The truth is that Urgent® PC PTNS Therapy works for most patients … if they stick with it. The new MyPTNS education program from Cogentix Medical is designed to augment the provider’s efforts in patient education and to encourage patients to be active participants in their PTNS treatment plan. While patient education is the main goal, we also hope that the MyPTNS program will make the life of the provider much easier by proactively answering questions, helping manage patient expectations and reinforcing bladder-friendly behaviors.
The program is simple to use. PTNS patients sign-up at www.MyPTNS.com to receive weekly emails with content specifically tailored to their progression in their PTNS journey. Printed bookmarks with the sign-up website are available from your territory manager or may be ordered from the MyPTNS Provider Overview page.
Provider Perspective on the MyPTNS Program
To ensure that the content hit the mark, we asked two long-standing PTNS providers -- Leslie Wooldridge, GNP-BC, CUNP, BCIA-PMD, and Peggy Francis, DNP, RN, FNP -- to act as advisors for the MyPTNS program. Both providers were intrigued by the concept and felt that the 12-week education program would provide benefit to their own PTNS programs.
“Every opportunity we have as providers to manage the expectations of patients and assist them on their journey to better bladder health is a valuable asset to patient care,” Francis said. “The MyPTNS information sheets simply reinforce the information I provide at each PTNS session.”
Wooldridge added that, “The MyPTNS information sheets are also a handy, efficient, helpful reminder for the provider not to miss any valuable information. Additionally, they can provide you with pertinent documentation for the patient’s record.”
In addition, Wooldridge appreciates the focus on behavioral therapies. “I especially like the content included on conservative measures as I find patients need to be reminded to continue to watch what they eat and drink and perform their pelvic floor exercises," she said.
The information about realistic expectations and patient response seemed especially helpful to Francis. “As PTNS works gradually, it can be challenging to manage expectations and keep patients engaged during the initial course of PTNS treatments,” she said. “In addition, I think the information about late response to treatment will be very helpful for those who feel discouraged by their level of improvements midway through the treatment.”
Topics Covered by Week
Why is the therapy called PTNS? Why the ankle? When will I improve? These are questions you’ve likely heard before and this first email provides your patients answers. Also includes links to an animation showing how PTNS works and other helpful resources.
The best treatment goals are specific, attainable and give patients something to strive for as they progress through PTNS therapy. This email provides examples of common treatment goals such as urinating less often, more warning time to get to the bathroom, sleeping through the night and less urinary accidents.
Making good lifestyle choices can help with PTNS success. This email provides a refresher course in conservative measures including what and when to drink, and foods to avoid or consume in moderation. The email also notes that weight can contribute to bladder symptoms.
Pelvic floor exercises are great for everyone, especially those with bladder symptoms. This email provides a brief overview about how to perform pelvic exercises and key things to remember. Of course, we all know that isolating the correct muscles can be tricky, so patients are encouraged to ask you for help if they need it.
What should patients do when they get the urge? This email includes the urge suppression technique of 1) Stop, 2) Squeeze, 3) Relax and 4) Go. There is also information for patients about what to do if they have the urge to go at night.
This week is all about recognizing the patient’s successes – no matter how small – during the first six weeks of treatment. This email encourages patients to think about how far they’ve come and reminds them that, for most patients, the best is yet to come.
The reality is that not all patients respond at the same rate and that even successful patients may not achieve significant symptom reductions until 8 or more treatments. This email addresses late response to PTNS therapy and encourages patients to stick with it.
Of course, having treatment success doesn’t mean that patients can abandon all the good habits they’ve developed! This email stresses that long-term success requires commitment to good food and beverage choices, practicing pelvic floor exercises and continuing PTNS therapy.
You know how it is: a patient has surpassed their original treatment goals but now feels that PTNS isn’t working for them. This week discusses reasonable expectations and how age impacts even the most “normal” of bladders.
This week includes information about ongoing therapy. Three different approaches are explained: 1) Plus One – Adding a week at a time, 2) Aim High – Scheduling one month out and coming in sooner if needed, and 3) As Needed. However, the email notes that providers have different ways of managing ongoing therapy and that the approach may depend on insurance coverage.
This email encourages patients to make sure they have a long-term plan and includes questions to discuss with you including when to next come in, what else they should do to ensure continued success and if there are other treatments they should consider.
This week is all about celebrating the completion of their initial PTNS session and includes a link for patients to submit their PTNS story should they choose to do so.Urgent PC is indicated for the treatment of Overactive Bladder and associated symptoms of urinary urgency, urinary frequency and urge incontinence. Treatment with Urgent PC is contraindicated for patients with pacemakers or implantable defibrillators, patients prone to excessive bleeding, patients with nerve damage that could impact either percutaneous tibial nerve or pelvic floor function or patients who are pregnant or planning to become pregnant during the duration of the treatment. Most patients don't experience side-effects. If side-effects occur, they are typically temporary and include mild pain and skin inflammation at or near the stimulation site. Caution: Federal law (USA) restricts this device to sale by or on the order of a physician. For complete instructions for use, storage, warnings, indications, contraindications, precautions, adverse reactions and disclaimer of warranties, please refer to the insert accompanying each product or online at www.cogentixmedical.com. Urgent is a registered trademark. © 2017 Cogentix Medical. All rights reserved.