Utilizing a Phenomenological Approach to Examine the Experience of Sexuality for Women Concerned about Urinary Incontinence following Spinal Cord Injury

Sexuality after spinal cord injury (SCI) is a complex issue that is influenced by a number of social, psychological and physiological factors, one of which is urinary incontinence (UI). Using a phenomenological approach, seven mixed methods interviews combining both the interview guide and standardized open-ended approaches were conducted to examine the experience of sexuality for women who are concerned about UI following SCI. Sexual function was one of the top priorities for the women after SCI, and UI was one of the main concerns the women had regarding sexuality. The findings of this study demonstrate that various dimensions of intimacy and the sexual experience as a whole were affected by UI, and the women discussed both physical and psychological concerns. The main issues regarding sexuality included concerns related to relationships, frustrations with limited sexual activities and the difficulty of being sexually satisfied, the number of unanswered questions and concerns, and a fear of being hurt or injured while participating in sexual activities. The main concerns regarding UI were embarrassment, the work and inconvenience involved with the clean-up of UI, bladder infections, the lack of accessible washrooms, and the negative effects of UI medications. When examining sexuality and UI together, the major issues were the constant comparison to the way things were before SCI, as well as the new concerns that the women did not have to worry about previously, worrying about how their partner would react if UI were to occur during sexual activity, and the impact of their own feelings toward UI on sexuality, a connection between pleasurable sexual sensations and UI as well as difficulty differentiating between the sensation of UI with the sensation of UI, dealing with infected urine during sexual activity, having to discuss UI with a new potential sexual partner, and a fear of rejection. Other identified issues included those related to body image, a lack of resources, Doctors who were inadequately educated regarding SCI, and issues related to both having and raising children. There is a significant shortage of information available for women with SCI to use as a resource regarding sexual function in general, and sexual function as it relates to UI. It is necessary that future work focus on creating resources to assist in this area, and that the dissemination of those resources becomes both appropriate and effective. Addressing sexual function and UI which are among the top concerns for this population has the opportunity to greatly improve quality of life (QOL) for these individuals.

Inniskillin fonds, 1970-2014, n.d.

Inniskillin Wines was founded by Karl Kaiser and Donald Ziraldo in 1975 in Niagara-on-the-Lake, Ontario. They had met the previous year, when Karl Kaiser, a winemaker and chemist, purchased some grapes from Donald Ziraldo, who owned and operated Ziraldo Nurseries. The two shared a vision of producing better quality Canadian wines and formed a partnership, with Kaiser making the wine and Ziraldo serving as company President. In 1975, they were granted a winery license by the LCBO, the first one granted since 1929. The company name Inniskillin was derived from the Inniskilling Fusilliers, an Irish regiment whose Colonel once owned the land that Ziraldo Nurseries occupied. This was the original site of the winery, although in 1978 the winery moved to the Brae Burn Estate, their current location. In 1982 the winery expanded by 50 acres with the addition of the Montague Vineyard, and another 50 acres was acquired in 1991. The Niagara-on-the-Lake vineyard produces single vineyards bottlings of Chardonnay, Pinot Noir, Merlot and Pinot Grigio/Pinot Gris. In 1984, Karl Kaiser began producing icewine from Vidal grapes frozen naturally on the vine. Inniskillin garnered international acclaim for the quality of their icewines, receiving the prestigious Grand Prix d’Honneur at VinExpo in 1991, for their 1989 Vidal icewine. This established Inniskillin as a producer of world class wines, while also raising the profile of Canadian wines in general. The company branched out their operations, first acquiring vineyards in the Napa Valley in 1989 to form Inniskillin Napa (producing wines under the Terra label), and in 1994 establishing Inniskillin Okanagan in the Okanagan Valley in British Columbia. The Napa valley venture ceased in the mid 90’s, while Inniskillin Okanagan continues to operate. In 2006, Karl Kaiser and Donald Ziraldo left Inniskillin. Kaiser retired, while Ziraldo became chair of the Vineland Research and Innovation Center (2006-2011), and remains involved in the wine industry. In 2007, Bruce Nicholson joined Inniskillin as winemaker. Nicholson continues to produce award-winning wines under the Inniskillin label, receiving the top award, the Premio Speciale Gran Award, at Vinitaly 2009 for his 2006 Gold Vidal and his 2006 Sparkling Vidal Icewine. In 2012, he received several awards for the 2008 Riesling Icewine, including gold at the International Wine and Spirits Competition in London, UK, the San Francisco International Wine Championships, and Selections Mondials des Vins Canada.

