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    Clinical Application Questions

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    Cathrine Mae Ramil
    Allysa is a 75-year-old woman who has had problems with urge urinary incontinence for 2 years. She was referred to a continence specialist and began pelvic floor exercises and bladder training, but is still experiencing frequent urine leakage. She needs additional teaching on avoiding bladder irritants, losing weight to reduce bladder pressure, and monitoring for signs of urinary tract infection. After being treated for a UTI, she needs ongoing assessment of her vital signs, symptoms, and urinary habits to effectively manage her condition.

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    Clinical Application Questions

    Uploaded by

    Cathrine Mae Ramil
    209 views2 pages
    Allysa is a 75-year-old woman who has had problems with urge urinary incontinence for 2 years. She was referred to a continence specialist and began pelvic floor exercises and bladder training, but is still experiencing frequent urine leakage. She needs additional teaching on avoiding bladder irritants, losing weight to reduce bladder pressure, and monitoring for signs of urinary tract infection. After being treated for a UTI, she needs ongoing assessment of her vital signs, symptoms, and urinary habits to effectively manage her condition.

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    Allysa is a 75-year-old woman who has had problems with urge urinary incontinence for 2 years. She was referred to a continence specialist and began pelvic floor exercises and bladder training, but is still experiencing frequent urine leakage. She needs additional teaching on avoiding bladder irritants, losing weight to reduce bladder pressure, and monitoring for signs of urinary tract infection. After being treated for a UTI, she needs ongoing assessment of her vital signs, symptoms, and urinary habits to effectively manage her condition.

    Copyright:

    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd
    Download as doc, pdf, or txt
    209 views2 pages

    Clinical Application Questions

    Uploaded by

    Cathrine Mae Ramil
    Allysa is a 75-year-old woman who has had problems with urge urinary incontinence for 2 years. She was referred to a continence specialist and began pelvic floor exercises and bladder training, but is still experiencing frequent urine leakage. She needs additional teaching on avoiding bladder irritants, losing weight to reduce bladder pressure, and monitoring for signs of urinary tract infection. After being treated for a UTI, she needs ongoing assessment of her vital signs, symptoms, and urinary habits to effectively manage her condition.

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    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd
    Download as doc, pdf, or txt
    of 2

    Ramil, Cathrine Mae C.

    BSN1A

    Clinical Application Questions


    Preparing for Clinical Practice

    SITUATION: Allysa is a 75-year-old woman who has had problems with urge incontinence for the
    past 2years. She has not spoken to anyone about her problems because she is embarrassed.
    She finally confides to her health care practitioner that the problem is causing her to avoid
    social situations and she would like help to regain urinary control. Allysa has type 2 diabetes
    and is obese. She has been referred to a continence specialist. A plan of care was developed
    after a thorough assessment of her urinary pattern and symptoms.

    1. She has recently begun pelvic muscle exercises (Kegel) and bladder retraining. She shares
    her concern that the exercises are not working and that she is still wet multiple times a
    day. Which additional teaching does Allysa need?
    - Before we intervene, we must first evaluate and look for her past experience that showed
    Allysa was higher at risk for urinary incontinence because of contributed factors that
    interfere with her mobility and conditions. Thereupon, she had problems with urge
    urinary incontinence wherein there’s a problem in normal elimination of the discharged
    fluid called urine and commonly caused by involuntary contractions of the bladder. In
    additional teaching for her as the previous interventions didn’t work, she must avoid
    bladder irritants such as coffee, tea and artificial sweeteners that could increase urine
    production and as it stated, Allysa is also an obese so she needs to lose weights and
    reduce bladder pressure. Also, it’s important to ask the client about symptoms of UTI
    because somehow, this infection is intercorrelated with urinary problems and if ordered
    by health care provider that she needs to intake antimuscarinic drugs to reduce the
    symptoms of incontinence, then she must observe its effect base on her later
    performance. By doing all that, she might experience reduced urine leakage.

    2. Two months after your first encounter with Mrs. Grayson, she has been seen by her primary
    health care provider for burning on urination associated with increased incontinence, frequency,
    and urgency. She was treated with an antibiotic. Which health teaching does Allysa need now?
    - First, let’s clarify this burning or pain on urination called dysuria associated with increased
    incontinence, frequency, and urgency that is a symptoms of a lower UTI and is definitely
    located at the bladder or urethra. And for further health teaching, the client must maintain her
    adequate hydration, keep good voiding habits, prevent urinary tract infections, and continual
    report to health care provider any changes in bladder habits.
    3. Allysa is seen in the emergency department for a fever, hematuria, and elevated
    postvoid residual (PVR). She is treated for a urinary tract infection (UTI). Which ongoing
    assessment is needed?
    - Allysa have been diagnosed for fever, hematuria and postvoid residual (PVR). This
    hematuria is the presence of blood in urine, while the PVR is the amount of urine left
    in the bladder after voiding and is measured either by ultrasound or straight
    catheterization. To gather the important data in assessing the client, we need to focus
    on physical examination, we need to perform and get her vital signs especially the
    temperature for checking fever. Ask about the signs and symptoms she’s experiencing
    as listed on subjective data and indicate the behavioral findings too including her
    response behavior. For hematuria, we need to review of the client’s history so that
    we’d be able to achieve an accurate and effective nursing care plan.

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