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HOSPITAL BASED CARE OF ELDERLY (stress incontinence (urinary ) (nursing…
HOSPITAL BASED CARE OF ELDERLY
stress incontinence (urinary )
nursing intervantion
encourage the patientto urinate at twohourly intervals to reduce overflow , reassure patient to allay embarrassment and anxiety .
risk factors
smoking due to chronic cough
any other condition associated with chronic cough
excessive caffeine and alcohol use
obesity
constipation
long-term participation in high-impact activities
hormonal deficiencies
sings and symptoms
the patient can experience the flow of urine why doing the followig ;
laughing
sneezing
coughing
jumping
exercising
doing heavy lifting
engaging in sexual intercourse
defination
Urinary incontinence is the involuntary leakage of urine. It means a person urinates when they do not want to. Control over the urinary sphincter is either lost or weakened.
causes
pregnancy and childbirth
menopause, as falling estrogen can make the muscles weaker
hysterectomy and some other surgical procedures
age
obesity
medical management
Anticholinergics calm overactive bladders and may help patients with urge incontinence.
Topical estrogen may reinforce tissue in the urethra and vaginal areas and lessen some of the symptoms.
Imipramine (Tofranil) is a tricyclic antidepressant.
falls
causes
Impaired Vision ,Medications.Decline in Physical Fitness
nursing intervention
Alarm systems with ankle, above the knee, or wrist sensors
Bed or wheelchair alarms
Increased observation of client
Locked doors to unit
Low or very low height beds
Border-defining pillow/mattress to remind the client to stay in bed
health education
Teach client how to safely ambulate at home, including using safety measures such as hand rails in bathroom.
. Teach client the importance of maintaining a regular exercise program such as walking
signs and symptoms
leg pain ,rapid heart rate ,red spots ,skin bumps , joint pain
signs and symptoms of fall
joint pain , bruises , back pain , increased heart rate
poor eyesight (cataract)
risk factors
diabetes ,increase age ,obesity ,excessive exposure to sunlight ,
surgical management
artificial lens ,cataract surgery
symptoms
severe , sudden eye pain ,recurrent pain in or around the eye , seeing floating ,double vision.
nursing intervention
administer prescribed medication ,assist the patient with daily activities , reassure the patient .
health education
quit smoking ,reduce alcohol use ,wear sunglasses .
undernutrion
symptoms
lack of appetite or interest in food or drink
tiredness and irritability
inability to concentrate
always feeling cold
loss of fat, muscle mass, and body tissue
higher risk of getting sick and taking longer to heal
causes
low intake of food , social and mobility problem ,digestive disorders and stomach conditions , low intake of food
health education
eat a well balanced diet
risk factors
older people, especially those who are hospitalized or in long-term institutional care
individuals who are socially isolated
people on low incomes
those who have difficulty absorping nutrients
people with chronic eating disorders, such as bulimia or anorexia nervosa
people who are recovering from a serious illness or condition