F938_KC Comm 16p A5 Booklet_9.indd

Transcription

BLDG423
Images are of models, for illustrative purposes only.
CONTINENCE TIPS
Brought to you by
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IT NEEDN’T
COMPROMISE
YOUR LIFESTYLE
Continence challenges can affect
people of any age, gender, culture
or socioeconomic background.
Although more common as people
age, bladder or bowel weakness
can often be cured or significantly
improved – and always managed
better with appropriate strategies
after proper assessment. This
booklet offers you continence tips
and highlights ways to maintain
good bladder and bowel health.
INSIDE
Understanding
incontinence & its effects
3
What causes it?
4
Toileting
5
Fluid intake
6
Diet
7
Exercise
8
Help is at hand
10
Financial assistance
10
Protection
11
Choosing the
right protection
12
Free product sample
16
It’s common
Incontinence affects almost
4.8 million Australians^.
• 1 in 3 women over the age of 35*
• 1 in 10 men over the age of 35*
^ Continence Foundation of Australia
* IPSOS (2010) U&A and ABS
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UNDERSTANDING
INCONTINENCE
& ITS EFFECTS
Continence is the ability to exercise
voluntary control over natural
impulses such as the urge to urinate
or defecate.
Incontinence is any involuntary loss
of urine or faeces. It doesn’t have
to mean total lack of control – it
might only be at times, when urine
dribbles or there’s a bit of soiling or
leaking. Faecal incontinence may
include loss of wind and faecal
smearing.
Incontinence can affect a person
emotionally, psychologically
and socially. Those facing it may
feel that they’re seen as lazy or
attention seeking, feel ashamed,
embarrassed, annoyed, angry,
frustrated or guilty. If not well
managed incontinence can lead to
social isolation and skin complaints.
That’s why it’s important to be
proactive and manage it well. Don’t
passively accept it. Your doctor or a
continence nurse advisor can help
– and remember, they help with
these issues regularly so there’s no
need to feel embarrassed.
Your doctor or a continence nurse
advisor can help identify which type
of incontinence you’re facing and
this will influence treatment.
Stress incontinence is urine
leakage after movement like
when you cough, sneeze, lift,
bend, laugh or play sport.
Urge incontinence is a sudden
desire to urinate, without enough
time to make it to the toilet.
Reflex incontinence is loss of
urine without bladder sensation,
due to damage to the nerves
controlling bladder function.
Overflow incontinence is where
the bladder doesn’t empty
properly, perhaps due to outlet
obstruction or low bladder tone.
Functional incontinence is
where a person’s ability to reach
or use the toilet is compromised –
perhaps because of poor building
design or loss of mobility or
memory.
Key point
Incontinence isn’t an inevitable part
of ageing. It’s a symptom, not a
disease, so it’s important to
find out what’s causing it.
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WHAT CAUSES IT?
While the body’s ageing process can contribute to incontinence, there can be a
variety of contributing factors.
Often the main reason for bladder control problems is either weak pelvic floor
muscles or interruption of the signal to the brain that indicates the bladder is
full. Urinary incontinence contributors include pregnancy and childbirth, urinary
infections, side effects from medication, prescribed or natural diuretics including
caffeine, and chronic constipation. Other factors could be bladder stones and
other obstructions, diabetes, menopause, prostate gland surgery, obesity and
neurological disease or injury such as Parkinsons, stroke or spinal cord damage.
Constipation is one of the most common causes of faecal incontinence in the
aged and disabled. Other causes include diarrhoea, environmental issues such as
inability to reach the toilet, neurological impairment, nerve or muscle damage
and cancer of the rectum or anal fissure.
Did you know?
If you’re having problems fully
emptying your bladder on the toilet,
after you’ve passed urine count to
10, then pass some more. It may
help to use the ball of your hand
or fist to apply pressure over the
bladder while passing urine.
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TOILETING
When to go
With the bladder, it’s best not to go
‘just in case’ as this minimises bladder
storage capacity and means small
amounts of urine will have to be emptied
frequently.
With the bowels it’s important to go to
the toilet as soon as you get the urge to
defecate. This is because if you put it off,
the urge will disappear until a later time
– possibly the next day – and because
faeces gets harder and drier the longer
it stays in the bowels, this may cause
constipation and contribute to urinary
incontinence.
Positioning
When on the toilet, the lower back
should be straight, not slumped
Quick tips
Going to the toilet after meals
can help promote bowel motions,
as the body’s digestive system
usually has muscular contractions
after eating.
To make toilet use easier,
consider raising the toilet seat to
a higher level and installing wall
hand rails. Another help could
be leaving the toilet light on at
night.
Lean forward, back or remain upright
depending on what allows the bowels
to open with least effort
Have your legs comfortably apart
(having clothing pulled to your ankles
may help)
It may help to have your knees raised
higher than your hips, with the use of
a small footstool but ensure it’s not
too high as you don’t want your lower
back to slump. (For safety, ensure the
stool is stored away when not in use
and avoid its use if you have mobility,
balance or other medical issues where
leaning forward to arrange the stool
may not be safe).
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FLUID INTAKE
It’s important to consume 6–8 glasses or 1500mL of water a day to maintain
bladder capacity, overall body functioning and prevent dehydration. This fluid
intake does not include caffeine-containing drinks.
If you find it difficult to drink this much, consider other options like fruits,
vegetables, wet foods like curries and stews, soups and jellies which are high in
water and easier for the body to digest and absorb. Minimise processed or other
foods that require more effort in digestion.
Consult your doctor if you are on a fluid restriction regime.
Did you know?
Withholding fluid intake to try and
prevent a urinary accident can
prevent the bladder muscles from
being toned and also result in
concentrated urine, irritating
the bladder.
Caffeine, alcohol and juices
Caffeine-containing fluids like coffee,
tea and Cola soft drinks can irritate
the bladder and cause it to draw
water from other parts of the body
to dilute the caffeine. This can result
in dehydration and constipation. An
irritated bladder may contribute to
urine leakage.
Alcohol increases the passing of urine
but it also reduces the ability to
co-ordinate the act of holding on to
urine before going to the toilet.
Citrus juices can irritate the bladder so
health professionals suggest just one
glass in the morning.
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Did you know?
Excess body weight can
aggravate bladder or bowel
weakness by putting stress on
muscles. A 5–10% weight loss can
help improve control by reducing
intra-abdominal pressure.
DIET
What you eat is important to provide the body with the nutrients to keep it in
optimum function as well as to prevent constipation.
A high fibre diet is vital in maintaining bowel regularity. A diet low in
fibre, or if you increase fibre intake without increasing fluid intake, leads to
constipation. And faeces retained in the body can put pressure on the bladder
and lead to urine leakage.
Drinking cranberry juice can help support a healthy urinary tract and bladder.
Avoid spicy foods as they can irritate the bladder.
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EXERCISE
Keeping active and regular
exercise is important for continence
promotion and maintenance. Both
general exercise for total body,
bowel and bladder health – and
pelvic floor exercises.
The pelvic floor is a large muscle
slung across the pelvis from the
front to the back. It’s similar to a
hammock and supports the pelvic
and abdominal organs so they are
maintained in correct position.
Weak pelvic floor muscles are the
most common cause of bladder
weakness and can lead to urine
leakage when laughing, coughing,
sneezing or exercising.
Pelvic floor exercises
Recommended for women and
men who experience any urine
leakage, pelvic floor exercises also
strengthen the muscles around the
bladder and bladder opening. The
exercises improve incontinence
symptoms.
They can be done anywhere,
anytime, while sitting, lying or
standing. No one else will know
you’re doing them.
Finding the muscles
Imagine stopping the flow of urine.
The muscles used to stop the flow
are pelvic floor muscles.
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Two types of exercises
Things to remember
Pull up and hold or tighten pelvic
floor muscles as if stopping the
flow of urine.
It’s best to empty your bladder
first.
Clench or tighten buttocks
together, as if stopping wind
escaping from the anus.
Two ways of doing them
1. Quick pelvic floor exercises where
you pull up or tighten and then
relax straight away.
Don’t hold your breath – breathe
normally.
Tighten the pelvic floor muscles,
not the abdominal or chest area.
It may take several weeks to
notice an improvement but if
symptoms do not improve, ask
your doctor for help.
2. Slow pelvic floor exercises.
– Tighten the muscles and hold
for 3–5 seconds. When the
muscles get stronger, tighten
for 10 seconds or longer.
– Relax for 3–5 seconds, then
tighten them again.
– Do 3–5 of these exercises at
a time, at least three times a
day.
Quick tips
Pelvic floor exercises should be
done regularly so its best to set up
triggers to remind you. For example,
you might decide to do them every
time you stop at traffic lights or
whenever you walk through a
doorway or when the first set of
commercials start on television or
when you answer the phone. Be
creative and think of triggers that
suit your lifestyle.
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HELP IS AT HAND
If you’d like further information,
advice or practical support, consider
contacting:
Your doctor
A continence nurse advisor
A continence clinic
Specialist doctors such as a
urologist, urogynaecologist or
gastroenterologist
The Continence Foundation
Australia www.continence.org.au
The National Continence Helpline
freecall 1800 33 00 66
Visit www.bladderbowel.gov.au
For information on DEPEND®,
POISE® or DryNites® products,
bladder or bowel weakness or to
order a FREE PRODUCT SAMPLE,
call 1800 028 334 or visit
www.depend.com.au
FINANCIAL
ASSISTANCE
You may be entitled to
Government funding towards
continence products.
