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Incontinence In Parkinson's Client

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Incontinence In Parkinson's Client

Postby Iago » Mon Nov 28, 2016 12:10 pm

I am the patient advocate and healthcare coordinator for a 75 year old man diagnosed with Parkinson's in 2004.  He gets most of his healthcare through the VA. His worst symptoms are a tendency to fall VERY easily, as well as worsening incontinence, to the point that both have him virtually housebound.  When I take him to appointments, etc., he cannot stay dry for more than an hour or so at a stretch. His VA doctor wants to start him on Terazosin and Flomax.  I am concerned about exacerbation of his tendency to fall, and am lobbying for external means of keeping him dry when he must go out -- external catheter, full diapers, or one of the many alternatives I have seen or read about.  (I can't tell you the number of public bathroom floors I've had to lever him off, or else enlisted nearby men with muscles when I cannot enter the bathroom.)

What advice would you give me?  Thank you in advance for your attention to this matter.
Iago
 
Posts: 42
Joined: Tue Mar 04, 2014 4:48 pm

Incontinence In Parkinson's Client

Postby Donat » Tue Nov 29, 2016 8:30 pm

Mary:

Given his Parkinson's and falling tendancy, I would not recommend Terazosin.  A trial of Flomax(tamsulosin) is reasonable and is not likely to increase his falling tendancy.

He needs a full urological evaluation to determine why he is leaking.  Is there any prostate blockage?  If so, is it adequately treated with his medications or not?  He will most likely need a bladder pressure test(urodynamics) if he hasn't had one yet.

I also work at a VA one day a week.  Take him to a full service VA where there is a urology training program if there isn't one where he is. Good luck and bless you for taking care of a gentleman with special needs.
Donat
 
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Joined: Thu Mar 06, 2014 6:02 am

Incontinence In Parkinson's Client

Postby Sebastien » Fri Dec 02, 2016 3:32 am

I am the patient advocate and healthcare coordinator for a 75 year old man diagnosed with Parkinson's in 2004.  He gets most of his healthcare through the VA. His worst symptoms are a tendency to fall VERY easily, as well as worsening incontinence, to the point that both have him virtually housebound.  When I take him to appointments, etc., he cannot stay dry for more than an hour or so at a stretch. His VA doctor wants to start him on Terazosin and Flomax.  I am concerned about exacerbation of his tendency to fall, and am lobbying for external means of keeping him dry when he must go out -- external catheter, full diapers, or one of the many alternatives I have seen or read about.  (I can't tell you the number of public bathroom floors I've had to lever him off, or else enlisted nearby men with muscles when I cannot enter the bathroom.)

What advice would you give me?  Thank you in advance for your attention to this matter.
Sebastien
 
Posts: 45
Joined: Fri Feb 07, 2014 11:30 am


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