Dignity is NOT a four letter word:
Incontinence as the last taboo
 While
many things cannot be changed in the health life of a frail
senior, urinary incontinence is no longer one of them. A
great many women are surprised to learn that urinary incontinence
is a common and treatable condition. And, contrary to yet
another myth, it is not a natural part of aging: it can happen
at any age and can be caused by many physical conditions.
For many frail seniors urinary incontinence,
or the inability to control the elimination of urine, has caused
frustration and a loss of personal dignity.
What is not widely understood is that Incontinence
is not a disease but rather a symptom of other conditions.
And once the cause or causes of these conditions is determined,
urinary incontinence can be treated.
Our treatment for frail seniors begins
with a thorough assessment of their current situation. Following
a history and physical examination, urinalysis with possible
urine culture, and catheterization may follow. Female clients
will have a pelvis exam to determine the condition of the tissue
and to check if the internal organs (uterus, bladder or rectum)
have dropped. Assessment for incontinence determines the presence
or absence of acute causes such as infection and urethral obstruction,
and includes an evaluation of functional ability and cognitive
status, both of which are important in determining successful
interventions.
Because there are many forms of chronic
incontinence, we ask our clients to keep a bladder diary which
helps us get a clear picture of the individual's symptoms.
Regardless of the cause, there are successful medicine-based
and surgical treatments available. These may not be suitable
for the frail senior, for whom surgery is too risky and some
medications may cause undesirable side effects. For our frail
senior clients behavioral interventions are highly successful
in managing incontinence. The reported success rate for behavioral
treatment is 85%.
This history of success should encourage
those people suffering from incontinence
to realize that not only can we help them, but that with a success rate that
high they are likely to have a positive outcome. Together we will work toward
a return to a normal lifestyle that will be no longer hampered by incontinence.
413-429-6165
Please contact our office to find out more about the 50 long-term care facilities where Martha Klay, APRN treats patients or about upcoming speaking engagements.
Martha Klay's CV Available Here
Here is Martha Klay's most current CV which describes her professional and educational background.
Download CV
Tamsulosin ("Flomax") Poster Abstract - March 2012
Tamsulosin ("Flomax") Use for Women with Bladder Outlet Obstruction and Urinary Incontinence in the Nursing Home: A demonstrative case and critical discussion of its use
See Tamsulosin Abstract
Martha Klay collaborates on a poster entitled: "Tamsulosin ("Flomax") Use for Women with Bladder Outlet Obstruction and Urinary Incontinence in the Nursing Home: A demonstrative case and critical discussion of its use" - March 2012
View Tamsulosin poster
Martha Klay presents a poster on "Keeping it Brief -Improving Continence Care & UTI Reduction in LTC" April 12, 2011
Internationl Continence Society - "Innovating for Continence" Conference
Chicago, Illinois
View "Keeping it Brief - Improving Continence Care & UTI Reduction in LTC" poster
Martha Klay speaks on "Urinary Incontinence in the Elderly"
for Gentiva Home Care on February 8, 2011
Greenfield, MA
Martha Klay speaks on "Urinary Incontinence in the Elderly"
for Gentiva Home Care on November 3, 2010
Pittsfield, MA
Martha Klay presents a poster on "One Symptom UTI Protocol" on September 22-25,2010
GAPNA (Gerontological Advanced Practice Nurses Assoc.) 2010
Conference -
Albuquerque, N.M.
View the One Symptom UTI Protocol poster
Martha Klay speaks on "Pessary/Vaginal Estrogen/Stess Incontinence,UR in Females", "UTIs in LTC", "Navigating the LTC Arena as a Specialist" at Onsight Continence/Foot Care Symposium
September 22, 2010 - North Carolina
Martha Klay Speaks on "UTIs in Frail Elders" at 21st Annual Western MA Eldercare Conference on May 18,2010
Springfield, MA
Martha Klay presents a poster on "One Symptom
UTI Protocol" - March 11-13,2010
Annual Suna Symposium on "Incontinence and Pelvic Floor Disorders"
Colorado Springs, CO.
