Urinary Incontinence Management Using Gibbs Reflective Framework

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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. In accordance with the Nursing and Midwifery Council,(NMC, 2015) The Code Professional standards of practice and behaviour for nurses and midwives on clause 5 Respect people’s right to privacy and confidentiality safeguarding patient information, no names or places will be disclosed. Therefore, throughout the following reflective case study, the patient will be referred to as Mariam. Patient Mariam background is 60 year old lady admitted with left sided weakness and facial droop. Once confirmed stroke using the Recognition of Stroke in the Emergency Room (ROSIER) scale. Catangui (2015) states ROSIER scale is used to distinguish whether the patient is having a stroke or stroke mimics e.g. seizures or brain tumours. Computed tomography CT brain showed ischemic stroke. Ischaemic stroke is lack of sufficient blood supply to perfuse the brain/ cerebral tissue due to narrowing or blocked arteries in the brain (Morrison, 2014). According to Stroke Association (2015) statics shows that 1520000 strokes occur in the United Kingdom. Mariam

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