There are various subsidy
schemes, funded by the Australian
Government and State/Territory
Government Departments. For
example, the Continence Aids
Payment Scheme better known
as CAPS pays over $500 a year for
continence products to individuals
aged five and over who have
permanent and severe incontinence
due to an eligible condition.
Eligibility criteria and funding varies
between schemes. You may even
be able to apply through several
schemes. To find out more, phone
the National Continence Helpline
freecall 1800 33 00 66 or talk to
your local continence clinic.
www.poise.com.au
www.drynites.com.au
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PROTECTION
Good quality disposable continence
protection such as DEPEND® and
POISE® products will keep you dry
and comfortable and feeling more
confident.
A variety of disposable continence
protection products are available.
Some are pads with adhesive
backing or that are held in place
by stretch pants, and others are
designed like underwear. Some
provide protection for bowel
weakness. Furniture protection
is also available. These sorts of
products can give you extra peace of
mind and the confidence to live the
lifestyle you want.
DEPEND®, POISE® and DryNites®
products offer superior light to
maximum protection. Product
selection should be based on level
of absorbency, product type, size
and fit.
A continence nurse advisor can
help you choose the product best
suited to your needs – or you can
use the table overleaf.
SOURCING
PRODUCT
You’ll find some DEPEND®, POISE® and
DryNites® products in supermarkets and
pharmacies. The entire range is available
through these distributors, who can
organise discreet, fast home delivery:
W www.brightsky.com.au
T 1300 88 66 01
E [email protected]
W www.independenceaustralia.com
T 1300 788 855
E customerservice@
independenceaustralia.com
W www.intouchdirect.com.au
T 1300 134 260
Quick tips
E [email protected]
Be proactive and positive. Don’t let
continence challenges compromise
your lifestyle.
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Quick tips
CHOOSING THE RIGHT PROTECTION
Very light
(Just in case)
Light (eg. leakage
when laugh,
cough, exercise)
Try out the helpful interactive product selector at
www.depend.com.au or www.poise.com.au
Maximum
(Over 2 cups. Some suit bowel incontinence)
Moderate (Frequent light leakage
– holds 1-2 cups)
Increasing absorbency
®
POISE Liners
Light
Regular
Microliners
Microliners
Long
POISE® Active
Extra Long
Regular
Super
Ultrathin Pads Ultrathin Pads
POISE® Pads
Regular
®
DEPEND Shields for Men
Super
Extra
Extra Plus
Shields Men
®
DEPEND Guards for Men
Guards Men
DEPEND® Pads (formerly DEPEND
®
Pads
Shields)
®
DEPEND Undergarments
®
Overnight
Undergarments
®
DEPEND REAL FIT Underwear
For Women
DEPEND® REAL FIT® Underwear
Super
For Men
For Women
DEPEND® Underwear Unisex
DEPEND® Anatomic Pads
Super
Super Plus
Normal
Plus
DEPEND® Briefs
Extra
Super
Normal
Super Plus
Super
®
DEPEND Flex
Super Plus
Super Plus
Light protection
Moderate protection
For women
POISE® Liners
For men
DEPEND® Shields for Men
For women
POISE® Pads
For men
DEPEND® Guards for Men
Regular 3 times more absorbent
than period-only liners
Thin & discreet
Soft side shields help stop leakage
g
Secure cup-like protection
Dry touch cover
Wider front end for male anatomy gives
excellent protection
Breathable
Adhesive strip ensures
secure protection
Contoured shape for
better fit & protection
Light
Cup-like shape for better fit
Regular Extra Long
POISE® Active
Comfort-flex leak
barriers to protect
while active
Microliners: 3 times drier than period-only liners
Designed for active women
Discreet & comfortable
Regular
Super
Extra
Extra Plus
Overnight
C
Continued...
