Post Prostatectomy Case Summary

Anticholinergics are used to address an overactive bladder and can be helpful with urge incontinence. Mirabegron is used to treat urge incontinence, it relaxed the bladder muscle which can increase the amount of urine the bladder can hold it may also assist with emptying the bladder more completely. Alpha blockers used in men with urge or overflow incontinence, this helps relax the bladder neck muscles and the fiber muscles in the prostate making it easier to empty the bladder. Topical estrogen comes in the form of a cream, a ring or a patch that may help tone and rejuvenate the tissue of urethra and vaginal areas. Factors that increase the risk of incontinence are gender; women are more likely to have incontinence due to pregnancy, childbirth, menopause and normal anatomy of the female body. Men with prostate problems can have incontinence issues as well. Age, as we get older, the muscles of the bladder become weaker and the amount of urine the bladder can hold decreases. Being overweight puts pressure on the bladder and surrounding muscles which weakens them. Other diseases such as neurological and diabetes may increase the risk of incontinence. A simple UTI is treated with a common antibiotic usually given for one to seven days depending on the amount and type of bacteria in the urine. Frequent UTI’s may require low-dose antibiotics for six months or more,

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

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.

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.

There are many symptoms that can cause suspicion of Prostate Cancer. While very few men show no signs or symptoms of this cancer many men show signs in their urine. (“Prostate Cancer”) Frequent urination, the frequent use of the bathroom, is one of the most common signs of Prostate Cancer. During the night a male that possibly has this cancer uses the bathroom 6 to 7 times. (“Fact Sheet”) Other symptoms may include blood in the urine or semen, delayed or slowed start of urinary stream and dribbling or leakage of urine. Bone pain or tenderness, along with pain in bowel movements, can also be a major symptom, but not as common. (“Prostate Cancer”) Although these are symptoms of Prostate Cancer, they can also be signs of other diseases and is recommended to see a doctor for diagnostic testing.

First, neurological disorders can occur, as seen with Alzheimer’s disease and Parkinson’s disease, which can lead to neurogenic bladder (“Neurology/Neurogenic Bladder,” 2017). Next, physiological disorders can occur as seen with enlarged prostate in men or shortening of the urethra in women (Jaipaul, 2017). Anticipating the above changes appropriately will aid in understanding what leads to urinary retention in older adults, the resulting need of catheterizations, and the CAUTIs that can follow. Having a foundation to build on, it would be beneficial to explore what nurses can do prevent urinary tract infections in patients who require catheterization.

Urge incontinence is defined within the context of overactive bladder syndrome. The overactive bladder is characterized by bothersome urgency (a sudden and strong desire to urinate that is not easily deferred) (Abrams et al, 2002). Overactive bladder is typically associated with frequent daytime voiding and nocturia, and approximately 37% will experience urge urinary incontinence (Stewart et al, 2003).

There are many successful options for control of urinary incontinence which include nursing interventions in the form of behavioral therapy, pharmacological agents, and surgical treatment.

Mr. Davy Jones is a 60-year-old man that presents incontinence, nocturia, difficulty urinating, and a weak stream when urinating. The patient visited the clinic on 03/01/2017 after experiencing these issues for approximately two months. He is experiencing fatigue with not being able to achieve adequate sleep during the night due to nocturia. He is complaining of bladder always feeling full after voiding. Patient has had multiple UTI’s that was treated with antibiotics and was successful with medicinal treatment.

In some instances, medication can be an effective treatment for incontinence. They work best if your condition is caused by bladder spasms. When your bladder spasms, it forces urine out. These spasms can happen frequently throughout the day when you least expect them. Medication relaxes the bladder muscles so the spasms stop or decrease in frequency. Relaxed muscles also allow your bladder to hold more urine, so you can decrease the number of times you need to use the bathroom.

On February 20, 2018 the claimant was treated by Dr. Robert Lai for urge and stress incontinence. She reported an excellent response to Myrbetriq with respect to urgency but still had issues with stress urinary incontinence. Surgery was discussed with the claimant but she chose pelvic floor physical therapy first (Ex.

Surgery may be performed to correct an ectopic ureter, such as an artificial urethral valve may be implanted by a surgeon. According to the American Animal Hospital Association, Treatment options for USMI include medications, such as adrenergic agents and estrogen products, minimally-invasive urethral bulking procedures, surgical procedures, or combination therapy. For hormone-responsive incontinence, two different medication options can be given. Replacement hormone medication, such as Diethylstilbestrol (DES) for females and testosterone injections for males are used to control this incontinence problem. Also, certain medications may be given to increase the tone and strengthen the urethral sphincter. Phenylpropanolamine (PPA) is a common drug prescribed for aging dogs experiencing this issue. Although this is a treatable condition, it is not always possible to prevent urinary incontinence and it is generally only preventable to the extent that its causes are

First my father had to go through Transurethral Surgery, to remove the primary tumor from his bladder. During this procedure a resectoscope is passed through the urethra and into the bladder. This instrument has a wire loop attached at the end of it, which is used to scrape the tumor off the wall of the bladder. The tumor is then sent to the lab to be tested for cancer. The patient of this surgery can be placed on either regional anesthesia (patient’s lower body is numbed) or general anesthesia (patient is completely asleep). Side effects to this surgery can include bleeding and pain when urinating. This procedure is very effective because the tumor is completely removed from the bladder and the site is burned to ensure the base of the tumor was removed. My father has had this surgery twice in the past two years where they have successfully removed all of his tumors. He does suffer side effects from the transurethral surgery, such as vomiting, difficulty urinating, and is in a lot of pain, but it prevents him from having to go through Chemotherapy (American Cancer

Urinary incontinence is a significant public health problem and can have impacts on the psychological, physical and social wellbeing… It occurs in women more than men. However, there has been little research on interventions to prevent incontinence. A few interventions such as Pelvic floor muscle training, and bladder training.

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.