Role of PTA in Treating Conditions associated with GU Disorders

Patients may often confide GU complaints, and signs and symptoms of GU dysfunction to PT/PTA
The patient's medical care providers may be unaware of patient GU complaints
The PTA needs to

Document patient complaints and communicate patient complaints to PT
Maintain neutral communication and take care to engender trust and open communication
Patient. may need support and education in the use of equipment and supplies to prevent social isolation and disability
Patient may need education in the role of incontinence in contributing to their own decline in function and mobility
Be aware of new or progressive complaints of acute flank pain (posterior trunk) or low back pain of non medical origin

Consult with primary PT and refer back to primary care provider (PCP) as indicated

Monitor BP due to additional stress on kidney function with urinary disorders
Assist in positioning pt. out of supine to decrease stress on kidneys.
Assist healthcare team with fluid input and output monitoring during patient encounters. May include assisting with urine collections "hat" and catheters before disposing/flushing of toilet. Communicate with CNA/RN regarding pt fluid intake and output.

Monitor catheter position at bedside and during PT to prevent reflux into bladder: maintain gravity assisted positioning.
Instruct pt's in airway clearance and mobility post-op GU surgery
Modify activities according to pt response with ambulation following surgery such as prostate resection.
No abdominal crunches or high impact exercises post op
No abdominal crunches or high impact exercises in women with GU dysfunction
Instruct in kegel exercises
Instruct in abdominal and dynamic pelvic floor exercises with hip external rotation and abduction as prescribed by PT
Instruct in body mechanics, pacing and prioritizing for proper lifting when cleared by physician.
Modalities with advanced training outside of our PTA program for pelvic floor muscle re-education, biofeedback, autonomic nervous system self-monitoring
Maintain neutral presence with pt disclosure of sexual abuse/dysfunction, maintain pt confidentiality and dignity.

Communicate with PT when above conversation(s) disclosures about sexual abuse occur during treatment.
Avoid assumptions about sexual activity or sexual orientation during patient education; use culturally neutral language when discussing patient-led concerns about sexual dysfunction as it relates to PT plan of care.