Posted: December 20th, 2021

Disorders of the bladder

Sources must be within the last 5 years include discussion of your strategy for winning the patients cooperation while teaching concepts concerning pathological states to them and their families. Disorders of the Bladder and Lower Urinary Tract Alvita is a frail 89-year-old woman residing in a nursing home. She is able to move slowly around the residence with the use of a walker, but appreciates when her daughter is there to hold her arm and walk alongside her. When one of the health care staff changes Alvita, her daughter helps. Alvita’s incontinence has progressed, particularly over the last six years since she has resided in the nursing home. Alvita can smile at her lack of bladder control, however, and says that her incontinence really began when she was a young woman, just after the birth of her second daughter. Alvita’s mobility is limited. How does this affect continence in the elderly? Shortly after the birth of her second daughter, Alvita experienced mild incontinence, particularly after laughing or coughing. What was she experiencing? What is the pathophysiology behind this type of incontinence? Assignment.

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To win the patient’s cooperation while teaching concepts concerning pathological states to them and their families, it is essential to use a patient-centered approach. This involves:
Building rapport: Establish a trusting relationship with the patient and their family by showing empathy, active listening, and understanding their concerns.
Using clear and simple language: Avoid using medical jargon and explain concepts in a way that is easy for the patient and their family to understand.
Encouraging questions: Invite the patient and their family to ask questions and clarify any doubts they may have.
Providing relevant information: Tailor the information provided to the patient’s specific condition and needs, focusing on what is most relevant to them.
Involving the patient and their family in decision-making: Encourage the patient and their family to participate in decisions about their care, taking into account their preferences and values.
Providing emotional support: Acknowledge the emotional impact of the patient’s condition and offer support to help them cope with their feelings.
In Alvita’s case, her limited mobility can affect continence in the elderly in several ways:
Reduced muscle strength: Limited mobility can lead to weakened pelvic floor muscles, which are essential for maintaining continence.
Decreased mobility can make it difficult for the elderly to reach the bathroom in time, increasing the risk of incontinence.
Limited mobility can also contribute to constipation, which can put pressure on the bladder and lead to incontinence.
Alvita’s experience of mild incontinence after laughing or coughing is known as stress incontinence. The pathophysiology behind stress incontinence involves the weakening of the pelvic floor muscles and the urethral sphincter. This can be caused by factors such as childbirth, aging, and hormonal changes. When there is increased pressure on the bladder from activities like laughing or coughing, the weakened muscles and sphincter are unable to maintain closure, resulting in urine leakage.

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