By David Colborn
The top motivation for this publication has come from my ex perience with those that be afflicted by incontinence and from my touch, either within the scientific zone and as a instructor, with those that deal with them. through the years i've got constructed a pas sionate curiosity within the topic and there's little question that during normal phrases the extent of information and understanding when it comes to the subject has elevated. regardless of this it's nonetheless obvious that continence advertising continues to be a a bit fringe topic, either in perform and in concept. one of many problems which has turn into transparent from dialogue with nurses of all grades is they think that the single those people who are able to gaining knowledge of the practicalities of continence advertising are complete time continence advisers. it truly is not likely that this view has stemmed from con tinence advisers themselves (those that i do know are typically very thankful for the entire aid that they could get), or perhaps from a reluctance at the a part of nursing employees to boost their talents. the foundation of the trouble seems to be an absence of expertise at the a part of nurses of the abilities which are required for continence advertising and in addition how they are often positioned into perform. the purpose of this ebook is to supply a reference textual content to permit all training nurses to take an lively half in continence professional movement and the correct administration of incontinence.
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Extra resources for The Promotion of Continence in Adult Nursing
Indwelling catheter Forced bladder emptying Pads Type Number used Penile sheath Other Time between sensation of the need to void and incontinence occurring Bowels: Constipation/diarrhoea? g. 4 Detailed continence assessment checklist. whether the patient has a problem emptying his or her bladder completely although residual urine measurements of 5-10 ml are not uncommon and are highly unlikely to be of any significance . As with all invasive bladder procedures there is a risk of introducing infection and the normal precautions wh ich apply to urethral catheterization should be taken (see Chapter 6).
8. : Date: Assessment carried out by: History of present condition : (including current med ications) Relevant previous history: (including obstetric history) Physical assessment: Pattern of incontinence: (see continence chartl Urine/Faeces? Urinalysis: Main urinary problems: Frequency Urgency Leakage on exertion Pain on micturition Difficulty in voiding Dribbling Nocturia Nocturnal enuresis at other times Current strategies used to manage incontinence: Altered fluid intake Intermittent self-catheterization How often?
Under normal circumstances a flexible cystoscope will be used which is inserted under local anaesthetic. The procedure may cause the patient some embarrassment but should not involve any more than slight discomfort. As mentioned above, invasive procedures may not be necessary for the majority of patients suffering from incontinence. From a nursing viewpoint a full patient assessment and history will be sufficient to obtain the information required to identify a patient's problems and commence appropriate interventions based on a problem solving approach.