Micro
oliner Microliners
Microliners
Regular
Super
Long
Ultrathin Pads Ultrathin Pads
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Moderate protection
Maximum protection
For children, adolescents
& smaller-framed adults
DryNites® Pyjama Pants
For men
for Men
Gender-specific designs for better protection
Look and feel like real underwear
Cloth-like outer cover reduces noise
during movement
Slim & comfortable, looks & feels like real
underwear
Masculine blue cotton-like stretch fabric
Absorbent core zoned for men
All-around leg elastics
4-7 years, 17-30kg / 8-15 years, 27-57kg
For women and men
DEPEND® Pads (formerly DEPEND® Shields)
(only available through distributors)
Extra long for greater protection
Soft, cloth-like cover for
comfort & skin health
Adhesive backing
strip secures in place
For bladder & bowel incontinence
Easy product removal &
attachment
Soft breathable cover
Can be fitted while sitting, standing or lying
For bladder & bowel incontinence
For women
for Women
L
For women
DEPEND® REAL FIT® Underwear Super
for Women
S/M
/
L
XL
For women and men
DEPEND® Underwear Unisex
underwear
Feminine peach cotton-like stretch fabric
Absorbent core zoned for women
g elastics
All-around leg
S/M
L/XL
/
underwear
Feminine peach cotton-like stretch fabric
Absorbent core zoned for women
Super absorbency for maximum protection
DEPEND® Undergarments
with Buttons
14
S/M
XL

Underwear-like waistband
Soft & comfortable
Traps & locks in odour
Available in Super and
Super Plus absorbencies
Super: S/M, L, XL
Super Plus: S/M, L
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DEPEND® Flex
For women and men
DEPEND® Anatomic Pads
Breathable belt
(only available through distributors;
worn with DEPEND® Stretch Pants)
Advanced odour protection
Soft, cloth-like outer cover with
full-length wetness indicator
Longer side leakage guards
boost protection
Dry-lock core keeps wearer
dry & reduces odour
Breathable design for
optimum skin health
Easy-use, secure
re-fastening system
Cloth-like cover optimises
comfort & skin health
Super Plus
M, L
DEPEND® Cleansing Wipes
Normal
Plus
Extra
Pre-moistened cleansing wipe ideal for
continence care
Large size (20 x 30cm) for full coverage
Thick & strong so won’t tear in use
Super
Super Plus
Soft, hypoallergenic & dermatologically
tested
DEPEND® Stretch Pants
(only available through distributors;
worn with DEPEND® Anatomic Pads)
Washable, re-use up to 30 times
Highly breathable,
comfortable, latex-free
Easy to put on & remove
Other protection
DEPEND® Briefs
M, XL, XXL
DEPEND® Underpads
55 x 40cm
Can be ﬁtted while sitting, standing or lying
Soft, cloth-like outer with full-length
wetness indicator
Convenient, refastenable tabs
For bladder and bowel
incontinence
Breathable design for
optimum skin health
Fluid-proof protection
for beds, chairs etc
DEPEND® Booster Pads
Use with other DEPEND® products to
increase absorbency by up to 240mL
Super thin so discreet
Odour protection for increased conﬁdence
Normal S, M, L
Super M, L
Super Plus M, L or XL
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FREE PRODUCT SAMPLE
Order samples online or tick the product/s you’d like below (max. 2 per household).
See pages 12 to 15 for product details.
(tick absorbency)
4–7 years (17-30 kgs)
Male
Female
8–15 years (27-57 kgs)
Male
Female
DEPEND® Briefs (tick absorbency / size)
DEPEND® Shields for Men
Normal:
S
M
Super:
M
L
Super Plus:
M
L
®
DEPEND Guards for Men
DEPEND® Pads
DEPEND® Undergarments with Buttons
(tick size)
DEPEND® REAL FIT®
Underwear for Women
S/M
L
S/M
L/XL
DEPEND® REAL FIT®
Underwear Super for Women
S/M
L
DEPEND® Underwear
Super:
Unisex
Super Plus:
S/M
S/M
XL
DEPEND Flex Super Plus
®
XL
DEPEND® REAL FIT®
Underwear for Men
L
l
POISE® Pads
DryNites® Pyjama Pants
(larger size suits light-framed adults)
M
(tick size)
L
®
DEPEND Underpads
ll
POISE® Active
Light
Regular
Extra Long
Microliners
Microliners Long
Regular Ultrathins
Super Ultrathins
Regular
Super
Extra
Extra Plus
Overnight
d l f
POISE® Liners
DEPEND® Booster Pads
XL
L
L
f
(tick absorbency / size)
XL
DEPEND® Anatomic Pads (worn with Stretch Pants)
(tick absorbency)
Normal
Plus
Extra
Super
Super Plus
Mail in a stamped envelope to:
DEPEND® Offer
PO Box 784 Brookvale NSW 2100
DEPEND® Stretch Pants (worn with Anatomic Pads)
M
XL
XXL
(tick size)
Title _________ Name ____________________________________________________
Postal Address ___________________________________________________________
Suburb _________________________________________________________________
State__________________________________________ Postcode _________________
Email __________________________________________________________________
Gender
Male
Female Year of Birth ______________
Phone___________________________________________
Tick this box if you do not
wish to be contacted by
Kimberly-Clark Australia with
further promotions.
www.depend.com.au
www.poise.com.au
BLDG423
For more information on DEPEND®, POISE® or DryNites® products, bladder or bowel
weakness or to order a FREE PRODUCT SAMPLE, call 1800 028 334 or visit
www.drynites.com.au
Health professionals visit
® Registered Trademark Kimberly-Clark Worldwide, Inc. © KCWW 01/2015
15/04/2015 1:58 pm