Case Study Pelvic Floor Dysfunction

HISOTRY OF PRESENT ILLNESS: This 40-year-old Latin female presents with complaints of low back and right leg pain she said that she hurt her back in a motor vehicle accident three years ago and she has had a history of intermittent low back pain since that time. Last December she started a job where she had to lift boxes that weighed approximately 40 pounds. Around the first of January this year she began to complain of back pain that

constant hunger, and frequent urination. She denies any pain, burning, or low-back pain on urination.

Looking back at mistakes everyone around the world has made, it is easy to assume people will never make the same mistakes again. An example an a small scale would be something as simple as a bad math grade. Anyone might try to improve their grade by practicing more and making corrections to the steps they messed up on. In the book Animal Farm by George Orwell, the animals overthrow the farmer Mr. Jones. By the end, all of the animals were under the control of the boar Napoleon. Many things went wrong along the way, and only some of the time the animals reflected and learned from the mistakes they made. An understanding of the past is essential in order to adequately guard against future mistakes.

“Oh, this is awful,” Jenny muttered to herself. She was sitting on the toilet with a pair of very wet panties and slacks around her ankles. Jenny never knew when it would hit―this need to urinate quickly. She would find herself running to the bathroom like a woman possessed and then usually not making it in time. “It also seems like I’m peeing all the time,” she said. “This is getting old really fast,” she thought, as she continued trying to squeeze the urine out of her panties using quantities of toilet paper.

with diagnosis, treatment, and follow-up of IC patients. With this in mind, I feel my research can help in getting the word out there about IC/PBS, and Chronic Pelvic Pain (CPP).

For the purpose of this assignment the chosen title is ‘structured skin care regimes based on cleanse, moisture and protect must be seen as an essential components in the prevention of incontinence associated dermatitis’ (Holroyd, 2015). Incontinence associated dermatitis (IAD) (see Appendix 1) results due to damage to the skin. The areas of skin usually affected include the perineum, perianal area, buttocks, inner thighs, sacrum, and coccyx. The damage occurs due to prolonged exposure to any form of moisture. This moisture exposure can occur from a variety of sources or causes –which includes faecal or urinary incontinence, highly exuding wounds, excessive perspiration and peri-stomal skin. The skin becomes erythematous, macerated, denuded, and inflamed following exposure moisture (Beeckman et al. 2011).

She has refused to have a shower and do her routine ROM exercises due to the pain in her knee. She requires assistance to perform ADLs at this stage and expresses feelings of embarrassment and frustration. Mrs. Green has also reported that she has not opened her bowels since the operation.

Asymptomatic patients would have functional impairment such as, dementia, urinary, and bowel incontinence. According to Urinary Tract Infections in the Elderly: Symptomology and Prevention, classic signs and symptoms of a urinary tract infection includes; dysuria, urgency, frequent urination, flank pain, suprapubic pain, fever, cloudy urine, urine with foul odor, recent onset of urinary incontinence. In elderly patients with a urinary tract infection may exhibit signs of altered mental

Pelvic floor muscle denervation has been implicated in the pathophysiology of urodynamic stress incontinence (USI).(66) The EMG techniques have been used to identify sphincter injury after childbirth and to evaluate women with USI. Stress incontinence and genitourinary prolapse were associated with partial denervation of the pelvic floor.(122) The changes were most marked in women who were incontinent after delivery, who had a prolonged second stage of labor, and had given birth to heavier babies. In some studies, nearly all EMG parameters showed significant differences between continent and SUI women consistent with better motor unit recruitment in continent women. Continent women had larger amplitude, longer-duration MUPs with increased turns

The current medical literature shows that imaging such as MRI is essential in the diagnostic criteria for transverse myelitis (Frohman, 2010), (Goh, 2011), (Beh, 2013). The patient complainted of urinary incontinence could be due to a number of medical conditions not related to transverse myelitis. The differential diagnosis for urinary incontinence in a female patient include child birth history, aging, urinary tract infection,

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.

The pelvic floor, also called pelvic floor, consists of a thin layer of muscle fibers and connective tissue enclosing the pelvic cavity at its lower portion and the sacrum. The pelvic floor muscles are made up of the urethra, vagina and anus.

College is known to many as the best time of their lives, a period where one gets to explore and find one’s self. College however, can also be awful for one’s overall health. Many college students often put their health on the back burner as they often partake very unhealthy habits and behaviors, such as a poor diet, use of drugs, excessive alcohol consumption and lack of sleep. Many of these bad habits can have numerous short term and long term impact on one’s health. First and foremost, one can drastically damage their body and internal organs through all of these habits, but especially though drug abuse, binge drinking and cigarettes. Out of all of these bad behaviors, binge drinking probably one of the most common behavior found on a college campuses, which can result in stroke, high blood pressure, death from alcohol poisoning, unintentional injuries and liver disease. In addition to Bing drinking, many students consume and abuse an abundance of drugs with the most common ones being marijuana, cocaine, MDMA and prescription pills like Adderall. Drugs have a variety of effects, with some ranging temporary mental impairment to possible death.

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.

In Book three C.S Lewis Starts off the chapter but stating that moral rules are not designed to stop happiness also he stated three significant parts of morality, first, fair play and happiness. Second finding happiness or harmony pertaining to each person. Third, the purpose of humans, questioning our purpose and out creator desire. Morality is related with our actions whether we define them as right or wrong. Morality many times is defined as guiding principles, without guiding principles a society will fail because it will be unorganized