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About Margot RN BScN GNC
Expertise
GERONTOLOGY (NURSING ISSUES RELATED TO THE ELDERY) I have 15+ years experience working with the elderly. I would be pleased to offer any assistance I can. My areas of expertise include: Gerontology / Geriatrics, Long Term Care, Community Nursing, Palliative Care, Private Nursing Services, Intermediate / Extended Care. I also have a personal interest in Homeopathic and Eastern Medicine. If I can not answer your question I`ll do my best to direct you to an appropriate resource. Thank you.

Experience
I have fifteen years experience in Gerontological Nursing both in the community, and in Long Term Care. I have worked as a General Duty Nurse, a Nurse Manager, and a Nursing Consultant in Long Term Care and Community Nursing.I have a great deal of experience working with, assessing, and educating in the field of Gerontology (Nursing the Elderly). I am familiar with the challenges associated with Dementia (Alzheimer's), Chronic and Terminal illnesses.
Experience in the area
20 years of Long Term Care and Community Nursing, specialising in Geriatrics, Gerontology and PalliativeCare.

Education/Credentials
Registered Nurse , Certified Gerontological Nurse, Bachelor of Science in Nursing.
 
   

You are here:  Experts > People/Relationships > Senior Health > Geriatric Medicine > neurogenic Bladder

Topic: Geriatric Medicine



Expert: Margot RN BScN GNC
Date: 9/29/2007
Subject: neurogenic Bladder

Question
"I have this as a complication of a right mid cerebral artery infarct  (stroke)last December ' 2006.  I have left sided hemiplegia, got bowel function back after a few months but still can't void. I am cathing every 4 to five hours. What can I expect. Do you think I'll ever void regular again. Might enablex or other medication help? I am 53 and prostate is normal."


Answer
Hi Robert and thanks for writing, sorry about my delay responding, my computer was acting up the last few days.

I am not aware of Enablex helping neurogenic bladders, but you could consider the placement of an artificial sphincter, a procedure that involves placing an artificial cuff around the neck of the bladder that can be inflated to prevent urinary incontinence and deflated when it is time to empty the bladder. You will still require intermittent catheterization to completely empty the bladder. Of course you'll need to discuss this option with your physician.

I'm sure your doctors have probably told you that recovery from strokes is slow but you can slowly regain function two years after the infarct, and even some slow recovery after two years.

I hope this helps and I wish you all the best,

Margot

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