Nursing Capstone Project Sample Paper on Evaluation Plan for Treating Stress Incontinence in Women

Evaluation Plan for Treating Stress Incontinence in Women


Stress incontinence is a condition where women experience either uncontrolled or unintentional urine leakages. This implies that it is a condition where women are unable to be in control of the urge to urinate under some conditions. This disorder though not life threatening, can be mostly embarrassing that can result in social isolation when not properly managed. Essentially, Stress Incontinence results from physical activities that put pressure on the woman’s bladder. These physical activities include coughing, laughing, jumping, sneezing, lifting heavy loads among the rest. (Roth, 2013). In this work, the work plan for the evaluation of the Stress incontinence in women in respect to causes and management is concerned would be emphasized.

Evaluating the Bladder Anatomy

To understand the Stress Incontinence, it is of great importance to evaluate and comprehend the anatomy of the bladder. The bladder is held in place by a system of muscles. It has detrusor muscle that constitutes the bladder wall; it is elastic to permit for the expansion when filled with the urine. Sphincter muscle encircles the urethra, which assists in keeping the urethra open and preventing the spillage of urine unnecessarily. Besides, the bladder also has the pelvic floor muscles that offer support for both the bladder and the urethra (Roth, 2013).

Evaluation of the Causes of the Stress Incontinence

In women, the primary causes of the Stress Incontinence are pregnancy as well as the multiple virginal deliveries. Therefore, an interview would be organized with the pregnant and women who had multiple births. Besides, old people and individuals having chronic infection of the urinary tract would be interviewed with the aim of determining whether the claim is true. Moreover, further studies would be focus on other risk factors that can cause Stress Incontinence such as diabetes, obesity, and constipation (Roth, 2013).

Outcomes of the Evaluated Causes of the Stress Incontinence

From the interview and consultation of the health providers, it could be concluded that women are more likely to suffer from the stress incontinence than men. In addition, pregnancy, multiple vaginal births, old age and chronic urinary tract infections are some of the major causes of the stress incontinence in women. Additionally, it was evident that risks factors such as diabetes, obesity, and constipation contributed towards this disorder. The health providers explained that birth and pregnancy makes the stretching and weakening of the pelvic and the sphincter muscles. In the case of old age, a chronic infection of the urinary tract can also cause Stress Incontinence. However, some women have reported Stress Incontinence weeks leading to the onset of their periods.

Evaluation of the Treatments Methods Available For the Stress Incontinence

The health providers agreed that there are no standard procedures for treating the Stress Incontinence because each method depends on the causes of the disorder. However, in most cases, the combination medical treatment approach coupled with the adjustments of lifestyle is used. Nevertheless, various methods can be used to treat Stress Incontinence. They include behavioral therapy, pelvic muscle training, surgery, and medication. However, for the purpose of this study, the effectiveness of the pelvic muscle training would be evaluated as a way of treating the Stress Incontinence(Roth, 2013).

Evaluation Of The Pelvic Muscle Exercise

According to most of the physiotherapists and the women who have recovered from the Stress Incontinence Pelvic muscle exercise, is one of the most successful treatment approaches for this disorder. However, to experience its success, it is of great importance that the relevant muscle must be exercised correctly. Below is an example of how to perform the pelvic muscle exercise properly.

You need to do this exercise consistently. Sit, stand, or lie with your knees marginally separated. Gradually fix your pelvic floor muscles under the bladder as hard as possible. Hold to the tally of five, and unwind. Rehash no less than five times. These are called moderate draw ups. Then do likewise practice rapidly for a moment or two. Rehash no less than five times. These are called quick force ups. Keep repeating the five moderate draw ups and the five quick force ups for five minutes. Aim to do the above activities for around five minutes no less than three times each day and ideally 6-10 times each day. Ideally, do every five-moment episode of activity in an alternate position every time. That is, infrequently when sitting, occasionally when standing and at times when resting. As the muscles get to be more grounded, build the time span, you hold each moderate draw up (Haslam, 2011).

You are doing admirably in the event that you can hold each moderate draw up for a check of 10 (around 10 seconds). Do not crush different muscles in the meantime as you press your pelvic floor muscles. For instance, do not utilize any muscles in your back, thighs, backside, or stomach. In an expansion to the particular times, you put aside to do pelvic floor activities, attempt to get into the propensity for doing them while going about ordinary life. Pelvic floor activities should be possible when noting the telephone, cleaning up, voyaging, and so forth. After a few weeks, try to find out whether the muscles begin to feel more grounded. You can determine this by putting pressure on the pelvic floor muscles without the muscle becoming fatigue. In the event that you doubt that you are practicing the right muscles, put several fingers into your vagina. You ought to feel a tender crush while doing the activity (Haslam, 2011).


Stress Incontinence is a treatable disorder that can result in embarrassing moments to the victims when not properly checked. However, most of the surviving patients are to the opinion that the Pelvic muscle exercise approach is one of the most successful ways of managing the disorder. Besides, most of them are in the agreement that consistency and exercising the right muscle is crucial for achieving the desired effects.


 Haslam, J. (2011). Pelvic Floor Muscle Exercise in the Treatment of Urinary Incontinence.

Therapeutic Management of Incontinence and Pelvic Pain,7(1), 63-71.

Roth, E. (2013). Stress Incontinence in Women. The Nurse Practitioner,3(1), 56-63.