Urinary incontinence is loss of bladder control, which can happen to anyone, but it becomes more common with age. Symptoms of incontinence can range from mild leaking to uncontrollable wetting. If it is not managed on time, it can lead to embarrassment, stigmatization, and depression.
The function of bladder is to hold urine the bladder is a sort of pouch found in the end of the genito-urinarian tract. Its function is to retain the urine of the body until it can be released to the urethra and out of the body.
Urinary incontinence is a frustrating medical condition. You never know when a sneeze or burst of laughter will cause your bladder to leak. The wetness leaves you uncomfortable and worried about odor. One solution is to wear adult diapers, but you may hate the way they feel and look under your clothing. A better option is to seek treatment from your doctor. Here are some of the treatments he or she may try.
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.
More serious, but rarely, bladder burst will be resulted in when you are holding too long. Bladder bursting happens mostly to people who already have a damaged bladder, such as pelvic injury. Tyche Brahe, a Danish astronomer and alchemist in the 16 century, died from a bladder burst. Based on the report, “He refused to leave a banquet to relieve himself because he believed it to be a breach of etiquette, but then he found he was unable to pee at all. He descended into delirium and died soon after when his entire bladder burst” (Crew). Although there are scarce instances of bladder bursting that occur on normal people who drink too much alcohol, “the alcohol dampened the signal to their brain that is telling them they needed to pee” (Crew).
When I started my placement , Mrs . X who was suffering from Parkinsonism and dementia was on Indwelling urinary catheter for the management of urinary incontinence. Adhering to the results from the literature review I planned for initiating several steps to control incontinence in Mrs. X. My mentor was always with me with full support and guidelines. Fluid management was the first step started. An input output chart was kept and well maintained. Then steps wre also taken to manage constipation. Exercises were the last method practiced and the final result was really appreciable as she got a great reduction in the incontinence rate.
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).
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,
Toddlers empty bladder less frequent, begin to develop voluntary control or urination, full control comes later”
Humans are supposed to to to the bathroom four to six times a day. The pressures of life force us to clench and hold it in. Two kidneys, two europhras, a bladder, two ureters, and a urethra make up the urinary system. Urine comes from the kidneys by mixing water and other wastes. Then they go to the ureters and into the bladder. The bladder inflates like a balloon when full. The sphincter opens up when the bladder is full and the urine goes to the external urethral sphincter. You are able to control the opening and closing of that area and that is how you hold your pee. It will weaken or overwork your muscular slang which could lead to bad side
The bladder and urinary tract depict the epitome of various old age associated conditions. Urinary incontinence otherwise known as loss of bladder control is a common problem associated with aging. Besides old age, diabetes and other conditions also contribute to incontinence. Other common conditions include menopause for women and enlarged prostate for men.
According to the evidence based research done by Overton Brooks VA Medical Center “implement a bladder retraining trial in compliance with the NPSG to prevent CAUTIs. The goal was to decrease infection risk by decreasing the length of time catheters were in use and reinsertions. Decreasing reinsertion rates not only reduces infection risk but also decreases post-op length of stay, saving money and resources.” (Shreveport, 2013).The way I would share with my employment would be to have in service education for all staffs and share the information about normal bladder function. Also instruct nurses to teach patients to have voiding schedule that incorporates regular delay of voiding by using interruption and relaxation techniques, self-monitoring,
How many of us really think about our ability to urinate, I know I never did, but for my Uncle and Cousin, they could only wish to do what comes so naturally to us. When you have kidney disease and suffer Renal failure, which is what both of my relative's had, the kidneys are unable to remove those wastes through urinating. When the kidneys no longer perform these functions adequately, wastes and excess fluid build up in the blood. Some of the warning signs of kidney disease are as follows: