Wait a second!
More handpicked essays just for you.
More handpicked essays just for you.
Importance of the care for the Aged
Don’t take our word for it - see why 10 million students trust us with their essay needs.
Recommended: Importance of the care for the Aged
For many people, getting older can be difficult because of fear. They worry about what could happen to them or what type of diseases they might develop later on. To become a more mature adult is a stage of life that each individual will experience in a certain point. Statistics shows that eighty-eight percent of those of sixty-five years of age and older have at least one chronic health condition such as diabetes, dementia, Parkinson’s disease or cancer. (ezinearticles.com). This scholarly essay will focus mainly on urinary incontinence (UI) which is a common health problem that elderly may have.
Urinary Incontinence is the accidental or unwanted leakage of urine causes by a loss of bladder control. (www.womenhealthmatters.ca). The need to urinate occurs suddenly and the individual is therefore unable to resist the need to void. The loss of bladder control is a symptom, not a disease, and there are six different types of urine incontinence that are present. Stress incontinence is a loss of urine when exerting pressure or stress, urge incontinence is a sudden or intense urge to urinate followed by an involuntary loss of urine, overflow incontinence consist of the inability to empty the bladder, mixed incontinence is when experiencing more than one type of overactive bladder, functional incontinence is most likely manifested because of physical or mental impairment that keeps patients from reaching the toilet in time, and gross total incontinence which is when the bladder has no storage capacity and the urine is continuously leaking. (mayoclinic.com). There are many effects that could cause a loss of bladder control in elderly such as caffeine intake, medications, physical limitation, or prostate surgery for men. (Medicinenet.com)...
... middle of paper ...
...those which may have an impact on the incontinence, or check urine to determine if infection is present.” (Nursing best practice guideline). There are many more however, it is not all of the nurses who follow the principles.
To have met this patient was a blessing. To see her being strong and try to live differently was amazing. Other than her left side weakness, the desire for her to get physically powerful was obvious and noticeable. It is true that an uncontrollable bladder can have a serious effect on older adult but the key is to be motivated, seek for improvement and build self-esteem. As a nurse, it is important to support and be there for them. Urinary incontinence is not easy to overcome and it is unfortunate when one discovers they have a disorder of sorts, but with anything in life adaptation, patience and care can make any problem seem insignificant.
5), many hospitals in conjunction with the Joint Commission's 2012 National Patient Safety Goals has been rallying for hospitals to use evidenced-based practices (EBP) to the prevention of CAUTIs because evidence is growing showing that many are avoidable. Such practices such as utilizing a nurse-driven protocol to assess and evaluate the appropriateness and use of urethral catheter to determine how long a patient should have an indwelling catheter and when to discontinue it. Several factors have been identified that pose as risk factors to CAUTI which include but not limited to drainage bag not being below the level of the bladder, healthcare personnel not practicing standard precautions and utilizing aseptic techniques during insertion of catheters, unsterile equipment, and unnecessary placement of urinary
...estions if not 100% sure of something or use a double checking system. When a nurse is administrating medication, they should use the ten rights of medication administration (right patient, right drug, right route, right time, right dose, right documentation, right action, right form, right response, and right to refuse). Nurses should always keep good hand hygiene and always wear appropriate clothing to prevent from the spread of disease. Good communication with patients and healthcare team members is also key to success. Keeping on the eye on the patient within an appropriate time is important. If the patient ever seems to be looking different than their usual self vitals should be taken immediately. Encouraging patients to ask questions if they are unaware of something can prevent errors as well. Nurses should make sure the patient is on the same page as they are.
Patient says “The constant use of the bathroom for bowel movement has drastically decreased her sex drive, altered her social life, and is causing tension in her marriage
During pregnancy, most women may experience overactive bladder or urinary incontinence. This can be mild or infrequent, while for others, it can be severe that can eventually affect their daily routine. This type of incontinence experienced during pregnancy is known as stress incontinence. It is the loss of urine due to increased pressure on the bladder, which makes the bladder sphincter unable to function properly when it comes to holding urine. Pregnancy hormones can also cause the pelvic muscles to relax for the anticipated delivery, which in turn affects the ability to control urine. These hormones also speeds up bloods’ filtration into the kidneys, resulting in accumulation of more fluid in the bladder.
