UK Students - Incontinence presentation and care plans.

[joannemojo]

I have a presentation to do on wednesday on incontinence. We have a case study to use (72 yr old female). They haven't really told us what to include in the presentation but I know that we have to include care plans, SMART, potential and actual problems etc.

It's the care plans that have stumped me. All thats said about the patient in terms of incontinence is that she is 'occasionally incontinent and her urine in concentrated and smelly'. Because of this there isn't much to give me an idea of the causes of it and the type she suffers from.

When I have been on the ward the only incontinence care plans (if u can call them care plans) involve ensuring that the patient rings in time for the toilet and that we minimise pressure sore risk.

Can anybody help me with this? What sort of care plans have u seen for incontinence and what do they involve? Also the rationale behind them.

Another thing I want your opinion on is that I read in a book that 'All assessment on incontinence MUST include questioning about sexual dysfunction'. I feel that when assessing this patient it would be inappropriate. She's an elderly lady who lost her husband 5 years ago and is still grieving for him. She says she just wants to be with him and has given up. I would say to omit that line of questioning as it could be detremental to her emotional well being. What are your thoughts on this?

Thanx guys,

Jo

angryfire

P.S I hate presentations and UCE doesn't know its orifice from it's hand sometimes!!! :angryfire