Targeting community-dwelling urinary incontinence sufferers: A multi-disciplinary community-based model for conservative continence services

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Title Targeting community-dwelling urinary incontinence sufferers: A multi-disciplinary community-based model for conservative continence services
Author St John, Winsome; Wallis, Marianne; James, Heather; McKenzie, Shona; Guyatt, Sheridan Leanne
Journal Name Contemporary Nurse
Year Published 2004
Place of publication Australia
Publisher eContent Management Pty Ltd
Abstract This paper presents an argument that there is a need to provide services that target community-dwelling incontinence sufferers, and presents a demonstration case study of a multi-disciplinary, community-based conservative model of service delivery: The Waterworx Model. Rationale for approaches taken, implementation of the model, evaluation and lessons learned are discussed. In this paper community-dwelling sufferers of urinary incontinence are identified as an underserved group, and useful information is provided for those wishing to establish services for them. The Waterworx Model of continence service delivery incorporates three interrelated approaches. Firstly, client access is achieved by using community-based services via clinic and home visits, creating referral pathways and active promotion of services. Secondly, multi-disciplinary client care is provided by targeting a specific client group, multi-disciplinary assessment, promoting client self-management and developing client knowledge and health literacy. Finally, interdisciplinary collaboration and linkages is facilitated by developing multidisciplinary assessment tools, using interdisciplinary referrals, staff development, multi-disciplinary management and providing professional education. Implementation of the model achieved greater client access, improvement in urinary incontinence and client satisfaction. Our experiences suggest that those suffering urinary incontinence and living in the community are an underserved group and that continence services should be community-focussed, multi-disciplinary, generalist in nature.
Peer Reviewed Yes
Published Yes
Alternative URI http://dx.doi.org/10.5172/conu.17.3.211
Volume 17
Page from 211
Page to 222
ISSN 1037-6178
Date Accessioned 2005-01-21
Date Available 2013-05-27T23:57:34Z
Language en_US
Research Centre Griffith Health Institute; Population and Social Health Research Program
Faculty Griffith Health Faculty
Subject PRE2009-Health and Community Services; PRE2009-Primary Health Care
URI http://hdl.handle.net/10072/5666
Publication Type Journal Articles (Refereed Article)
Publication Type Code c1

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