Question

20-year-old pregnant female with stress incontinence.

For this client, describe how the nurse could intervene to manage urinary incontinence.

Using therapeutic communication,

1. ask three assessment questions
2. list three interventions
3. how will you evaluate the care given

Answer 1

The nurse could intervene to manage the stress incontinence in this pregnant female are by

The assessment questions to be asked

• When and how or the factors which leads to urine leakage (patient can experience during cough ,sneezing ,stressful states)
• Assess for UTI and other medical illness if any because this is the main cause for stress incontinence (Ask questions about whether there is pain during voiding ,itching, lower abdomen or back pain
• How does she manage the symptoms

Intervention

• Teach and encourage to do Kegel exercise as this exercise will generally strengthen the muscles present in the pelvic cavity
• Encourage patient to do relaxation techniques ,so that stress can be avoided and reduce the incontinence
• Instruct to avoid caffeine as it is a bladder stimulant and can increase the stress incontinence
• Educate about the fluid intake and to avoid drinking excess fluids in pate night as this can increase the risk it f stress incontinence during sleep

The care given can be evaluated by

• Patient verbalising that she is able to control the bladder and there is decreased incontinence
• Improved quality of life ,activity, social participation, etc., due to reduced incontinence