Loening-Baucke V. Urinary incontinence and urinary tract infection and their resolution with treatment of chronic constipation of childhood. Pediatrics 1997;100: 228-232
In this section the researchers explain the complications that can occur based on non-adherence to a proper self-catheterization regimen. A spinal cord injury can cause an interruption in neural pathways which affect the function of the bladder causing urinary incontinence, urinary retention, urinary reflux, and recurrent urinary tract infections. These problems can ultimately lead to an increase in renal morbidity and mortality (Shaw & Logan, 2013) Later, in the discussion section of the article, the authors focus on the importance of nursing education to teach patients proper methods to perform and cope with ISC in order to eliminate these common occurrences in patients suffering from SCIs (Shaw & Logan, 2013). The perception of performing this task may vary from patient to patient. This research helps identify various educational approaches that could be taken to accommodate all patients. Therefore, the research is significant to nursing due to the fact that nurses are considered the primary educators and are expected to address practical issues with patients performing ISC and help them manage the psychological issues that are faced with this
These include the bladder, rectum, and vagina and/or uterus (Elneil, 2009). Impairment to the bladder could cause urinary incontinence. This could cause having to urinate frequently, being unable to control urination, and suddenly urinating during coughs and sneezes. Rectum impairment could lead to bowel problems, constipation and fecal incontinence. These are all symptoms Eleanor experiences. Eleanor also feels a sensation of “something coming down” her vagina and this could be caused by pelvic organ prolapse, a problem involving organs “falling down” through the vagina and/or
Child providers need to know the correct way to change a diaper and appropriate ways to teach children to use the toilet in order to prevent the spread of illness.
There are several causes to elderly dehydration, which can be broken down into four groups: physiological factors, psychological factors, functional impairments, and mechanical impairments. (Hamilton, 2001) The physiological factors are: natural 10% body fluid loss, diminish of taste making food less appetizing and adding salt for flavor, thirst diminishes, medications that are diuretics or laxatives, and draining wounds. (Hamilton 2001) The caffeine in coffee and soda, the theophylline in tea, and the throbromine in cocoa, all raise blood pressure along with increase production and elimination of urine. (Vasey, 2002) Alcohol, on the other hand, dries out the mucous membrane causing sclerosis. (Vasey, 2002) Diarrhea, vomiting, or febrile illness also contributes to elderly dehydration. (Moore, 2005) The psychological factors are: depression which contributes to loss of appetite, purposefully decrease fluid to reduce bathroom trips. (Hamilton, 2001) The functional impairments are: coma, paralysis and N.P.O (Nothing Per Orem) patients. (Hamilton, 2001) Elderly individuals with disabilities such as: visual, cognitive or motor impairment may need assists with water intake. (Kavanaugh, 2000) Tubal feeding may need additional water in the nutr...
Dougherty, L. & Lister, s. (2006) ‘The Royal Marsden Hospital manual of Clinical Nursing Procedures: Communication 6th Edition Oxford: Blackwell Publishing Ltd
During my second week at clinical, I cared for a 74 year old female. Mrs. X came to Lake Ridge Health Whitby Hospital due to a right CVA and she was suffering from locked in syndrome. In addition to this Mrs. X’s medical history included, constipation, depression, anxiety, anemia, hypothyroidism, hyperlipidemia, a coccyx wound and dysphasia. Due to the clients diagnosis of locked in syndrome, she was unable to move or communicate verbally because of paralysis of most muscles (Palmieri, 2009). Mrs. X was aware and awake, but was only...
A urinary tract infection is a very common infection that can happen to anybody. A urinary tract infection usually occurs when bacteria enters the urethra and multiples in the urinary system. The Urinary tract includes the kidneys, the thin tubes that carry urine from the kidneys to the bladder (ureters), and the main tube that carries the urine from the bladder (urethra). Women, men, and children are all immune to this infection. Women have the highest chances of getting it. In the Urinary tract, the main links of the ureters help get rid of any bacteria that tries to enter the urine, and the bladder helps prevent urine from backing up into the kidneys.
The type of incontinence pad you need is dependent on your comfort level and personal needs. Therefore, choosing the right protection will guarantee confidence and avoid accidents as well as much stress.
Aware that, different nurses has their own ways approach to bed washing of patients and as a student nurse, I would always make sure that I followed the general policy or local policy that is in place so that, the care of the patients are met.
Circulating nurses must check the expiry date and the integrity of the packaging and wear the correct PPE prior to opening the articles. Each article must maintain its sterility; therefore the setup must be continuously monitored. Instrument nurses must create the sterile field using sterile drapes as they minimise the transference of microorganisms. They must also keep their hands at chest level, as areas below table height can be easily contaminated (Australian College of Operating Room Nurses, 2010).