About
Inability to voluntarily control urination.
Assess
Rule-out other causes; differentiate between urge, overflow, stress, or functional incontinence; retention, urgency, s/s of uti; neurological changes; monitor skin integrity and perineal area
Complications
Social isolation; infection; urinary retention; surgical intervention
Diagnosis
- Situational low self-esteem related to inability to control urine
- Risk for impaired skin integrity related to moist environment
- Self care deficit- toileting related to toileting needs
Goals
The client will identify measures to help regain urinary continence.
The client will be able to identify techniques to manage urinary incontinence.
Interventions
- Assess onset, duration, provoking irritants, prevention strategies.
- Teach pelvic floor muscle strengthening exercises ( kegel exercises).
- Teach client management strategies to eliminate odor, impaired skin integrity, and contain urine ( pads, briefs, moisture barrier creams, etc).
- Teach to avoid alcohol and caffeine which tend to irritate the bladder.
- Administer medications ( anticholinergics, antispasmodics, etc.) as ordered.
- Teach client other modalities as indicated ( vaginal cone exercises, electrical stimulation, penile clamps, pessaries, intermittent straight catheterization).
- Teach client bladder training or habit training.
- Encourage client to verbalize feelings regarding change in continence.
- Teach pre-, intra-, and post-operative activities for the client who will have surgery.
- Monitor for signs/ symptoms of complications.
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