Global focus: MASD

Continence Assessment and Investigations

Author: Ann Yates
 

The second part of a continence clinical skills series looks at the requirements to undertake a basic continence assessment for bladder and/or bowel dysfunction. Assessment is the first step in identifying the type of continence issue an individual may suffer from. It should identify, for example, key elements of underlying medical history, presenting symptoms and duration of problem, medications, allergies, mobility and cognitive ability. This assessment should be supported by investigations, e.g. bladder and/or bowel diary, fluid/dietary intake, urinalysis, assessment of any post-void residual urine and pelvic floor/rectal examinations (if competent in skill).