We respect your privacy. In nursing school, there is probably no more hated class assignment than the nursing care plan. The Purpose of the Written Care Plan Care plans provide direction for individualized care of the client.
Functional Urinary Incontinence is characterized by the following signs and symptoms: Patient receives assistance for toileting in a timely manner. Patient reduces or has no incontinent episodes.
Patient eliminates or overcomes environmental barriers to toileting. Patient uses adaptive equipment to reduce or eliminate incontinence related to impaired mobility or dexterity.
Incontinence can be caused by many factors, including an inability to recognize the need to use the restroom, forgetting where the bathroom is located, medications, stress, certain physical conditions, clothing that is difficult to remove and constipation. A urinary tract infection (UTI) is a common infection that can affect any part of the urinary system, including the kidneys, bladder, and urethra (the tube through which urine exits the body). Sexual activity is a common cause, though not the only one. While as many as 60 percent of women will experience a UTI. Men and children can also be affected. Individualized Care Plan Wanda Parker HS/ Dr. Zakia Robbins July 24, Individualized Care Plan Every client with special care needs should have an individualized care plan. It is carefully constructed by the client, the client’s family, and any healthcare providers involved in treatment.
Patient uses portable urinary collection devices or urine containment devices when access to the toilet is not feasible.
This provides evidence to the causes, the severity of the condition, and its management. Patients with functional urinary incontinence are incontinent because they are unable to get to an appropriate place to void.
In some cases, functional incontinence may result from problems with thinking or communicating. People with severe depression may lose all desire to care for themselves, including using the restroom.
Transient or acute incontinence can be reduced or eliminated by reversing the underlying cause. Assess the availability of functional toileting facilities working toilet, bedside commode.
Bedside commode is necessary for an immobile patient. If present, begin treatment for these forms of urine loss. Functional incontinence is often accompanied with another form of urinary leakage, particularly among the elderly.
This information allows the nurse to plan for assistance with transfer to a toilet or bedside commode. Functional continence requires the patient be able to get to a toilet either independently or with assistance. Evaluate the home, acute care, or long-term care environment for convenience to toileting facilities, giving special consideration to the following: Distance of toilet from bed, chair, living quarters Characteristics of the bed, including presence of side rails and distance of bed from the floor Characteristics of the pathway to the toilet, including barriers such as stairs, loose rugs on the floor, and inadequate lighting Characteristics of the bathroom, including patterns of use; lighting; height of toilet from floor; presence of handrails to assist transfers to toilet; and breadth of door and its accessibility for wheelchair, walker, or other assistive device Functional continence demands access to the toilet; environmental barriers blocking this access can produce functional incontinence.
This information is the source for an individualized toileting program. Many patients are incontinent only in the early morning when the bladder has collected a large urine volume during sleep.
Functional continence requires the ability to gain access to a toilet facility, either independently or with the assistance of devices to increase mobility.
Assess patient for dexterity, including the strength to manage buttons, hooks, snaps, Velcro, and zippers needed to remove clothing. Consult physical or occupational therapist to promote optimal toilet access as indicated.
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In men, stress incontinence or urge incontinence can be associated with untreated prostate cancer. But more often, incontinence is a side effect of treatments for prostate cancer.
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