What prevents older people from seeking treatment for urinary incontinence? A qualitative exploration of barriers to the use of community continence services

Prostate cancer is the most common non-skin cancer in men. It is fraught with both physical and psychological symptomatology. Depression, anxiety, stress, fatigue, pain and psychosocial factors all affect the patient with prostate cancer. Impotence, erectile dysfunction, sexual issues and incontinence in these patients complicate matters further. Anxiety may exist both before testing and while awaiting test results. Confusion over choosing from various interventions often adds to anxiety and depression in these patients. Various demographic factors and the developmental stage of the couple affect these psychological symptoms. The caregiver may undergo significant psychological turmoil while caring for a patient diagnosed with prostate cancer, which is addressed. The role of nurses in the management of prostate cancer is discussed. The present review looks at psychological issues in patients with prostate cancer from a clinical perspective, with the aim of highlighting these issues for the clinical urologist dealing with these patients. It also explores the consultation --liaison relationship between psychiatrists, psychologists and urologists as a team for the multimodal management of prostate cancer.

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“…50 In fact, urinary incontinence has been rated a more bothersome outcome than ED. 51 There are some men who begin to shun social contact.…”

Section: Psychosexual Issues In Prostate Cancermentioning

confidence: 99%

Psychological aspects of prostate cancer: a clinical review

Sousa

Sonavane

Mehta

2012

Prostate Cancer Prostatic Dis

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“…Walters et al (2001) cited that withdrawal, resignation and low expectations were found to be dominant reasons for women not seeking assistance for their UI. Further, Horrocks et al (2004) in a grounded theory study of twenty participants over 65 years old added that reasons for not seeking help for UI were independent management of UI, reactions to incontinence and attitudes to ageing and health. When individuals did seek help for incontinence the themes media influences and contact with primary care emerged.…”

Section: The Marginalization Of Elderly Womenmentioning

confidence: 99%

Elderly Women and Urinary Incontinence in Long-Term Care

Macdonald¹

2012

Urinary Incontinence

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“…Among those who believe that UI is an irreversible problem and a consequence of aging, there seems to be a better acceptance of the symptoms. Although there are social and psychological costs, sometimes even for their own physical health, success in strategies utilized to minimize incontinence also contributes to make them not reveal the problem to others (21) .…”

Section: Experiences Regarding Self-carementioning

confidence: 99%

“…The attitudes and practices of these professionals are strong barriers for people to seek counseling or help. If the professionals asked the women about their urinary symptoms regularly, they would probably verbalize them and seek help more often (21)(22) .…”

Section: For the Immigrant Muslim Women Living Inmentioning

confidence: 99%