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92

PRAXIS

DIE PTA IN DER APOTHEKE | März 2021 | www.diepta.de

S

ome types of urinary incon- tinence may indicate an un­

derlying condition such as cystitis, which is chro- nic inflammation of the bladder causing people with it to urinate, so- metimes painfully, between 40 and 60 times a day. Faecal incontinence may occur when stool becomes wa-

tery, as is the case in diarrhoea.

Other causes of stool incontinence are: constipation, which may lead to a weak anal sphincter muscle, inflammatory bowel disease, irritable bowel, haemorrhoids, nerve damage, and neurological diseases such as multiple sclerosis. Incontinence can also lead to skin irritation on the buttocks, hips, genitals, or bet- ween the pelvis and rectum.

PTA: Guten Tag.

Female customer: Do you speak English?

Yes, I do. What can I do for you?

Could we go somewhere more private, please?

We have the back office just be­

hind me for such purposes.

Please, take a seat. How may I help you?

Oh, this is so embarrassing! I am afraid that I have urinary inconti- nence!

There’s no need to be embar­

rassed! A lot of people have it!

It’s nothing to be ashamed of.

But it is a bit taboo, isn’t it?

Of course it’s not something that people talk about in public!

In Germany, we have an aging society, and the older one gets the more likely it is that inconti­

nence occurs. I need to ask you a few questions so that we can see how best to help you.

Okay, go ahead.

Do you feel that you need to use the toilet more often than usual?

Not that much, no.

Well that’s good.

Why?

If you needed to go very often, it could indicate that you have cystitis. Do you experience any pain when passing water?

No, I just lose a few drops for no apparent reason. And it’s cau- sing skin irritation.

You could have something cal­

led stress incontinence.

But I’m not stressed at the moment!

It’s related to pressure on the bladder. It can happen in pregnancy, when people are overweight, or when lifting heavy objects. Some people even experience it when they sneeze!

That’s it, my pollen allergy is causing me to sneeze quite suddenly.

I see. We have these discreet incontinence pads for sensitive skin and for your kind of incon­

tinence. This cream acts as a barrier to the skin irritation cau­

sed by losing a few drops. By the way, do you need antihista­

mines?

No thank you, but I will take those other products that you recommen- ded.

Good. Will that be all?

Yes, thank you for your help and ad- vice.

No problem. You are more than welcome. Goodbye.

Thanks again and goodbye.  n Catherine Croghan, Lecturer in English and native speaker

ENGLISH FOR PTA

Incontinence comes in many different forms, both urinary incontinence and faecal incontinence. Of the two main types, urinary incontinence is more common than the inability to control bowel movements.

Incontinence

VOCABULARY

incontinence Inkontinenz

bowel movements Stuhlgänge underlying condition Vorerkrankung,

Grunderkrankung

cystitis Zystitis, Blasenentzündung

inflammation Entzündung

bladder Blase

painful schmerzhaft

constipation Obstipation, Verstopfung sphincter muscle Schließmuskel

skin irritation Hautreizung

buttocks Gesäß

pelvis Becken

rectum Enddarm, Mastdarm

purposes Zwecke

embarrassing peinlich

aging society alternde Gesellschaft passing water Wasser lassen

for no apparent reason ohne ersichtlichen Grund

pressure Druck

pregnancy Schwangerschaft

sneeze niesen

incontinence pads Einlagen für Inkontinenz

by the way übrigens

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