Bladder management following spinal cord injury: what you should know a guide for people with spinal cord injury
|Introduction: This consumer guide explains bladder management options for people with spinal cord injury (SCI). It is based on Bladder Management for Adults with Spinal Cord Injury: A Clinical Practice Guideline (CPG) for Health-Care Providers (Consortium for Spinal Cord Medicine, 2006). No one management program can work for everyone. Injury levels vary, as do the effects of nerve trauma on bladder function. There are many factors involved in establishing your bladder management program, and males and females often have to consider different options. Lifestyle issues also factor in: an individual who is out of the house most of the day might not choose the same techniques or supplies as someone who stays home most of the time. Your options will depend on whether you have enough hand dexterity to deal with a catheter. If your hand function is impaired, is someone available to assist you? Do you have access to health-care providers who can give you expert care and immediate attention? This guide will help you work with your health-care team to develop a program that best suits your living situation; one that you feel comfortable with; and, most important, one that protects your health, independence, and quality of life. Your first line of information and medical support may come from your primary care physician, nurses, occupational therapists, and physical therapists. These are all qualified professionals with whom you can talk about your bladder management questions and concerns. It is also extremely helpful to talk with other people who have experienced SCI to find out about the bladder management techniques that have worked for them (and those that haven’t)—and to discuss what they have learned about dealing with bladder management. Before making long-lasting decisions about bladder management, it is a good idea to talk to a urologist, try to find one who has specific experience with bladder problems related to SCI. This guide covers the more common methods of bladder management for individuals with SCI. Remember: if the method you’re using doesn’t seem to be working well, you should talk to someone on your health-care team about other options. It is not uncommon for individuals with SCI to try more than one method or to change methods over time. Generally, it is best to try nonsurgical methods first before attempting a procedure that may be risky or permanent. If you are considering an invasive or irreversible surgical procedure, get a second opinion from another health-care expert familiar with spinal cord injury and the neurogenic bladder.
|Todd Linsenmeyer, Sam Maddox, Linda Chambers, Fred Cowell, James DuBose, Trevor A. Dyson-Hudson et collaborateurs
|Titre de revue/journal, volume et numéro
|Consortium for Spinal Cord Medicine. Clinical practice guidelines.
|Langue de la publication et/ou de traduction
|Anglais (langue d’origine)
|Année de parution
|Paralyzed Veterans of America ; Kessler Institute for Rehabilitation Department of Urology
|Lien vers la publication
|Type d’accès à la publication