Bowel and Bladder
Dysfunction in MS
Tracy Walker, WOCN, MSCN, FNP‐C
Nur Practitioner
MS Institute at Shepherd Center
Bladder Dysfunction •Approximately 75% of people with MS experience bladder problems •Can have a huge impact quality of life
Cau of Bowel and Bladder
Dysfunction •Interruption of nerve pathways = Dysfunction
•Spinal Cord Lesions cau most of
the problems
•Brain lesions can affect voluntary control
临时用工协议Bowel and Bladder Dysfunction and
Disability
•There is a definite correlation with bowel and bladder dysfunction and disability
Why is management so important?•Elimination dysfunction greatly impacts
根号计算quality of life表演的英文
•Affects social interactions and lf esteem •Risk of other medical complications: –Urinary Tracy Infections, Kidney damage, Bowel
Impaction and perforation
Goals of Bladder Management 1.Maintain Renal Function and Prevent
买文具教学设计Secondary Complications
2.Mimic normal voiding patterns and provide
气管炎丸means for adequate bladder emptying
3.Reduce Symptoms and Improve Quality of
Life
Normal Bladder Function Bladder Filling>>>Storage>>>
Bladder distention/spasm(=urge)>>> Signals brain>>> Brain maintains continence and delays emptying until appropriate>>> when appropriate brain initiates voiding>>>sphincter relaxes>>>
bladder contracts>>>
Urination/ bladder emptying occurs
Types of Bladder Dysfunction in MS落日鱼辉
•Failure to Store
•Failure to Empty
•Combination of above
Diagnostic Tests •Urinalysis
•Urine Culture and Sensitivity
诚信原则
•Video‐Urodynamics
•Post Void Residual
Video‐Urodynamics
Video Urodynamic tests can determine:
最好的作文1. Prence or abnce of Bladder Sensation
2. Detrusor respon to bladder filling
3. Sphincter respon to any contractions elicited
4. Type of bladder dysfunction and potential
for complications
