urinary incontinence
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DownloadUrinary Incontinence
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Urinary Incontinence
Urinary incontinence is the loss of the bladder to have control during excretion. It is embarrassing but has many factors contributing to its occurrence. Initial questions the nurse should ask Mrs. Beasley during a continence assessment are on how often she gets to go to the toilet, the amount of urine she passes during her visit to the toilet, how the actions of her bowel look, how much in terms of quantity does the leakage occur and how often the leakage occurs. On the other hand, to get more information during diagnosis for treatment, the nurse should incur on Mrs. Beasley diet and fluid intake, whether there are medications that she is using, on any other health problem, she is experiencing and most commonly to what ability can she perform her self-care tasks.
The treatment towards the condition can be ended or rather decreased concerning the number it is occurring by a combination of treatment strategies. Behavior therapies such as the pelvic floor muscle exercise, control of fluid consumption, healthy lifestyle changes and bladder training are some of the changes in behavior that would reduce incontinence episodes (Tabloski, 2014). Since Mrs. Beasley is a woman, there are devices that she can use to control stress incontinence. Example of devices includes vaginal pessary and urethral inserts. The last option to treat incontinence episodes is the surgery which aids in improving sphincter closure and also support the neck of the bladder.
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Options of surgical can be injectable bulking agents, retropubic colposuspension, sling procedure and the inflatable artificial sphincter.
Urinary incontinence is most common in the older people compared to the young people. The standard age affected if the age of 65 years and above. Common symptoms range from the mild leaking to the uncontrolled wetting (Tabloski, 2014). In most cases, women get the uncontrolled bladder than men. Common causes of the aged to experience urinary incontinence is decreases in the mass of the kidney and drug clearance, a reduced elasticity of the bladder and the nocturnal urine production.
Reference
Tabloski, A. P., (2014). Gerontological Nursing. (3rd ed.). Upper Saddle River, NJ: Pearson
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