Question

DocViewer Zoom Pages Week 2 Critical thinking (PRACTICE REALITIES) Exercise Nurse Adams works part-time in a 25-bed assisted living community. Typically, she works the evening shift but has agreed to relieve a coworker on the day shift for the weekend. On both days, Nurse Adams notices a significant urine odor when she enters the building in the morning. After the residents bathe and dress and their linens are changed, the odor is gone for the remainder of the shift. In reviewing the residents’ records, she finds that only two residents wear adult incontinence briefs for occasional urinary incontinence. Based on the strong odor she detected, Nurse Adams suspects there are additional residents with incontinence problems that are more than occasional. Question What steps can Nurse Adams take to address her suspicion? CRITICAL THINKING EXERCISE 1. What factors should be reviewed when assessing urinary incontinence, and what barriers could arise in reviewing them and obtaining accurate answers from older adults? 2. What can be done to reduce each of the major causes of urinary incontinence in older adults? 3. What actions could be taken to promote a positive self-concept of an individual with urinary incontinence? 4. Identify resources in your community to assist patients with incontinence or cancer of the urinary system. Annotations

Answer 1

URINARY INCONTINENCE

DEFINITION .URINARY INCONTINENCE IS THE INABILITY TO EMPTY THE BLADDER DESPITE MICTURITION OR THE ACCUMULATION OF URINE IN THE BLADDER BECAUSE OF AN INABILITY TO URINATE.

URINARY INCONTINENCE IS AN UNCONTROLLED LEAKAGE OF THE URINE.

2.CAUSE

ANYTHING THING THAT INTERFERES WITH BLADDER OR URETHRAL SPHINCTERS CONTROL CAN RESULT IN UI.

.CONFUSION

.DEPRESSION.

.INFECTION.

ATROPHIC VAGINITIS.

.URINARY RETENTION.

​​.RESTRICTED MOBILITY.

.FECAL IMPACTION.

.DRUGS LIKE SEDATIVE HYPNOTIC, DIURETIC.

FACTORS OF ASSESSING URINARY INCONTINENCE.

HISTORY COLLECTION

PHYSICAL EXAMINATION

SIMPLE PRIMARY CARE TEST

VOIDING DIARY

SYSTEMATIC EXAMINATION

PELVIC EXAMINATION

TEST OF URETHRAL MOBILITY.

3. MANAGEMENT.

LIFESTYLE MODIFICATIONS

SCHEDULING VOIDING REGIMENT

TIMED VOIDING

HABIT RETRAINING

PROMPTED VOIDING

BLADDER RETRAINING AND URGE SUPPRESSION STRATEGY

PELVIC FLOOR MUSCLES REHABILITATION

VAGINAL WEIGHT TRAINING

ANTIINCONTINENCE DEVICES

4.COLLABORATIVE MANAGEMENT :

PELVIC FLOOR MUSCLE EXERCISE

.URETHRAL INSERTS

BLADDER NECK SUPPORT DEVICES

.BLADDER RETRAINING WITH URGE SUPPRESSION

ANTICHOLINERGIC DRUGS

EXTERNAL CONDOM CATETERS