"We did the best we could with what we had" The military journey of Edythe Goldstein Pallin (1942-1945).
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History, 20th Century↗
Biomedical subjects
Francie Bernier
Publications and source records attributed to Francie Bernier.
Bladder dysfunction in sexual abuse survivors.
PURPOSE: We determined the incidence of genitourinary dysfunction and urinary incontinence in self-identified sexual abuse survivors. MATERIALS AND METHODS: In a preliminary study an incontinence and genitourinary symptom questionnaire was distributed to female members of sexual abuse survivor support groups and a control group of patients attending a general gynecology clinic. The 52 item questionnaire contained questions regarding general physical and psychological health, incontinence and voiding dysfunction symptoms, and sexual abuse history. Fischer's exact test was used to compare responses between groups. RESULTS: Questionnaires from 58 sexual abuse survivors and 51 controls were included in the statistical analysis. Mean age +/- SD was higher in the control than in the abuse survivor group (47.8 +/- 18.5 vs 9.1 +/- 41.5 years, p = 0.03) but there was no difference in parity between groups (1.65 +/- 1.85 vs 1.36 +/- 1.44, p = 0.37). Of abuse survivors 72% and of controls 22% reported ever experiencing urinary incontinence symptoms (p <0.001). Many symptoms of stress incontinence, urge incontinence and voiding dysfunction were also reported by a greater percent of abuse survivors than controls. CONCLUSIONS: Sexual abuse survivors have a significantly higher incidence of genitourinary dysfunction symptoms, including stress and urge incontinence, and voluntary urinary retention. Abuse survivors should be questioned about these symptoms, and evaluation and therapy should be recommended. This preliminary study demonstrates that the impact of psychological counseling in addition to medical therapy for urinary dysfunction in this group of patients deserves further study.
Adult↗
Relationship of a pelvic floor rehabilitation program for urinary incontinence to Orem's Self-Care Deficit Theory of Nursing: Part 1.
Urinary incontinence is considered a significant social problem affecting many individuals' quality of life. Nursing theory is a set of concepts or propositions derived from philosophical beliefs about the phenomena of interest to the discipline. The ability to use theory to guide nursing practice brings reasoning and logic to professional nursing practice. Orem's Self-Care Deficit Theory of Nursing gets to the heart of what nursing is and how continence nursing care can be offered and delivered as a broadly inclusive professional, rather than narrowly procedural, practice offering individual care targeting the self-care agent (client) rather than the medical diagnosis.
Exercise Therapy↗
Applying Orem's Self-Care Deficit Theory of Nursing to continence care: Part 2.
Theory based nursing practice provides a framework for initiation of the research process. Orem's Self-Care Deficit Theory of Nursing clearly relates and can be easily applied to continence care. Orem's Theory guides nursing practice with theoretical concepts and goal setting providing a foundation upon which nurses can question the practice and expand the avenue for nursing research.
Adult↗