Enuresis (bed-wetting) is a common childhood elimination problem. It is estimated that
approximately 5%-10% of all seven-year- old children in the US have enuresis (Baird, Seehusen,
& Bode, 2014). Nocturnal enuresis is very common type of enuresis seen in children. It is
estimated to be approximately 10-15% at 5-year old, 5-10% at 7-year old, 3-8% at 10-year old
children, 1-4% in adolescents and 0.5-2% in the adults (Ferrara, Volgo, Romano, Scarpelli,
Gara, Abele, & Miggiano, 2015). Nocturnal enuresis is defined as the accidental or intentional,
repeated voiding of urine during sleep in children of five years or older, at least twice a week
and for 3 consecutive months, which is not related to the effects of medications or any other
…show more content…
This paper will primarily focus on primary
mono-symptomatic nocturnal enuresis.
Primary nocturnal enuresis is considered normal for children seven years and younger.
However, enuresis that continues after certain age i. e 8 to 10 years may have effect on child’s
self esteem and may be associated with psychological problems (Elbahnasawy & Elnagar,
2015). The possible side effects of enuresis include frustration to child and family, difficulty
sleeping overs on friend’s house or campouts, social withdrawal, reduced self esteem. If, severe
enuresis is untreated it can persist among 2- 3 % of child during their adulthood (Vande, Rittig,
Bauer, Eggert, Marschall, & Tekgul, 2012). Not only this, in US, about 25% of enuretic children
are punished for bed wetting. Therefore, reassurance, support and guidance to parents and
children plays a critical role in reducing child punishment as well as minimizing children’s
anxiety and fear.
Psychological support is a critical part of the care. As a Nurse Practitioner, I would
Berkowitz, Carol. American Academy of Pediatrics: Dedicated to the Health of all Children. American Academy of Pediatrics. 8 Dec. 2004
These children had the worst histories I have seen in mental health nursing. The opportunity to work with this population was the most difficult and honorable thing I have done in my life. Part of my goal as a nurse practitioner will be to work with the underserved and difficult populations that others are not willing to work with. The next four years I spent floating around seven different units at CenterPointe Hospital. Some of the units include adult detox unit, geriatrics, acute adult, chemical dependency residential programs, and adolescent units. Child and adolescents are my passion but working with dual diagnosis, acute adults and geriatric/dementia populations gave me a well-rounded experience. I have also worked the last 3 years PRN as an eating disorder nurse. This vast experience working with every psychiatric population has taught me much about psychiatric disorders and provided me with balanced work history. In addition, I have worked as charge nurse of these units and gained leadership skills. I intent to use the experience and knowledge from my nursing career to help me assess, diagnose and treat, as a nurse
Both Dr. Richard Ferber and Dr. William Sears have impressive credentials. Richard Ferber, M.D is an associate professor of neurology at Harvard Medical School. His other credentials include board certification in pediatrics and sleep disorders medicine and being the director of the Center for Pediatric Sleep Disorders at Children’s Hospital in Boston. Beginning in 1978, he has been doctoring children with sleep problems. Dr. William Sears is an Associate Clinical Professor of Pediatrics at the University of California, Irvine, School of Medicine. Dr. Sears received his pediatric training at Harvard Medical School’s Children’s Hospital in Boston and The Hospital for Sick Children in Toronto, where he served as associate ward chief of the newborn nursery and associate professor of pediatrics. Dr. Sears is a fellow of the American Academy of Pediatrics and a fellow of the Royal College of Pediatricians. In addition to all his professional credentials he is a father of eight children and has written over 30 books associated with ...
Data was collected on children from age 5-6 until they reached age 18. The secondary sources examined a variety ...
There was a study in 2009 by U. S. Department of Health and Human Studies which was
...y Journal of the American Academy of Pediatrics. Committee on Early Childhood, 2000. 15 May 2011. Web.
Taub, Leslie-Faith M. "Making The Diagnosis: Idiopathic Rapid Eye Movement Sleep Behavior Disorder." Journal Of The American Academy Of Nurse Practitioners22.7 (2010): 346-351. Academic Search Premier. Web. 18 May 2014.
... middle of paper ... ... Lall, A. a. The adage of the adage of the adage of Neonatal abstinence syndrome - a genitor.
2.Dietz. WH and Gortmacher, SL (1985) Pediatrics, 75,807-812; and Tucker, L.A. (1986) “Adolescent”, 21, 7970806.
Most of the diagnosis is at childhood. Experts say that over 2 million (3 to 5%) children
During my career as a registered nurse I have had the privilege of caring for my patients at the bedside and meeting their needs holistically. Additionally, the safety of my patients is one of the most important aspects of my current role. The experience of advocating for my patients during my nursing career has taught me to place my patient’s health and wellbeing first. The second most important aspect of nursing that I have learned during my career is how to meet my patient’s needs as a whole, not just physically but also emotionally and psychologically applying the holistic approach to each patient. I believe that the patient’s needs
Parasomnia refers to a wide variety of disruptive, sleep-related events or, "disorders of arousal." These behaviors and experiences occur usually while sleeping, and most are often infrequent and mild. They may however happen often enough to become so bothersome that medical attention should be sought out. "Parasomnias are disorders characterized by abnormal behavior or physiological events occurring in association with sleep stages, or sleep-wake transitions."(DSM pg. 435)
Sleep and Sleep Disorders. Centers for Disease Control and Prevention, 1 July 2013. Web. 7 May 2014. .
Approximately 60 percent of U.S. children aged five and younger have spent time in a