By The Royal Australian College of General Practitioners
ISBN-10: 0869062123
ISBN-13: 9780869062128
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Additional info for Guidelines for Preventive Activities in General Practice (Res Book)
Sample text
Assess mobility, cognitive function, and signs of conditions associated with incontinence (eg. diabetes, neuropathy, cerebrovascular disease, Parkinson disease, depression). Investigations include urinalysis, urine microscopy and culture, a bladder chart, and measurement of residual urine. 183 Measurement of postvoid residual urine by ultrasound will exclude urinary retention and indicate total bladder capacity (voided volume plus residual volume). Normal bladder capacity is about 500 mL and no residual urine.
A meta-analysis reported similar effect sizes for donepezil, rivastigmine and galantamine, however crossover studies suggest a trial of a second agent in nonresponders is reasonable. 119 See the Pharmaceutical Benefits Scheme Handbook for current prescribing guidelines for cholinestererase inhibitors. Psychotropic medication may be effective for specific indications such as depression, anxiety, psychotic symptoms (hallucinations and delusions), motor activity and aggression. 120 Respiridone has been approved by the Pharmaceutical Benefits Scheme for management of BPSD.
Examine the abdomen (for enlarged bladder, pelvic masses), vagina (for atrophic changes, prolapse and stress incontinence on coughing) and rectum (for constipation, prostatic hypertrophy, anal tone and perineal sensation). Assess mobility, cognitive function, and signs of conditions associated with incontinence (eg. diabetes, neuropathy, cerebrovascular disease, Parkinson disease, depression). Investigations include urinalysis, urine microscopy and culture, a bladder chart, and measurement of residual urine.
Guidelines for Preventive Activities in General Practice (Res Book) by The Royal Australian College of General Practitioners
by Anthony
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