The Home Health Aide and the Overactive Bladder
According to Mayo Clinic, an overactive bladder is just that: a bladder-storage problem resulting in sudden and frequent urges to urinate. Often these "urges" may be so strong that they cannot be stopped leading to incontinence.The amount of urine released may be a small trickle, or it may be a complete emptying of the bladder. The National Library of Medicine notes that the number of seniors with an overactive bladder continues to grow. It is well over 10 percent today and may reasonably be expected to reach a full quarter of seniors in the next two decades. The result of urinary incontinence in seniors is often social isolation, anxiety, fear, and depression linked to the embarrassment of having …show more content…
The challenge still lies in the severe under-reporting of urinary incontinence issues. After all, seniors cannot get help if nobody knows there is a problem.
If your senior loved one may be having trouble with urinary incontinence, it is important that they have their situation investigated. A full third of overactive bladder issues may be linked to lower urinary tract infections. Not only could the bladder problem be quickly reversed with a UTI treatment, but the pain and discomfort of the UTI would be addressed as well. Another significant percentage of overactive bladder issues is related to medications used to treat other medical conditions. If the doctor knew there was a problem with incontinence, they may have been able to prescribe a different medication.
The majority of overactive bladder situations not related to UTIs or medication can be addressed with behavioral and environmental changes. A home health aide can assist your senior loved one in making these changes. For example, if the problem typically occurs at night, which is the most common complaint in senior bladder issues, fluid may be restricted in the early to late evening. A diuretic may be taken in the late afternoon to encourage more urine to pass prior to bedtime, and physical changes such as wearing compression stockings during the day also
CCIB LPA Perryman-French received a call from Mildren. her husband Julian lives in this facility. He is non-ambulatory and requires assistance to utilize the bathroom. Mildred stated that when staff call in, the director does not replace them or cover behind them, the result is that her husband cannot get the assistance he needs to use the bathroom. This has increased his accidents.
Over the years, there has been various debates over how the elderly is being treated in long term care facilities. Each and every year the number of the elderly people living in the U.S continues to grow immensely and whether or not we have the right systems in place to deal with this overwhelming number of baby boomers remain questionable. This number is projected to continue to grow and it is important that the right care is provided and also that the elderly is properly taken care of as they make this transition. As the number of elderly people in long-term care facilities continue to increase, different and various issues arise. One of the many serious issues involved with the elderly in long-term care facilities is the use of chemical
If a diagnosis is not obtainable, urinalysis and urine culture should be considered. C-reactive protein levels or erythrocyte sedimentation rate are also tests that can be used to differentiate from torsion (Uphold & Graham, 2013). Intravenous pyelography can be used to detect bladder obstruction in older men. When the patient has sexually transmitted infection (STI), a gram-stained smear of urethral exudate or intraurethral swab specimen tests should be
Evidence-Based Clinical Practice Paper J.D. is a 62 year old divorced Caucasian female. Patient is a reliable historian. She is allergic to Lisinopril. She currently has a desk job at a local call center. She went through menopause at age 50.
CCIB received a call from Susan, her Grandmother was at the facility for four weeks, moved in 11/17/2015, Mable Werane (DOB 09/08/1914). While she was there, the family thought maybe she was having trouble adjusting to the new place as the one she lived at for 8 years had just closed. Two days after she moved in, she had a doctor appointment, her family noticed that she was wearing depends, even though she never wore them before. They discovered that the staff was not taking her to the bathroom every four hours as she was accustomed, just left her in the depends. The family also started to notice that when they changed her, they seemed to just toss her around, she would be overheard saying "Don't, Don't and Ow, Ow."
Every decade our population gets older and a whole new generation of seniors comes along with a new set of attitudes and expectations as to what they want from an assisted living facility. And now that people are living longer, there is a much greater need for these facilities. They can provide a refuge to many family members that may become severely burdened by the arduous task of taking care of a loved one who can no longer take care of themselves. When simple tasks such as bathing and feeding become near impossible to manage alone, not to mention driving to the store and shopping, decisions about placement into a home become paramount. Most important to the family members is the ability of the facility to provide the adequate care that is needed for their loved ones.
Elderly adults usually experience problems in their daily lives due to health-related disabilities and chronic diseases. This makes it difficult for them to perform self-care activities. An elderly may need to complete various daily living activities such as taking care of their personal hygiene which may include oral care, grooming, and bathing. At times performing these activities tend to be very difficult, but with a little bit of help and therapy, they usually manage themselves. There is certain characteristic that the elderly possess that will help them in completing the ADL once they decide to take part in the therapy.
Getting Started With Self-Catheterization If you have a medical condition or injury that damaged the nerves to your bladder, you may need to use a catheter so you can pass urine properly. Your doctor might insert a permanent catheter for you to wear, but it's also possible you'll have to insert a catheter yourself a few times a day to drain your bladder. Although the thought of inserting a catheter yourself at home may sound daunting, it's actually an easy process once you've had some practice. Here is a quick look at buying and using catheters at home.
As a nursing student, I need to ensure I am performing my tasks, including perineal care, to the highest standard, and addressing areas of concern that I observe during my shifts. As mentioned by Marshall & Bailey (2008), incontinence can greatly impact the quality of life of a patient, as well as increases their risk of potential perineal skin breakdown. Improper perineal care following incontinence can lead to painful skin irritation, UTIs, and pressure sores. Frequent monitoring, and management of incontinence are the first steps in appropriate management. Seeing as I was diligent in observing and reporting the incident of improper perineal care, I was able to follow these crucial first steps in preventing a potential UTI in this geriatric patient.
The study was conducted in 1989 for a 6 month period. It consisted of 305 pregnant women between ages 17-41 with the median age of 26. These women were questioned about their urinary symptoms prior to being a part of the study. A few of the questions they were asked were: “1) whether they had urinary incontinence or frequency of voiding before, during pregnancy and/or after delivery; 2) whether incontinence was provoked by physical stress or accompanied by strong desire to void (urgency); c) whether they had daily incontinence; d) whether the incontinence had been a hygienic or social problem (Viktrup, 1999).” The researched defined frequency as voiding seven or more times during the day and two more times during the night.
The research population, the main results being deliberated and the brief definition of the methods to be used in making the observations to be quantified are all inclusive in the title (Chaliha et al., 2001). The people in the study are the females encountering urinary incontinence problem whereas the main targeted result is the championing for urinary continence. The purpose of the essay is to assess the efficiency of the physiotherapy program to anticipate urinary incontinence in ladies three months after birth. This purpose is achievable, new, engrossing and appropriate to purpose. However, the honesty of this research is questionable.
McPeak Dr. Scheirer 10/26/15 Analyzing Research Studies Effectiveness of the Modified Intensive Toilet Training Method on Teaching Toilet Skills to Children with Autism 1. I used the ProQuest database that the Behavior Analyst Certification Board provides to Analysts and RBTs. I used the search terms “toilet training,” and “toilet training and autism” when researching this topic. My rational for selecting this study over others was that the title met all of my key words in my search.