Urinary incontinence & Cystitis

by krzystjl
Last updated 9 years ago

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Urinary incontinence & Cystitis

Urinary Incontinence

PATHO/ETIOLOGY;*Bladder, urethral dysfunction*can be d/t trauma, neurologic diseas, bladder outlet obstructionRISK FACTORS;pregnancy, vagnial delivery, weak pelvic muscles, demantia, stroke, immobility

TYPES:*Transient- occurs suddenly, temporary*Stress- d/t increased intra-abd pressure- sneeze, coughingUrge- urge & can't control in time to get to the bathroomOverflow- involuntary loss or urine d/t overdistention of bladderFunctional- can't ID need to void & get to BRReflex- involuntary relfexes cause bladder contractions & spontaneous voidingMixed- features of 2 or more typesTotal- urine continuous & unpredictable

SIGNS & SYMPTOMS:*c/o urgency, frequency, leaking sm amounts of urine when coughing or sneezing. *complete inability to hold urineDIAGNOSTICS:urine culture, cystoscopy, urodynamics

MEDICAL/SURGICAL MANAGEMENT;* correct cause if possible*resolve situational factors*bladder training*Medications: anticholinergics- (ditropan) reduces bladder spasticity & involuntary contractions, other meds for sphincter control.*Various surgical procedures to suspend bladder etc.

NURSING MANAGEMENT:*Prevent skin breakdown*Reduce anxiety*Maintain dignity*Initiate bladder training*Teach Kegel exercises*Scheduled voiding

Cystitis

Reference: Timby, B.K., & Smith, N.E. (2010) Introductory Medical Surgical Nursing, (10th Ed). Philadelphia, PA: Lippincott.


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