strategies for helping patient to void

[Lorodz]

one is stroking patient's inner thigh, why is this? can someone explain the rationale?

PULL the patient's PUBIC hair?! what?

found these questions on an nclex reviewer, it said that those strategies are appropriate but it didnt explain the rationale behind it. any help? thanks

[avahnel, ASN, RN]

we were taught to make the pt as confortable as possible in an environment that is unconfortable-like give the pt privacy, a bed side comode uses less energy that an bed pan and is more like voiding at home ect. I know that if a nurse tried to stroke my inner thigh, or pulled my pubic hair I would be more likely to resort to violence than void. You can also do manual pressure on the bladder to stimulate contraction.

[Lorodz]

we were taught to make the pt as confortable as possible in an environment that is unconfortable-like give the pt privacy, a bed side comode uses less energy that an bed pan and is more like voiding at home ect. I know that if a nurse tried to stroke my inner thigh, or pulled my pubic hair I would be more likely to resort to violence than void. You can also do manual pressure on the bladder to stimulate contraction.

thanks for the reply! and the tips.

me too, if someone attempts to pull my pubic hair= violence, stroke my inner thigh=sexual harassment? hehe

i just dont know what the rationale is. oh, by the way i found this question on a very good nclex reviewer called Prioritation, delegation and assignment by Linda LaCharity.

anyone? can someone explain?:confused:

[Daytonite, BSN, RN]

I was trying to find information on this for you. I don't have a good anatomy and physiology book here at home, but I believe the answer is related to the physiology of urination and not the pathophysiology of it. Stroking the thigh or pulling a pubic hair (yes, I have heard of this) as well as pouring warm water over the perineal area and letting the patient hear running water all stimulate the urge to void. All I was able to find on the Internet so far was this: http://en.wikipedia.org/wiki/Urination

Somehow, these interventions stimulate the urination to occur. I hadn't gotten to the exact neural pathway of how that happens though. As I mentioned, this is a question of physiology. The pathophysiology would be why the patients would be retaining urine and not voiding in the first place.

[nightmare, RN]

The best method ,if safe and possible,is to leave them to pass urine in peace and privacy.Urination was never meant to be a spectator activity!