View the One Symptom UTI Protocol Poster
Martha Klay is keynote speaker at Symposium - "Practical Approaches to Complex Conditions" on October 2,2009
Sponsored by ProHealth Partners -
Cromwell, CT
Martha Klay conducts teleconference - "Senior Care: Treating Overactive Bladder in the Long-Term Care Setting" for Glaxo Smith Kline on July 14,2009 and September 17,2009
Martha Klay presents poster on Falls Reduction
- May 6-8,2009
16th Annual N.E. Regional Nurse Practitioner Conference Newton, MA.
Martha Klay presents poster on Falls Reduction
- March 11-14,2009
Suna Annual Symposium - Incontinence and Pelvic Floor Disorders -
San Francisco, CA.
View The Falls Reduction Poster >>
Martha Klay Speaks at Partners Pharmacy, E. Windsor, CT on February 4, 2009
Senior Care: Treating Overactive Bladder in the Long-Term Care Setting
Sponsored by GlaxoSmithKline
Martha Klay at 7th Annual Conference at Hartford Hospital Geriatrics Progam on November 21, 2008
Poster Presentation of Continence Progam/Results
Martha Klay at 2008 Annual Meeting & Trade Show - Sponsored by MA. Extended Care Federation & MA. Long Term Care Foundation on November 13,2008
Poster Presentation of Continence Program/Results
Martha Klay speaks at Hofbrauhaus, West Springfield, MA. on October 15,2008
Evaluating Age Related Considerations and Treating OAB -
Sponsored by Novartis
Martha Klay Speaks at Atria Senior Living Group, Rocky Hill, CT. on August 20, 2008
Evaluating Age Related Considerations and Treating OAB - Sponsored by Novartis
Martha Klay Speaks at 19th Annual Western Massachusetts Elder Care Conference on May 20,2008
Exploring the Relationship between UTIs and Urinary Incontinence
Massachusetts Public Health Association
Martha Klay presents at Del Raye's Restaurant on December 5, 2007
Incontinence in Long Term Care: Complying with FTag 315. A presentation to members of the Massachsetts NADONA members.
Sponsored by Watson Pharmaceuticals
Click for the National Directors of Nursing Organization
Martha Klay Presents at Max's Tavern on November 7, 2007
Incontinence in Long Term Care: Complying with FTag 315, a presentation for members of the Massachusettes Extended Care Federation
Sponsored by Watson Pharmaceuticals
Click here for more information about the Massachusetts Extended Care Federation
Society of Urologic Nurses and Associates Names Martha Klay as a SIG Leader
SUNA welcomes Martha as the Continence Special Interest Group Leader. Martha's role as a SIG leader is an important and vital one, and a primary responsibility will be for Martha to share her expertise with her peers.
www.SUNA.ORG
Martha Klay Appointed Faculty at UMASS Graduate School of Nursing
UMass is delighted to appoint Martha as an Instructor. Martha looks forward to being a resource for students, faculty, alumni, and the Greater Worcester Health Care Community.
Martha Klay Named 2004 Nurse Practitioner of the Year
FOR IMMEDIATE RELEASE
Martha Klay Named by Connecticut Nurse Practitioner Group Inc., 2004 Nurse Practitioner of the Year
AVON, CT Martha Klay, has been named the Nurse Practitioner of the Year for 2004 by the Connecticut Nurse Practitioner Group, Inc.
"Martha is very deserving of this award,” said Kathy Groff, a CNPGI representative. “I nominated Martha for NP of the year because she has been a credit to her profession” Groff says.
Download Press Release
Press Contact Susan Donaghey
Martha Klay presents Estring Teleconference
Postmenopausal Urogenital Atrophy: A Common, Treatable Condition in Women: "Real World-Your World: A Case Study Approach to Urogenital Aging in Postmenopausal Women"
Managing Urinary Incontinence with Patients with Dementia
Read an article Martha Klay wrote sponsored by Watson Pharmaceuticals
download article
See Martha Klay and Kim Marfyak's Article, published in April 2005 Urologic News
Download the article
Click here for the article
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