Jointly presented by The Institute for Johns Hopkins Nursing
and The Johns Hopkins University School of Medicine.

Summary
Urinary incontinence is not a normal part of aging. Based on the symptoms, urinary incontinence is characterized as urge, stress, mixed, overflow, functional, or iatrogenic. Urinary incontinence can be addressed and resolved in the majority of cases if screening and management of the contributing factors occurs. When clinicians are unable to recognize the consequences of not screening and treating urinary incontinence, the older adults become at risk for depression, isolation, and institutionalization. Physiologic factors contributing to incontinence will be discussed in both men and women. This case module will also demonstrate how to teach patients to manage and often resolve their urinary incontinence through a variety of behavioral and pharmacologic methods.   

Goal
The goal of this educational activity is to educate nurses, physicians, and other interested healthcare providers about the risks of vulnerable patients living with urinary incontinence. Education will include the identification, treatment, and long-term management of urinary incontinence.

Intended Audience
This activity is designed to educate healthcare professionals including, but not limited to, nurses (primary care and long-term care setting), nurse practitioners, physician assistants, primary care physicians, and gerontologists. No prerequisites required.

Learning Objectives
At the conclusion of this educational activity, the participant should be able to:

• Define urinary incontinence.
• Identify the types of urinary incontinence.
• Identify components of incontinence assessment.
• Identify interventions to treat urinary incontinence.

The Institute for Johns Hopkins Nursing and The Johns Hopkins University School of Medicine take responsibility for the content, quality, and scientific integrity of this CNE/CME activity.

CNE/CME Information
Accreditation Statements
The Institute for Johns Hopkins Nursing is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center’s Commission on Accreditation.

The Institute for Johns Hopkins Nursing is approved as a provider of nurse practitioner continuing education by the American Academy of Nurse Practitioners: AANP Provider Number 061216.

The Johns Hopkins University School of Medicine is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.

Credit Designation Statements
This 1 contact hour educational activity is provided by The Institute for Johns Hopkins Nursing. Claim only those contact hours actually spent in the activity.

This educational activity has been granted 1 contact hour of continuing education (which includes 0.1 of pharmacology hours).

The Johns Hopkins University School of Medicine designates this educational activity for a maximum of 1 AMA PRA Category 1 Credit(s)^TM. Physicians should only claim credit commensurate with the extent of their participation in the activity.

Release date: June 30, 2009. Expiration date: June 30, 2011.

Estimated time to complete activity: 1 hour

Activity Format
Web-based module, which includes a video case study interspersed with didactic presentations.

To Receive Contact Hours
Complete this educational activity, online evaluation form, and post-test. Links to the evaluation and post-test are provided on your personal IJHN homepage. After you successfully complete the post-test, you will be able to print a certificate stating the contact hours for this educational activity.

Policy on Faculty and Provider Disclosure
It is the policy of The Institute for Johns Hopkins Nursing to require our continuing nursing education program faculty and planning committee members to disclose any financial relationships with companies providing program funding or manufacturers of any commercial products discussed in the program. The planning committee and participating faculty report that they do not have financial relationships with manufacturers of any commercial products they discuss in the activity.

The participating faculty have indicated that they do not intend to discuss off-label use of products in this activity.

Planning Committee
Jane C. Shivnan, MScN, RN, AOCN
Executive Director
The Institute for Johns Hopkins Nursing
Baltimore, MD

Charles Boult, MD, MPH, MBA
Professor of Public Health (joint appointment in Medicine and Nursing)
Director, Lipitz Center for Integrated Health Care, Department of Health Policy and Management
The Johns Hopkins University
School of Public Health
Baltimore, MD

Participating Faculty
Jane Marks, RN, MS
Associate Director
Geriatric Education Center Consortium
Baltimore, MD

Inez Wendel, MS, CRNP
Geriatric Nurse Practitioner
The Johns Hopkins University School of Medicine
Baltimore, MD

Disclaimer Statement
The opinions and recommendations expressed by faculty and other experts whose input is included in this activity are their own. This enduring material is produced for educational purposes only. Use of The Institute for Johns Hopkins Nursing and The Johns Hopkins University School of Medicine names implies review of educational format, design, and approach. Please review the complete prescribing information of specific drugs or combinations of drugs, including indications, contraindications, warnings, and adverse effects, before administering pharmacologic therapy to patients.

Internet CME Policy
The Institute for Johns Hopkins Nursing (IJHN) and The Office of Continuing Medical Education (CME) at The Johns Hopkins University School of Medicine are committed to protecting the privacy of its members and customers. The Johns Hopkins University maintains its Internet site as an information resource and service for physicians, other health professionals and the public.

The Institute for Johns Hopkins Nursing and The Office of CME at The Johns Hopkins University School of Medicine will keep your personal and credit information confidential when you participate in a CNE/CME Internet-based program. Your information will never be given to anyone outside these institutions. CNE/CME collects only the information necessary to provide you with the service you request.