Question

Enuresis is a problem that affects children and families both physically and psychosocially. Parents can be frustrated because the cause might be unknown, and interventions that work for one child may not necessarily help another. Children may feel isolated and embarrassed and avoid age-appropriate activities. Initial Discussion Post: Jorge is a nine-year-old boy who never established night time bladder control and wets the bed every night. He does not have toileting accidents during the day. Jorge lives at home with a single working mother, who privately tells the RN that she is frustrated with the additional laundry, and having to get up extra early so her son can shower in the morning rather than at night. She asks the RN in the pediatrician’s office for advice to manage the problem at home. Jorge is excited to go on a Boy Scout camping trip, and the mother is concerned that he will experience embarrassment, because the boys and the leader could find out about this problem. What type of enuresis is Jorge experiencing? Identify two (2) pieces of assessment data the RN should collect. How will this data be used in planning nursing care? Describe one (1) physiological, and one (1) psychosocial intervention that could help either Jorge or his mother deal with this problem.

Answer 1

Enuresis is a condition which is generally occurs in children, bed wetting is common where asabed-wetting at night, is the most common type of elimination disorder. Daytime wetting is called diurnal enuresis.

Jorge is suffering from nocturnal enuresis. These problems can be overcome by many of the methods and by assessment such as bladder training, this technique uses regularly scheduled trips to the bathroom timed at increasing intervals to help the child become used to "holding" urine for longer periods. This also helps to stretch the size of the bladder, which is a muscle that responds to exercise. Bladder training is typically used as part of an enuresis treatment program. Sometimes, training child to go washroom midnight though he doesn't want or fell like to urinate, this can reduce the symptoms.

His mother should encourage his child not to feel shame or low his self esteem as this may effects the phycology of the child. Making him to understand about the needs to overcome with this problem. The only therapies that have been shown to be effective in randomized trials are alarm therapy and treatment with desmopressin acetate or imipramine.