Interstitial Cystitis Case Study: Painful Bladder

The article “Considering the prominent complaint as a guide in medical therapy for overactive bladder syndrome in women over 45 years” that Sarah wrote about was interesting. One questions that comes to mind would what was the existing symptoms that the women had from mild, moderate or severe incontinence before the treatment and how did the medication help with those different severity levels of incontinence? Also what is the effect that different ethnic backgrounds experience different symptoms from the medications? To figure out the first question we would need to separate the women into 3 different groups and within those groups we would separate them into the two different medication groups to find out it the medications help depending

As an SLPA, my role would be to help Chuck perform the tasks prescribed by the supervising SLP and actively participate with the SLP, during the therapy session. In this therapy session I would be helping participate in the role playing activities and playing the object game. Also, as an SLPA I would document the patient’s performance by tallying data for the SLP to use, prepare charts, records, or graphs and then report it to the supervising SLP. If Chuck’s family needs more supportive services then as an SLPA I could help find them resources in the local community to help them.

Hai limy Good post, as you mentioned Interstitial Cystitis (IC) is the chronic inflammation of the bladder wall and is most common in women although men and children can suffer from it. Unlike cystitis, IC is not caused by bacteria and cannot be treated with antibiotics as common cystitis. According to the Article by Alicia NI, the latest research suggests that 3 million women have IC and they experience constant discomfort in article he bladder. In order to diagnose IC correctly, urine will firstly be tested for bacteria to rule out a urinary tract infection and then cystoscope used to examine the bladder. A biopsy may be needed to rule out cancer.

I believe as a future Speech Language Pathologist it’s important to follow the code of ethics. The code that I will be using the ASHA Code of Ethics. When SLPs follow the code of ethics will help with complications of clients during treatment. Also, when SLPs are certified in ASHA, and don’t follow the rules of ethics, it can come with complications and are punished depending on the severity of the case. Being culture competent is a big factor when working in this field because the US is one big salad bowl. SLPs work with a lot of diverse cultures and have to be aware of their client’s beliefs and how they feel about certain situations. I think that some conflicts that an SLP might run into would be is how do you know if they are facing an

The SLPA is responsible for following the written documentation and treatment plan that the SLP has implemented. The SLPA must not change the written plan and make suggestions to the family outside of what the SLP has said. The SLPA cannot interpret data from the therapy session. The SLPA should perform the duties as outlined by ASHA to make sure that the patient is receiving ethical care.

When the OT practitioner understands the client, they create a treatment plan with goals. Because of the importance Mary found in taking care of herself, her treatment was focused on completing ADL’s. After a plan is made, the OTA meets with the client OT implement the treatment plan and help them reach their goals. The OT practitioner comes back in to discharge the client when the OTA thinks the client is ready to complete their goals safely. When the client is discharged, Lindsey explained that it is hard to see them leave. She said that she builds such a strong relationship with her clients that she wishes she could call them up a few days later and see how they are doing. However, this is unprofessional behavior, so she doesn’t do this, but just hopes instead that they are doing

Indeed, if you as a counselor who cannot support a client who is uncommitted to the therapeutic practice, then completing a self-referral can be a professional option. In many situations, not all clients fit the professional or vice versa. According to the American Counseling Association Code of Ethics (2014), section A.10.a discusses the process of preforming a self-referral.

The client has the right to choose their direction in therapy. The counselor has to respect their rights within reason as long as it does not interfere with another client. Interventionists and Researchers need

Interstitial cystitis is considered a chronic condition. It is not deemed an infection, although it might have the sensation of an infection to a patient (“What is Interstitial”, n.d.). It is commonly referred to as painful bladder syndrome. Many people who suffer from interstitial cystitis usually have other urinary related health issues such as “irritable bowel syndrome, fibromyalgia, and other pain syndromes” (“What is Interstitial”, n.d.).

A three year old male was admitted to urology (the medical department that treats, diagnoses, and manages, diseases and abnormalities in the male reproductive system) due to anuria (being unable to urinate or produce liquid waste) with a possible (BNO) bladder neck obstruction (a plug at the base of the bladder that will not allow urine to move into the urethra). The patient’s parents explained he has recently been suffering from dysuria (painful or difficulty urinating, often describe a burning feeling) as well as occasional enuresis (producing, or leaking urine involuntarily), urgency (the feeling of needing to release urine immediately), and hematuria (the presence of blood in the urine). Upon birth the patient was diagnosed with (PKD) polycystic kidney disease (a disease passed from the parents characterized by the formation of cysts in the kidneys). I have also noted he is experiencing moderate nephralgia (kidney pain), and an additional case of hydronephrosis (abnormal dilation of the renal pelvis and the calyces of one or both kidneys due to pressure from accumulated urine that cannot flow past an obstruction in the urinary tract) (Gylys, 2013),

Reminding the client is in the middle and near the end of their service plan how many more days/sessions are reminding. According to Frederic Reamer, Ph.D. (2006), there are numerous reasons to why a social worker can terminate services. Whether it is due to the worker becomes impaired, retire, leaving an employment setting, client coverage runs out, large unpaid balance, or who is refusing treatment; for instance, not abiding by the rules, missing a session. The article also addresses making the client feel like he/she is not being abandoned. Reamer stated, "Social workers must handle issues surrounding the termination of services very carefully to protect clients and minimize risk." When a client assistances are canceled unethically might not receive the services they are in need of and possibly become a threat to themselves and others. Reamer defines abandonment as " a legal concept that refers to instances when a professional is not available to a client when needed." Social workers incur a legal and ethical responsibility to continue that service or properly refer a client to an alternative service provider, once they see the client. Social workers are not bound to accept every person who requests

All the discussed symptoms are collectively known as lower urinary tract symptoms (LUTS). Symptoms develops gradual and worsen over time. Complications associated with BPH include bloody urine, bladder or kidney infection, bladder stones, hydronephrosis, and renal insufficiency (Buttaro et al., 2013).

For termination to be handled properly, discussions between the counselor and client should occur in advance and be addressed in a thoughtful and sensitive manner. It is best that clients not feel that they have been abandoned, for the sake of the client as well as the counselor. If continued treatment is needed, the counselor must make an effort

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My supervisor’s position is the residential director and on site therapist for clients and employees. The most attractive aspects of the job are ensuring all treatment is provided with client and family, facilitating client admissions, and completing scheduled program observations and annual program evaluations to ensure implementation of approved evidence-based treatment models. Although these responsibilities can be stressful, there is positive outcomes in each of these duties. For example, when facilitating admissions for a client it can difficult because we can not imagine what the client has experienced and what they are going through. On the positive note, our organization is here to help and provide hope for clients and family who are hurting. Although it’s heart breaking to hear about a client’s past history, at least we know now that the client is in a safe, welcoming environment. I think the most difficult aspect of my supervisor’s job is when a client is discharged from the facility and has not healed from their past or has yet to learn to cope through difficult times. Depending on the client, some need extra therapy and time to heal, but our organization can only provide six months for the client. If I was in this position, I think the best way to handle this difficult aspect is to look back and see what could have been done differently for the client. Perhaps something did not work well with a client and a different treatment plan should have taken place or it could also be the context. It’s beneficial to know these things so discharges for clients can be positive.