Primary Care and SCI - Bladder: 1. Basics of Neurogenic Bladder скачать в хорошем качестве

Primary Care and SCI - Bladder: 1. Basics of Neurogenic Bladder

Up to 85% of people with spinal cord injury (SCI) will have some form of a condition called 'neurogenic bladder' - a disruption of the ability to store and void urine. Bladder dysfunction is among the leading causes of re-hospitalization after SCI. Bladder control for people with SCI usually requires catheterization (either intermittent, indwelling, or condom) or reflex voiding, medication (e.g., anticholinergics or botox), or in some cases, surgery is done. The method(s) used depend on the patient’s anatomy, functional abilities, any medical co-morbidities, and social life. The best bladder management routine is typically determined by a physiatrist or urologist with the patient’s input. The goals of managing neurogenic bladder are continence, regular emptying, avoiding increased bladder pressure, and preventing complications. Bladder function may change as patient’s age and medical circumstances change (i.e., they acquire secondary conditions). Improper bladder management can result in significant kidney damage, kidney stones, recurrent infections, or autonomic dysreflexia. Patients with SCI are at a higher risk of UTI than people without SCI. Left untreated, UTIs can lead to sepsis, autonomic dysreflexia (life-threatening spikes in blood pressure), or other severe complications. After viewing this video, you should be able to: • Understand the basic physiology of bladder voiding, how that changes in people with SCI, and usual methods of bladder management (with positives and negatives). For someone with a higher level injury, or tetraplegia, we may recommend an indwelling catheter. (because of limited hand function, it might be easier for the person with tetraplegia to have a catheter that usually ‘lives’ in the person). Clean intermittent catheterization or CIC is most recommended for people with lower level injuries and better hand function, but it can be expensive, and it can induce trauma to the penis. Want to learn more about bladder management? See our articles! Bladder Health Articles: https://community.scireproject.com/to... Bladder Management: https://scireproject.com/evidence/bla... Follow us on social media, sign up for our newsletter and check out our websites! SCIRE Professional: https://scireproject.com   / scireproject   SCIRE Community: https://community.scireproject.com   / scirecommunity     / scirecommunity     / scirecommunity   Newsletter: https://scireproject.com/whats-new/sc... Timestamps 00:00 Learning Objectives 00:39 Neurogenic Bladder 01:33 Micturition 01:56 Anatomy 02:37 Upper Versus Lower Motor Neuron 04:15 Goals of Managing Neurogenic Bladder 04:55 Best Practice for Bladder Management 06:04 Difference between Foley and Suprapubic 07:47 Clean Intermittent Catheterization 09:22 Complications #spinalcordinjury #bladder #primarycare #neurogenic #incontinence #meded #wellness