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Martha Klay

Nurse Practitioner

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.

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Phone 4134296165
Address Martha Klay, LLC
115 East st.
Great Barrington, MA 01230

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Address:

Martha Klay
Martha Klay, LLC
115 East st.
Great Barrington, MA 01230

Phone:

4134296165

Email:

mk@marthaklay.com

Website:

http://www.marthaklay.com

Resumé

Professional Experience

Nurse Practitioner2002-PresentMARTHA KLAY, LLC, Great Barrington, MA

Clinician and owner of private practice diagnosing and treating frail, senior women in long term care facilities for incontinence. In bringing an incontinence program into a facility, I evaluate women presenting with stress, urge and mixed incontinence and perform straight catheter testing, cystometrogram and urinalysis. Provide biofeedback instruction for kegel exercises and dispenses pessaries. Instruct women on dietary and behavioral modification and administer pharmaceutical therapy. Work with staff to design and initiate a continence program that involves intensive in-servicing and program maintenance. Participate in educational speaking forums and ongoing research as a faculty member at the University of Massachusetts Graduate School of Nursing.

Nurse Practitioner1996-2002Litchfield County OB-GYN, Torrington, CT

Provided comprehensive gynecological and obstetrical care including routine exams, management of reproductive health, infertility, menopause and incontinence. Performed diagnostic tests including colposcopy, endometrial biopsy, breast aspiration, and screening for sexually transmitted diseases. Additionally performed minor surgical procedures and offered consults and referrals to specialists. Engaged in public speaking, offering lectures on women's health issues. Maintained full prescribing privileges. Served as preceptor to student Nurse Practitioners and Physician Assistants.

Nurse Practitioner, OB-GYN1991-1996Community Health Plan (HMO), Hudson, NY

Administered clinical management of obstetrical patients, including pre-natal and postpartum care in collaboration with Certified Nurse Midwives. Additionally provided gynecological care, including annual examinations, treatment of gynecological disorders, pre-and post abortion care, treatment of sexually transmitted diseases, contraceptive counseling, and management of menopause. Obtained experience with adolescent through postmenopausal women.

Nurse Practitioner, OB-GYN1989-1991Family Planning of Western Massachusetts, Pittsfield, MA

Provided clinical management of gynecological patients, including routine exams, infection checks, and post abortion and contraceptive services.

Nurse Practitioner, OB-GYN1987-1989Doctors Weick and Kanwit, Berkley, CA

Provided clinical management of gynecological patients, including prenatal and postpartum care, pre-term labor management and non-stress testing. Engaged in home visits and prenatal lecture series. Formulated patient education materials and conducted clinical research on condyloma and pre-team labor. Supervised the training of a graduate level Nurse Practitioner student. Also provided a full range of gynecological care, including manual exams, infection checks, post abortion care, infertility work up, management of menstrual cycle disorders and reproductive health

Education

Bachelor of Arts in Psycology1976East Stroudsburg University, East Stroudsberg, PA

Bachelor of Science in Nursing1980Creighton University, Omaha, NE

Masters of Science in Nursing1987University of California, San Francisco, CA

Women's Health Nurse Practitioner and Clinical Nurse Specialist

Skills

Methodology

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.

Recent Activity

Martha Klay speaks at Easthampton Council on Aging Women’s Health Program on Managing Urinary Incontinence

May 26, 2016  Easthampton, MA

Martha Klay speaks at Foothills VNA to Nursing Staff on Managing Urinary Incontinence and the Use of a Bladder Scanner

July 2, 2015  Winsted, CT

Martha Klay speaks at Jefferson House to Community Members on Urinary Incontinence

June 23, 2015  Newington, CT

Martha Klay speaks at ICNC meeting on Asymptomatic Bacteriuria

November 21, 2014  Middletown, CT

Martha Klay speaks at West Haven Medical Group Symposium on Asymptomatic Bacteriuria

October 31, 2014  West Haven, CT

View Full Poster Here

Martha Klay presents poster at Simon Foundation for Continence 2013 Annual Conference “Innovating for Continence: The Engineering Challenge”

April 11-13, 2013  Chicago, IL

View Full Poster Here

Martha Klay presents posters at CT. APRN 2013 Annual conference

Martha Klay presents two posters at professional conference.

