Urinary Incontinence Nursing

For nurses, (P) on 2 South caring for patients with urinary catheters, will education, on the importance and proper use of a nurse -driven indwelling catheter removal protocol (I), change knowledge on the use of the nurse driven protocol, as compared to knowledge before receiving an education, (C), as evidenced by (O), change in knowledge in the use of the nurse -driven indwelling catheter removal protocol, and CAUTI rates as evidenced by, pre and posttest scores and CAUTI audits after three months? The project will utilize a

The services will be provided to the clients in the Chicago's northwest suburban community. The main target group would be people who are 18 and older with one or more urinary related issues; including age and postpartum incontinence. The Urinary Continence and Wellness Clinic Services will adopt an approach to service that embraces a philosophy of respect for, and partnership with, people receiving services. A client centered urinary continence service

Promoting urinary continence after stroke-a look at the importance of nurses awareness of early incontinence assessment and management.

“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.

There are some very practical considerations when someone with dementia is using the bathroom. There is the potential for the person to be scalded with hot water, to slip on the floor, or get locked in, or for the carer to strain their back.

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.

The patient and their families must be aware of the infection, the source of infection, signs and symptoms, treatments, and measures to apply at home to decrease their risk of receiving an infection. Because geriatric patients are incontinent they may need a catheter in place to help remove their urine. Nurses must perform aseptic technique, wearing proper gloves when inserting or removing device. Another way to help reduce the risk of elderly urinary tract infections would be to avoid or remove catheter soon as possible. Once patients are cleared for discharge they must be aware of the steps to take to insure proper bladder

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 the first article, the author’s goal is too reduce urinary tract infections by implementing an evidence-based approach. By doing so it focuses on the importance of the nurses, physicians and staff working together as a team to reduce the urinary tract infections. The nurse driven protocol is what was tested, observing how the nursing staff communicated and how they followed evidence based practice approach. Also, focusing on an academic practice partnership to enhance patient outcomes (Johnson, Gilman, Linter, & Buckner, 2016).

John is 76 years old and lives at home with his wife Brenda who is 78 years old. He suffers from dementia which had a significant impact on communication and assessment. I was involved in John’s care during my time on a urology ward. John came to the ward due to urinary retention and was there for a period of 2 weeks. He needed to be prompted and guided on personal care, toileting and nutrition. It was also important to promote John’s independence,

"There’s a huge stigma around incontinence despite it being so common," she says. "I would urge anyone with symptoms to come forward as it’s more than likely that we can sort out the problem and really improve their quality of life."

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.

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.

Older people also suffer from more chronic health conditions than their younger counterparts, making their care much more involved and complex. For this reason, many health care professionals develop negative attitudes towards providing care for elderly. Their ageist attitudes can be expressed and experienced as microaggressions, making elders hesitant to seek and follow medical advice. Interestingly, nurses view working with elderly patients in a much more positive light. It is postulated that this is because the mission of nursing includes caring for people rather than seeking to cure them (Chrisler, Barney & Palatino, 2016).

feel autonomy when parents allow child to toilet training at their own pace. Furthermore they feel shame