Assess all areas

Article Abstract:

Thorough assessment of urinary continence problems can bring marked relief for patients. The case history of an 89-year-old lady in a nursing home illustrates the point. The lady's life was dominated by the necessity to visit the toilet around once every 35 minutes. Assessment indicated that the problem was a hypotonic bladder, probably related to diabetic peripheral neuropathy. Self-management techniques and intermittent self-catheterization brought considerable improvement. The assessment process includes history taking, urinalysis, and general, vaginal and rectal examinations.

Management, Urination disorders, Bladder diseases

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Back to the future

Article Abstract:

The use of catheterization should be routinely assessed for individual patients, to avoid the occurrence of incontinence due to infection of the urinary tract. A stroke victim was helped back to continence after becoming incontinent due to catheterization. The patient had become very depressed about her inability to control bladder movements, after having been extremely independent. A programme was developed for the patient to encourage her to become continent.

Health aspects, Urinary incontinence, Catheterization

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