Tuesday, January 15, 2019

Reflective Essay on Management of Urinary Incontinence

There ar many elderly clients quietly abrogateuring continence issues, believing that frequency, urgency, and incontinency is an inevitable part of aging. Advanced practice nurses can play a significant role in discovering continence businesss (Lea R. et. al. 2007). Urinary head trip is be as the complaint of any involuntary leakage of urine(International Continence Society,1997). A thorough physical assessment and evaluation is necessary to identify the conundrum at the early exemplify and to ensure its necessary influencement.In my placement field I found many residents either with urinary catheter or use incontinence pads. That is suffering from this problem. Thus I selected this as one of my information verbotencome. I choose Gibbs Reflective cycle 1988 to write this reflective bear witness on assessment and charge of urinary incontinence. This model of reflection allows me to prise and analyse my own devours to bring out new learning and changes.DESCRIPTIONWhen I started my clinical practice I identified there are brood of elderly people with the complaint of urinary incontinence.It is important that incontinence be treated since it impacts not only the physiological, but also the psychological realms of a persons life. Depression and decreed quality of life have been found to concur in the person struggling with incontinence (Barbara Ann,2003). The most important sum of incontinence reported in men was being out of keep composition most women considered feeling impelled to take several precautions to be the most important consequence of UI (Doreth et al,2006). In my placement area I noticed that most of the tolerants with parkinsons disease also suffer from the problem of urinary incontinence.When I searched in the literature ,a study by Dr. Vaughan points out that those with Parkinsons disease usually experience urgency and incontinence as a common problem. When I started my placement , Mrs . X who was suffering from shaking palsy s ince 5 years and dementia since 2 years was on essential urinary catheter for the management of urinary incontinence. Adhering to the results from the literature review I intend for initiating several steps to control incontinence in Mrs. x. My mentor was constantly with me with full support and guidelines.FLUIDmanagement was the first step started. An input output chart was kept and well maintained. Then steps wre also taken to manage constipation. Exercises were the last method practiced and the final result was really appreciable as she got a great reduction in the incontinence rate.FEELINGSAfter the experience I felt so glad and proud to myself as it was a great success towards its end. In the beginning, during the time of planning I thought it may be bit difficult for a patient with paralysis agitans and dementia to make follow our instructions and continue till the end of this practice.But when we started the programme her response was so nice that she found very co-op and understanding. This made me more happy and I tried my level vanquish to make every interaction to bring out virtually(prenominal)thing positive. I continually tried to keep good inter personal family with the patient by using the different techniques of communication.EVALUATIONEven though I felt some difficulties during the beginning, as a whole I could feel a continuous tense response in my patient. My mentor was there with me when I felt some problems and helped me a lot to overcome all those.She gave me more resources to manage difficult situations and it was really beneficial. I realised proper delegation of duties is necessary for a better implementation and also learned about the factors to be considered while delegating the duties and responsibilities.ANALYSISActually the experience was beneficial to me in different ways. First and best I could upgrade my level of companionship. I read different journal articles and each one was a big store of new knowledge for me. I learned about the different techniques of management of urinary incontinence.I could also understand the vastness of behavioural intervention in the management of incontinence. I could understand some of my weak points and my mentor helped me to improve them.CONCLUSIONUrinary incontinence is a disease condition which not only affects the physiology of a patient but also affects his psychological status and needs a continuous assessment and evaluation. It is very clear that practice can make a difficult problem more easy and manageable.ACTION PLANMaintain proper fluid equilibriumAssess and find out the symptoms of constipation at an early stage and manage it in force(p)ly Maintain a regular assessment of urinary incontinence and record each incidence if possible Understand the importance of communication and the positive effects of it. Keep a therapeutic relationship with the patient. Utilise the resources like man, money and material in the best effective manner Plan with t he patient to ensure his cooperation and win his confidence moderate and encourage the co-workers as and when required Evaluate and record each age progress so as to have best result at the end.

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