President's Report to the Directors, Year 1963

The report reads: "The Company's sales in 1963 showed a decline of 5.6% in gallons and 6% in value. In spite of this, the net profit is $119, 706.03; down 3.8% from 1962. Increased competition from heavy advertising campaigns by the larger companies and a substantial upward trend in the sales of imported wines are the two main factors for our reduction in sales. Sales through all retail wine stores in Ontario are declining due to the large number of Liquor Control Board of Ontario Stores which have been opened in the past year. The 1963 vintage was very successful amounting to over 500,000 gallons raising our total inventory to well over a million gallons for the first time in history. By holding our overhead down and keeping the quality of our products at a high level, we hope to show a better profit in 1964.

I.O.D.E. Col. Kerby Chapter Minutes, 1920-1989, n.d.

The Imperial Order Daughters of the Empire was founded by Margaret Polson Murray in 1900 following the outbreak of the second Boer War. The organization gave charitable aid to soldiers and it assisted the dependents of deceased soldiers. The federation of women was formed to promote patriotism, loyalty and service to others. The mayors of Canada’s major cities were urged to call together the prominent women of their communities to join in this endeavor. In 1979, the name I.O.D.E was officially adopted. The organization is federally chartered not-for-profit. The focus is on improving the quality of life for children, youth and the underprivileged through educational, social service and citizenship programs. The Colonel Kerby Chapter of Fort Erie, Ontario began on August 19, 1914 under the direction of Captain the Reverend A.C. Mackintosh. The chapter was named after Colonel James Kerby who was a legislator and a soldier. This chapter worked during two world wars raising large sums of money for war work, the community, health and education. In 1931, this chapter created the Douglas Memorial I.O.D.E. Hospital Fund to assist needy veterans. Other fundraisers included: their Salvage Shop, card parties and the Margaret Graham Memorial which raised funds for the Canadian Institute for the Blind. In June of 1989 the last meeting of the chapter took place.

Letter to E. Harris which is unsigned [from S.D. Woodruff]

Letter to E. Harris which is unsigned [from S.D. Woodruff] in which he suggests raising the cost of the shooting shares, Feb. 7, 1887.

Preservation of Agricultural Lands Society (PALS) fonds, 1954-2015, n.d.

Preservation of Agricultural Lands Society [PALS] held its first meeting at Brock University on June 21, 1976. Its first executive consisted of Robert Hoover, Rick Teather, Debbie Kehler and Bill Forster. Some objectives of the organization were "to seek the preservation of valuable farm areas from non-agricultural expansion and development and to foster development and support of federal, provinicial and local policy which will provide a secure financial future for farming." Gracia Janes and John Bacher are some of the organizations' well known advocates. The organization was active in raising public awareness of the issues surrounding encroaching development onto existing agricultural lands. The organization is still active today [2016] in educating the public and attempting to influence governments at all levels to protect valuable agricultural lands.

Letter (copy) sent to Lieutenant Colonel Nelle

Letter (copy) sent to Lieutenant Colonel Nelles. The original letter was sent to Lieutenant A. MacHale [?] asking him to consider the writer’s son Robert in his selection of officers in the Battalion of Militia you are raising. The letter is just signed “Your most obedient servant”, Nov. 1, 1838.

Letter to H.H. Collier of St. Catharines from his sister Jane H. Collier Loucks from La Fayette, Iowa

Letter to H.H. Collier of St. Catharines from his sister Jane H. Collier Loucks from La Fayette, Iowa (1 ½ pages, handwritten) regarding raising crops, building a house, purchasing livestock and a description of the land and town. The original letter is very faded to the point of illegibility but it has been photocopied and someone has taken the time to transcribe the letter in its entirety (1 ½ pages, handwritten), July 30, 1855.