Registered Nurses' Association of Ontario

Summary of Urinary Incontinence Practice Recommendations

Recommendation

Strength of Recommendation

 

1.0 The expert panel recommends that, prior to developing a plan of care or carrying out interventions, health providers conduct a focused initial assessment in collaboration with the person experiencing urinary incontinence.

 

As a good practice, this statement does not require application of the GRADE system.

 

2.0 The expert panel recommends that health providers encourage individualized toileting strategies in persons living with urinary incontinence.

Strong

 

3.0 The expert panel recommends that health providers encourage persons who live with urinary incontinence to engage in low-intensity physical activity, as tolerated.

Strong

 

4.0 The expert panel recommends that health providers offer women who live with stress or mixed urinary incontinence a trial of supervised PFMT for at least three months as first line management. A comprehensive assessment should be conducted to determine the applicability of PFMT for these women.

Strong

 

5.0 The expert panel suggests that health-service organizations implement an interprofessional approach to providing care for persons living with urinary incontinence.

Conditional

Older Adults
A Proactive Approach to Bowel & Bladder Management in Adults
Practice Recommendations