CONTINENCE ISSUES IN PEOPLE WITH

PARKINSON’S DISEASE

The role of the Field Officer

Parkinson’s disease is:

• A progressive, degenerative neurological disorder

• A complex neuropsychiatric disorder• Caused by the loss of dopamine producing

cells in the brain

• No two people are the same.

Up to 71% of people with PD may experience bladder or bowel dysfunction. (Martignoni et al 1995).

Bladder and Bowel problems associated with Parkinson’s

• Frequency of urination• Sudden urgency• Urge incontinence• Retention of urine• Nocturia• constipation

Other Considerations

• Mobility• Communication• Cognitive function• Dexterity• Swallowing• Comorbidity

Role of the Field Officer

• Assessment and Education• Referral to GP • (for referral onto Neurologist /Urologist) • Referral to Continence Nurse• Physiotherapist• Occupational therapist• Dietician• Speech language therapist

• Continence problems have implications for peoples quality of life and the carers ability to cope. This may ultimately influence admission into a care facility. (Thom et al 1997)

References

• www.Nursingtimes• National Association for Continence • www.nafc.org• www.Parkinsons.org.uk