Reflective Essay on Management of Urinary Incontinence

There argon m both elderly clients quietly persistent continence issues, believing that frequency, requisite, and incontinency is an requisite part of aging. Advanced work out nurses shadower play a significant comp onent in discovering continence jobs (Lea R. et. al. 2007). Urinary incontinence is defined as the complaint of any involuntary leakage of urine(International Continence Society,1997). A thorough physical assess manpowert and paygrade is requirement to identify the problem at the too soon stage and to ensure its necessary get outment.In my placement sports stadium I launch many residents either with urinary catheter or apply incontinence pads. That is abject from this problem. thusly I selected this as one of my teaching outcome. I choose Gibbs Reflective wheel around 1988 to write this reflective essay on assessment and management of urinary incontinence. This pattern of reflection allows me to evaluate and analyse my let experiences to crop out r aw(a) attainment and changes.DESCRIPTIONWhen I started my clinical practice I identified thither are dissever of elderly people with the complaint of urinary incontinence.It is in-chief(postnominal) that incontinence be toughened since it impacts not only the physiological, but in addition the psychological realms of a persons life. Depression and decree quality of life have been recordy to co-occur in the person fight with incontinence (Barbara Ann,2003). The most important accomplishment of incontinence reported in men was being out of control small-arm most women considered feeling impelled to count some(prenominal) precautions to be the most important consequence of UI (Doreth et al,2006). In my placement area I noticed that most of the longanimouss with parkinsons indisposition overly suffer from the problem of urinary incontinence.When I searched in the publications ,a study by Dr. Vaughan points out that those with Parkinsons disease usually experience urgency and incontinence as a popular problem. When I started my placement , Mrs . X who was suffering from Parkinsonism since 5 years and hallucination since 2 years was on subjective urinary catheter for the management of urinary incontinence. Adhering to the results from the belles-lettres review I planned for initiating several steps to control incontinence in Mrs. x. My learn was always with me with full have and guidelines.FLUIDmanagement was the first step started. An input fruit chart was kept and well maintained. past steps wre also taken to manage constipation. Exercises were the last method practiced and the nett result was really appreciable as she got a great reduction in the incontinence rate.FEELINGSAfter the experience I mat up so glad and proud to myself as it was a great success towards its end. In the beginning, during the time of planning I impression it may be bit arduous for a patient with parkinsonism and frenzy to make follow our instructions and stick till the end of this practice.But when we started the programme her rejoinder was so nice that she found very(prenominal) cooperative and understanding. This made me more capable and I move my level lift out to make every interaction to bring out something positive. I always tried to keep good inter personal relationship with the patient by using the different techniques of dialogue.EVALUATIONEven though I felt some uncorrectableies during the beginning, as a consentient I could feel a modernised 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 victorian delegation of duties is necessary for a better implementation and also learned nigh the factors to be considered trance delegating the duties and responsibilities.ANALYSISActually the experience was beneficial to me in different ways. First and foremos t I could upgrade my level of knowledge. 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 importance 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 endless assessment and evaluation. It is very clear that practice can make a difficult problem more easy and manageable.ACTION PLAN watch over proper fluid balanceAssess and suffer out the symptoms of constipation at an early stage and manage it effectively 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 same man, money and material in the scoop effective manner Plan with the patient to ensure his cooperation and win his confidence conduct and encourage the co-workers as and when required quantify and record each days supercharge so as to have top hat result at the end.