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    Incontinence 3

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    lalitrajindolia
    An elderly woman with hypertension attended a regular blood pressure assessment where her daughter expressed concern about her mother's apparent urinary incontinence which has caused a constant smell of urine in her home and clothing; however, the patient downplayed the issue. The tasks outline proceeding with the case by gaining the patient's trust through an initial assessment by a practice nurse to get a history and preliminary evaluation, followed by a thorough examination, tests, and treatment options tailored to the specific type of incontinence found.

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    Incontinence 3

    Uploaded by

    lalitrajindolia
    20 views2 pages
    An elderly woman with hypertension attended a regular blood pressure assessment where her daughter expressed concern about her mother's apparent urinary incontinence which has caused a constant smell of urine in her home and clothing; however, the patient downplayed the issue. The tasks outline proceeding with the case by gaining the patient's trust through an initial assessment by a practice nurse to get a history and preliminary evaluation, followed by a thorough examination, tests, and treatment options tailored to the specific type of incontinence found.

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    An elderly woman with hypertension attended a regular blood pressure assessment where her daughter expressed concern about her mother's apparent urinary incontinence which has caused a constant smell of urine in her home and clothing; however, the patient downplayed the issue. The tasks outline proceeding with the case by gaining the patient's trust through an initial assessment by a practice nurse to get a history and preliminary evaluation, followed by a thorough examination, tests, and treatment options tailored to the specific type of incontinence found.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    20 views2 pages

    Incontinence 3

    Uploaded by

    lalitrajindolia
    An elderly woman with hypertension attended a regular blood pressure assessment where her daughter expressed concern about her mother's apparent urinary incontinence which has caused a constant smell of urine in her home and clothing; however, the patient downplayed the issue. The tasks outline proceeding with the case by gaining the patient's trust through an initial assessment by a practice nurse to get a history and preliminary evaluation, followed by a thorough examination, tests, and treatment options tailored to the specific type of incontinence found.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
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    For Student

    An elderly woman with hypertension is attending the surgery for regular assessment of her blood
    pressure. On this occasion her daughter attends as well and mentions that the family is very
    concerned about the patient’s apparent incontinence of urine. The daughter goes on to say that her
    mother’s house and clothing have now developed a constant smell of urine. On direct questioning,
    the patient makes light of this problem. She seems sensible.

    Tasks:

    How would you proceed?


    Student’s name
    For examiner
    An elderly woman with hypertension is attending the surgery for regular assessment of her blood
    pressure. On this occasion her daughter attends as well and mentions that the family is very
    concerned about the patient’s apparent incontinence of urine. The daughter goes on to say that her
    mother’s house and clothing have now developed a constant smell of urine. On direct questioning,
    the patient makes light of this problem. She seems sensible.
    Task 1 (3.5) Urinary incontinence is a common problem in old age and is often unreported. The
    reasons for this reluctance to seek medical advice are multifactorial and include embarrassment
    and a belief that nothing can be done or that it is an inevitable consequence of ageing. Health-care
    professionals may fail to enquire about the symptom or, if it is mentioned, may feel unable to
    intervene in an effective manner.
    Task 2 (3.0) The first step is to secure the patient’s confidence and trust. An approach by the
    practice nurse may be a more successful first step to gain an initial history and preliminary
    assessment. It will be important for the nurse or doctor to emphasize that assessment is relatively
    simple and that an effective treatment is very likely. Even if cure is not feasible, improvement or
    containment of symptoms is certainly possible.
    Task 3 (3.5) The initial assessment should include a thorough history and examination (note rectal
    and vaginal examinations), paying particular attention to medications and any gynaecological or
    neurological symptoms and signs. Urinalysis, urine culture and bladder scan (to assess bladder
    emptying and residual volume) are also essential steps in the assessment. Most assessments can be
    completed in a general practice setting, and measures can be instituted to improve the common
    conditions of urge and stress incontinence. The advice of a continence nurse specialist is useful for
    the treatment of complex cases and where a more detailed knowledge of containment devices and
    pads is required.

    Final score:

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