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For more information contact:

Dr. Jennifer Skelly 
P: 905-573-4823 
E: skelly@mcmaster.ca

The Nurse Continence Advisor (NCA) role is an independent practice model for registered nurses focusing on conservative methods of managing incontinence.

A Nurse Continence Advisor (NCA) is a Registered Nurse who has successfully completed an educational program at McMaster University and received a NCA Certificate in this specialty area of nursing. An NCA can assess, diagnose and treat people who have problems with urinary and/or fecal incontinence. NCAs work closely with clients, families and members of the health care team to help clients manage the problem(s) and  learn the best ways possible to meet their goals and improve their quality of life.

The NCA role was developed in England in the early 1970's and is now well established in most health districts. The NCA education program was developed in Ontario in 1995.

The training of the first 37 NCAs was funded by the Ontario Ministry of Health to help address the problem of incontinence in the community Home Care Programs.