Lack Of Management In Hospitalized Women With Urinary Incontinence/Blanchette.K Research Papers Example
Type of paper: Research Paper
Topic: Nursing, Incontinence, Condition, Urinary System, Breastfeeding, Family, Home, Behavior
Urinary incontinence may be defined as a condition in which a person has no control over his bladder. This condition can be either chronic or temporally. The patient may loss total control of his bladder in that he or she cannot withhold any content or a miner leakage may be experienced. Some of the main courses of Urinary incontinence include:
Benign enlargement of prostate; this is mainly observed in the men. In this condition, the prostate gland increases in size hence interfering with the urination. The second cause is Female urinary stress incontinence. Under this condition the urine is involuntarily released when a lady is undergoing any physical activity that exerts pressure on the bladder. The third is stress incontinence which is a condition in which a person cannot control the leakage of urine. The fourth is urge incontinence which is normally experience when a person has a sudden urge to urinate. The fifth is epilepsy overview, this types of epilepsy includes: benign rolandic, west syndrome, reflex, and juvenile myoclonic. The sixth is urethral stricture, this happens when the narrowing of the urethra, the pain experienced at the abdomen, swelling and urge to urinate are the signs. The seventh is the urethritis. This is the infection of the urethra that serves as a passage of the urine from the bladder out of the body. This intern contributes to pain when urinating, abdominal pain and some discharge observed (Hashim & Abrams, 2011).
Approximately, 13 million Americans are affected by Urinary incontinence and are more common in women as compared to men. This is so as approximately one in every three women reports episodes of Urinary incontinence. The condition is found to increase with the age of a person (Bar-Shalom & Rose, 2014).
Urinary incontinence is a condition that when not properly handled can really embarrass a person. This condition is not only being battled by the old age but also by the young persons. Nurses play a very important role is ensuring that the nursing home is properly assessed to treat and prevent the UI. Advance technology and equipment have also been introduced in the nursing homes to absorb large volume of urine to prevent the urine from being inconstant with the skin therefore protecting the skin from the effect of the UI. Urinary incontinence being an embarrassing condition, the nursing home should provide a better environment that will attract the people suffering from Urinary incontinence. If this favorable environment is not provided, then the control and treatment of Urinary incontinence will not be easy as most of the women suffering from the condition will prefer being in that condition that seeking medication to hide the shame.
Methods of study
The research paid attention on behavioral intervention as the way forward to treat or improve incontinence. Some of the behavior intervention tested included; habit training, prompted voiding and scheduled voiding.
Prompted voiding was composed of two important features. The first feature included prompting the person to toilet and the second was social endorsement condition on eliciting suitable behavior such self-driven request for assistance min toileting and voiding when the person is in the toilet. In a clinical setting, prompted voiding was evaluated as a process in which the residents are prompted to toileting by the staff members and congratulates the residents for proper toileting. For the effectiveness of prompted voiding to be observed, the person must be in a position to collaborate with the toileting and delay voiding or the resident has to be aware on the time to void and recognize when they bare wet. Because staff implementation was mandatory in the prompted voiding, the development of two major models was of need for compliance by the staff. The technique of staff management was the first approach and the second prompted was the principles of quality control statistical (In Acton, 2012).
Habit training that is also known as habit re-training which is generally focused on the usual pattern of resident voiding. This is mainly determined by the nursing staff completed bladder record. Time voiding known by another name as scheduled toileting is focused on the voiding pre-determined schedule. This entails voiding at an interval of three to four hours. In nursing home, the most commonly used technique of behavior is time voiding. In both the timed voiding and habit training, there is no bladder rehabilitation involved. Here the residents’ participation is passive; this is to mean that there is no effort in helping the resident in withstanding the urge to void or delaying voiding. The aim is to anticipate episode that is an incontinent. For the habit training effectiveness to be determined, there is need for adequately powered and designed clinical trials not forgetting the need of other interventions designed for residents of nursing home like the behavioral intervention (Tolson et al, 2011).
The theory of behavioral change underlying intervention in toileting primarily aims on the behavior of individual with IU condition and that of the caregiver. The same behaviors experienced are also influenced with other factors such as the regulatory and organizational factors. Furthermore, some of the factors that have been connected to the continence status of patient turnover includes; training, staffing turnover, organizational culture and resource allocation. The organization behavior in a nursing home is considered as perfect because of the role of the federal government and the state in its regulation.
Results of study
For the government to prevent Urinary incontinence in residents of low risk, factors that encourage primary strategies of prevention at the level of organization should be put into action. This protocol entails; assisting the residents in the ability of transfer and maintenance of mobility hence contributing in the reduction of the incontinence incidence. Nurses should not tolerate failure. This is so as failure did not contribute to the high number of people with Urinary incontinence condition in the nursing home. Failure is inadequacy in Urinary incontinence management and treatment, lack of care practice that protect and preserves the dignity of the resident and lack of competence in assessment.
Most of the direct care in the nursing home is provided by the nursing assistants. However, it is very unfortunate that the same nurses receive the lowest standard of education on patients care. A face to face communication with the nurses will assist the nurse assistants in improving their patient outcome. Both the nurses and nursing assistant should be both involved in the learning and training together to give them room to talk about certain resident and share information that will contribute positively towards the treatment and control of Urinary incontinence.
Most women suffering from Urinary incontinence preferred to stick to their condition. This is as a result of lack of privacy in the nursing homes. The nursing home should ensure that the dignity of the residents is preserved for the residents to seek treatment.
Bar-Shalom, D., & Rose, K. (2014). Pediatric Formulations: A Roadmap. New York, NY: Imprint: Springer. Page 220.
Hashim, H., & Abrams, P. (2011). Overactive bladder syndrome and urinary incontinence. Oxford: Oxford University Press. Page 2.
In Acton, Q. A. (2012). Brain diseases: Advances in research and treatment. Page 107.
Tolson, D., Booth, J., & Schofield, I. (2011). Evidence informed nursing with older people. Chichester, West Sussex: Wiley-Blackwell. Page 100.