Incontinence: A Case Study

In addition the assessor/expert witness may also ask questions to clarify aspects of your practice.

Accessible multidisciplinary services including assessment (urodynamics investigation where appropriate), diagnosis and management for people with urinary incontinence and other bladder dysfunctions.

On July 04 2017, at approximately 6:34PM I, Sgt. Bowring was investigating criminal mischief that had taken place at Lake Holbrook near the point. While myself and Deputy George where speaking to two individuals possibly involved in the criminal mischief an unknown female advised Deputy George that there was a fight in the Men’s Restroom that was located approximately 20 yrds away from our location.

Urinary incontinence is very common following a stroke with 40-60% of hospitalised patients experiencing it in the acute phase, 25% on discharge and one third of survivors experiencing ongoing problems at one year (Barrett 2002, Kolominsky-Rabas et al.2003).Bladder and bowel problems are common following a stroke and can have a huge impact on physical and psychological aspects of quality of life, for both patients and carers. Health care professionals can do much to help improve and manage incontinence problems in stroke patients and this starts with a good understanding of key issues. Mobility and manual dexterity problems can compound bladder and bowel symptoms because they can make toileting access difficult, other problems such as visual disturbances, dysphagia and cognition also contribute indirectly to continence difficulties. There is evidence that professional input through structured assessment and management of care, together with the involvement of specialist continence nursing services, may reduce urinary incontinence and related symptoms after stroke. Bladder and bowel care requires active management –this includes a written personalised plan, taking into consideration required assistance, personal needs and goals. This essay is an overview on the importance of timely nursing assessment and management of urinary incontinence

The first step nurses can take to decrease the incidents of CAUTIs in older adults is avoiding unnecessary use of catheters altogether. Initially, this begins with nurses knowing both appropriate and inappropriate situations in which a catheter should be utilized. According to (Gould et al., 2017), an appropriate situation is one where a patient has acute urinary retention or bladder obstruction, whereas an inappropriate situation is one where a catheter is being used a means of obtaining urine for culture when the patient can voluntarily void. Nurses can also use basic techniques like palpation, percussion, and inspection to effectively assess urinary retention, which is the main reason for catheterization as mentioned earlier. When techniques like this do not achieve desired results,

One problem that a nurse may discover is painful elimination. This could indicate a urinary tract infection. Another problem that may be found is the child having small hard pellet like stool. The child may not be taking in enough fluids.

Blackford, John. "Businesses Warm Up To Wireless Networking." Hudson Valley Business Journal 14.13 (2003): 15. MasterFILE Premier. Web. 7 May 2012.

This reflection case study will be discussing urinary continence management using Gibbs reflective framework (Gibbs,1988). This will include what is urinary incontinence management, the pathophysiology of urinary incontinence after stroke, how continence affect patient and current clinical practice and the role of the nurse and multi-disciplinary team within continence management. Also using the evidence based research and national guidelines.

Difficulties with continence can affect an individual’s self-esteem, health and their day to day activities. Incontinence sufferers have been known to lose self-esteem and confidence and even withdraw from their usual circle of friends and family. The fear of being found out can make an individual feel ashamed of their condition. These feelings as a whole can impact negatively on an individual’s life. If the incontinence is due to a urinary infection, this could cause intimacy issues, leading to fear of rejection from a spouse. Family outings or sports activities may be affected due to fear of

For many people, getting older can be difficult because of fear. They worry about what could happen to them or what type of diseases they might develop later on. To become a more mature adult is a stage of life that each individual will experience in a certain point. Statistics shows that eighty-eight percent of those of sixty-five years of age and older have at least one chronic health condition such as diabetes, dementia, Parkinson’s disease or cancer. (ezinearticles.com). This scholarly essay will focus mainly on urinary incontinence (UI) which is a common health problem that elderly may have.

Incontinence is one of the major problems faced by the elderly. Nurses can play a significant role in discovering continence problems (Lea R.et.al.2007). Urinary incontinence is the unintentional passing of urine. It is a very common problem and is thought to affect more than 50 million people in the developed world.(NHS.UK). To identify the problem and provide necessary treatment at the early stage, a thorough physical assessment is necessary.

As the prevalence of Attention-deficit/hyperactivity disorder (ADHD) in the United States continues to rise, whether or not is being properly diagnosed and subsequently treated is of great concern to many. Since, according to Adesman, 2001 “Attention-deficit/hyperactivity disorder (ADHD)…is the most common and thoroughly researched neuropsychiatric disorder affecting children and adolescents” (p. 66) people are inquisitive to the core reason responsible for its popularity. Could it be due to a greater knowledge and understanding of the disorder or could it be due to a lack of parenting skills? Have doctors become lazy and seek to use ADHD as a catch-all diagnosis so as not to appear incompetent or could it be something more nefarious such as financial gain? Are we as a society simply excusing bad behavior or is there a genetic/biological/socio-cultural link that better explains why ADHD is being diagnosed more and more frequently? One last question is to what degree is this disorder based on differing cultural conditions?

Pubic lice are easily treatable. The CDC recommends lice- killing lotions that contain 1% permethrin or any substances with pyrethrins and piperonyl butoxide (CDC, 2017). Many infected people utilize these lotions because they are available over-the- counter without a prescription. This makes access to care fairly simple if the infected person has access to a drug store or pharmacy. These over-the-counter lotions have been proven safe and effective at a reasonable cost (CDC, 2017).

interpret the results of diagnostic and laboratory examinations undergone by our client and identify the corresponding nursing considerations;

Starry Night is post-impressionist oil painting from 1889 by Vincent van Gogh who was at the time in a mental asylum ("Starry Night by Vincent Van Gogh"). The painting’s background is taken up the overwhelming night sky. Eleven yellow fiery stars resembling huge fireballs irradiate the piece. At the top right-hand corner is a crescent moon radiating a bright orange light, brighter than the other stars. The houses are inconspicuously painted at the bottom, blending harmoniously with the forests and mountains. The painting gives an illusion of constant motion due to the thick, heavy and rhythmic brush strokes ("Starry Night by Vincent Van Gogh").