Incontinence in women prisoners: an exploration of the issues

Drennan, Vari, Goodman, Claire, Norton, Christine and Wells, Amanda (2010) Incontinence in women prisoners: an exploration of the issues. Journal Of Advanced Nursing, 66(9), pp. 1953-1967. ISSN (print) 0309-2402

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Abstract

Aim. This paper is a report of a study exploring the extent and management of bladder and bowel problems in order to inform the provision and practice of prison nursing services and health care services in women's prisons. Background. Nurses and general practitioners provide primary care services inside prisons in the United Kingdom. While high levels of mental health and addiction problems in women prisoners are recognized, there has been less focus on physical problems. Incontinence symptoms are perceived as shameful and stigmatizing, and frequently help is not sought from healthcare professionals. Guidance for assessing prisoner health does not refer to bladder and bowel symptoms. Methods. Women prisoners in a large, closed prison in the United Kingdom were surveyed in 2005 using an anonymous self-completed questionnaire. Women resident in the detoxification unit and the hospital unit, absent from their unit at the time of questionnaire distribution or deemed vulnerable by prison health staff were excluded. Results. Questionnaires were offered to 283 women and 246 agreed to take it. Of those taken, 148 (60%) were returned. Twenty-four per cent indicated that they disclosed information about bladder and bowel problems in the survey not previously disclosed to anyone else. Forty-three per cent reported urinary symptoms. Five per cent reported nocturnal enuresis. The majority of women with symptoms reported using sanitary pads and toilet paper for containment of leakage. Conclusion. Prison nurses and nurse practitioners involved in reception into prison assessments should ask direct but sensitive questions about women's bladder and bowel symptoms.

Item Type: Article
Uncontrolled Keywords: constipation, incontinence, prison nursing, prisoners, women, urinary-tract symptoms, seeking behavior, risk-factors, prevalence, constipation, community, health, care, questionnaire, definition
Research Area: Nursing and midwifery
Allied health professions and studies
Faculty, School or Research Centre: Faculty of Health and Social Care Sciences
Related URLs:
Depositing User: Automatic Import Agent
Date Deposited: 29 Jul 2010 09:20
Last Modified: 10 Nov 2010 14:08
URI: http://eprints.kingston.ac.uk/id/eprint/15626

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