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Interventions for Clients with Urinary Problems

Interventions for Clients with Urinary Problems. Urinary Incontinence.

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Interventions for Clients with Urinary Problems

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  1. Interventions for Clients with Urinary Problems

  2. Urinary Incontinence 􀂄 Medications 􀂄 Sedatives 􀂄 Hypnotics 􀂄 Diuretics 􀂄 Anticholinergicsdecrease decrease gastricsecretions 􀂄 Antipsychotics 􀂄 Alpha antagonist-block

  3. Urinary Incontinence • 􀂄 Medical management of stress incontinence • 􀂄 Often can be cured and alleviated • 􀂄 Bladder retraining • 􀂄 Medicines-estrogens (Premarin Vaginal Cream) • 􀂄 Surgery-restore support of pelvic floor muscles or • reconstruct the sphincter • 􀂄 Collagen injected-into surrounding tissue the urethrawhich closes the urethra to prevent urine from leakingout • 􀂄 Pelvic floor exercises • 􀂄 Kegel exercises

  4. Urinary Incontinence • 􀂄 Interventions for stress incontinence • 􀂄 Assessing the client’s voiding pattern • 􀂄 Encourage the patient to void 30 minutes • before the projected time of incontinence • 􀂄 Schedule extended until client can stay dry for • 2 hours, gradually increasing time 3-4 hours

  5. Cystitis • 􀂄 Test • 􀂄 Clean-catch midstream • 􀂄 a bacteria count greater than 100,000 • organisms/ml confirms the diagnosis • 􀂄 Microscopic examination of the urine shows • hematuria and pus • 􀂄 Urine specimen for C & S

  6. Cystitis • 􀂄 Management • 􀂄 Encourage fluids 3-4 liters • 􀂄 Intake meats and whole grains discourage • growth of bacteria • 􀂄 Encourage the drinking cranberry juice • 􀂄 Call light answered promptly • 􀂄 Have commode chair ready for patient • 􀂄 Set up proper and timed bladder emptying

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