URGENT! prolapsed uterus or bladder?

  1. So, I'm at work right now in a LTC facility. We have an elderly woman with a prolapsed something-don't know if it's uterus or bladder. Doc said to push it back in. Can I do that as a nursing measure? Thanks!
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    About rnto?

    Joined: Dec '08; Posts: 122; Likes: 62
    LTC DON; from US
    Specialty: 5 year(s) of experience in Med-Surg, LTC

    18 Comments

  3. by   XB9S
    I have to be honest if I was unsure about what was prolapsed or how to reduce it I would get the doc to review and show me what he wanted me to do. Only then and only if I was comfortable with the procedure would I attempt it
  4. by   rnto?
    No doc is here, I am the charge, ha ha!
  5. by   loriangel14
    I have once in the past pushed a prolapsed uterus back in but it wasn't very far out. The RN in charge( I am an RPN) instructed me to do it and didn't seen too concerned. Coincidentally I put a prolapsed rectum back in place today for the first time. I was told it was okay for us to do this. I will be interested to hear others experience with this.
  6. by   XB9S
    ahh one of the reasons I love working in a hospital.

    Not sure how it works in the US, can't you get the doc to do a home visit to assess the patient?

    If not, and it's not something you've done before then personally I wouldn't be comfortable doing it
  7. by   April, RN
    Can you see anything that might be a cervix?
  8. by   Batman24
    I wouldn't do it without someone knowing what they are doing there to instruct and show you what to do. Have the doctor come in especially as you don't even know what is out. Don't be bullied into this one.
  9. by   rnto?
    Thanks for the quick responses! I love allnurses.com. Well, I actually didn't have to push anything anywhere because once we put her in bed and in reverse trendelenberg, it, er, went back up. Then a night turn girl came in and was like, "Oh yah, I've pushed hundreds back in". Well, whatever. I had no idea. I still don't know if it's bladder or uterus-I definitely did NOT see a cervix-it looked like a small baby's head crowning, minus the hair. how do you tell the difference?
  10. by   emnicams
    I've seen a prolapsed uterus once. It honestly looked like a glans penis sticking out. It had the "hole" on the tip (the cervical opening, I guess).
  11. by   Ginger's Mom
    Quote from sharrie
    ahh one of the reasons I love working in a hospital.

    Not sure how it works in the US, can't you get the doc to do a home visit to assess the patient?

    If not, and it's not something you've done before then personally I wouldn't be comfortable doing it
    If you can't get the doc in you send the patient to the emergency room. I have never seen a prolapsed bladder and would think that would be a source for infection.
  12. by   Magsulfate
    the uterus might be prolapsed and come out of the vagina,, but if the bladder is prolapsed, it will be the inside of the vagina wall that is poking out of the vagina. Either way, just get some gloves on and push it back up in there! LOL
  13. by   iamablonde1970
    Well..... When I am old and in a home..... I Hope to GOD someone will push mine back in for me so I don't to be hangin out all over the place! hahahahha
  14. by   ktwlpn
    eek! Pass me a pessary,please.I cared for a gal years ago with a prolapsed urerus-the family refused surgery and she lived for years with that thang dangling.We had to clean and lube it every shift to keep it moist.

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