotherapy with continence or pelvic floor dysfunction fail to complete treatment
Journal of the Association of Chartered Physiotherapists in Women s Health, Autumn 2009, 105, 56 63 CLINICAL PAPER Reasons why patients referred to physiotherapy with continence or pelvic floor dysfunction
Aetiology 1998 Bump & Norton Theoretical model
Kate Lough MSc MCSP Handout IUGA Nice 2015 Physiotherapy and the Provision of Pelvic Floor Muscle Training and Lifestyle Intervention in the Conservative Management of Pelvic Organ Prolapse an evidence
Consultation Guide: Specialised gynaecology surgery and complex urogynaecology conditions service specifications
Consultation Guide: Specialised gynaecology surgery and complex urogynaecology conditions service specifications Consultation guide: Specialised gynaecology surgery and complex urogynaecology conditions