One Symptom UTI Protocol  View Full Poster Here

Tamsylosin (Flomax) Use for Women With Bladder Outlet Obstruction and Urinary Incontinence in the Nursing Home   View Full Poster Here

Martha Klay named “100 best nurse practitioners of 2012″

OnlineNursePractitionerprograms.com July 2012. Please review the list to see what is being done by Nurse Practitioners. It is inspiring.  You can view the entire list here.

Collaboration on Poster, “Tamsulosin(“Flomax”) Use…

Martha 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 Full Poster Here.  See Abstract.

“Keeping it Brief -Improving Continence Care & UTI Reduction in LTC”

Martha Klay presents a poster on “Keeping it Brief -Improving Continence Care & UTI Reduction in LTC” April 12, 2011.  Download the Poster.  Internationl Continence Society  - “Innovating for Continence” Conference Chicago, Illinois.

“Urinary Incontinence in the Elderly”

Martha Klay speaks on “Urinary Incontinence in the Elderly” for Gentiva Home Care on February 8, 2011 Greenfield, MA.

“Urinary Incontinence in the Elderly

Martha Klay speaks on “Urinary Incontinence in the Elderly” for Gentiva Home Care on November 3, 2010 Pittsfield, MA

“One Symptom UTI Protocol”

Martha Klay presents a poster on “One Symptom UTI Protocol” on September 22-25,2010. Download the Poster.  GAPNA (Gerontological Advanced Practice Nurses Assoc.) 2010 Conference – Albuquerque, N.M.

Martha Klay speaks  at Onsight Continence/Foot Care Symposium

“Pessary/Vaginal Estrogen/Stess Incontinence,UR in Females”, “UTIs in LTC”, “Navigating the LTC Arena as a Specialist” - September 22, 2010 – North Carolina

Martha Klay Speaks  at 21st Annual Western MA Eldercare Conference

“UTIs in Frail Elders” - May 18,2010

Martha Klay presents a poster on “One Symptom UTI Protocol”

Annual Suna Symposium on “Incontinence and Pelvic Floor Disorders” Colorado Springs, CO. - March 11-13,2010

Martha Klay is keynote speaker at Symposium

“Practical Approaches to Complex Conditions,”  sponsored by ProHealth Partners – Cromwell, CT October 2,2009

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

16th Annual N.E. Regional Nurse Practitioner Conference - Newton, MA., May 6-8 2009

Martha Klay presents poster on Falls Reduction

Suna Annual Symposium – Incontinence and Pelvic Floor Disorders – San Francisco, CA.,  March 11-14 2009.  Download the Poster.

Martha Klay Speaks at Partners Pharmacy

Senior Care: Treating Overactive Bladder in the Long-Term Care Setting Sponsored by GlaxoSmithKline  -  E. Windsor, CT, February 4, 2009

Martha Klay at 7th Annual Conference at Hartford Hospital Geriatrics Progam

Poster Presentation of Continence Progam/Results - November 21, 2008

Martha Klay at 2008 Annual Meeting & Trade Show

Poster Presentation of Continence Program/Results, Sponsored by MA. Extended Care Federation & MA. Long Term Care Foundation - November 13,2008

Martha Klay speaks at Hofbrauhaus

Evaluating Age Related Considerations and Treating OAB, Sponsored by Novartis - West Springfield, MA., October 15,2008

Martha Klay Speaks at Atria Senior Living Group

Evaluating Age Related Considerations and Treating OAB, Sponsored by Novartis - Rocky Hill, CT. on August 20, 2008

Martha Klay Speaks at 19th Annual Western Massachusetts Elder Care Conference

Exploring the Relationship between UTIs and Urinary Incontinence - May 20,2008.  Massachusetts Public Health Association.

Martha Klay presents at Del Raye’s Restaurant

Incontinence in Long Term Care: Complying with FTag 315. A presentation to members of the Massachsetts NADONA members. Sponsored by Watson Pharmaceuticals - December 5, 2007.   Click for the National Directors of Nursing Organization.

Martha Klay Presents at Max’s Tavern

Incontinence in Long Term Care: Complying with FTag 315, a presentation for members of the Massachusettes Extended Care Federation Sponsored by Watson Pharmaceuticals - November 7, 2007.   Click here for more information about the Massachusetts Extended Care Federation.

Martha Klay Named 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.  Society of Urologic Nurses and Associates.  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

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.  Press Contact Susan Donaghey.   Download the Press Release.

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.

Martha Klay and Kim Marfyak’s Article

Published in April 2005 Urologic News – Learn more about SUNA.  Click here for the article.