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URINARY INCONTINENCE (NURSING INTERVENTIONS (The nurse must provide…
URINARY INCONTINENCE
NURSING INTERVENTIONS
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The nurse must promote positive feedback and optimistic attitude to reinforce patients ego and esteem.
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CAUSES
Polyuria of wich , in turn, the most frequent causes are uncontrolled diabetes mellitus.
Enlarged prostate, this is most in common in men after the age of 40 years.
Disorders like multiple sclerosis, spina bifida, strokes and spinal cord injury.
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PHATHOPHYSIOLOGY
Continence and micturition involve a balance between urethral clousure ans detrusor muscle activity.
Urethral pressure normally exceeds bladder pressure, resulting in urine remaining in the bladder.
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Normal voiding is the result of changes in both of these pressure factors: urethral pressure and bladder pressure
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MANAGEMENT
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The caregiver must be taught how to provide daily hygiene, including skin inspection and catheter care.
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Diapers and incontinent pads can be an option but meticulous perineal hygiene is necessary to prevent complications such as bed sores.
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ASSESSMENT
For patients who are using diapers, it should be weigh to measure the amount of urine.
For patients with indwelling catheters, hourly measurement must be calculated properly.
Assessment for urinary incontinence includes number pf time and frequency of micturation, characteristics of urine.
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