Reflective Essay on Management of Urinary Incontinence

There are m all elderly clients softly enduring continence issues, believing that frequency, urgency, and incontinence is an inevitable part of aging. innovative practice nurses can play a significant role in discovering continence problems (Lea R. et. al. 2007). Urinary incontinence is defined as the tutelage of any involuntary leakage of urine(International Continence Society,1997). A thorough physical estimate and evaluation is necessary to identify the problem at the early portray and to ensure its necessary wariness.In my placement area I found most residents either with urinary catheter or using incontinence pads. That is suffering from this problem. therefrom I selected this as one of my learning come forthcome. I choose Gibbs brooding cycle 1988 to write this reflective essay on assessment and management of urinary incontinence. This model of reflection allows me to evaluate and analyse my own experiences to cultivate out new learning and changes.DESCRIPTIONWhen I started my clinical practice I identified there are lot of elderly people with the complaint of urinary incontinence.It is important that incontinence be treated since it impacts not only the physiological, but in any case the mental realms of a persons life. Depression and decreed tint of life have been found to co-occur in the person attempt with incontinence (Barbara Ann,2003). The most important effect of incontinence reported in men was being out of obligate while most women considered looking at impelled to take several precautions to be the most important answer of UI (Doreth et al,2006). In my placement area I noticed that most of the tolerants with parkinsons disease also suffer from the problem of urinary incontinence.When I searched in the literature ,a study by Dr. Vaughan points out that those with Parkinsons disease usually experience urgency and incontinence as a common problem. When I started my placement , Mrs . X who was suffering from Parkinsonism since 5 years and hallucination since 2 years was on Indwelling urinary catheter for the management of urinary incontinence. Adhering to the results from the literature review I planned for initiating several steps to control incontinence in Mrs. x. My learn was always with me with full support and guidelines.FLUIDmanagement was the counterbalance step started. An input output chart was kept and well maintained. hence steps wre also taken to manage constipation. Exercises were the last method practised and the final result was really appreciable as she got a immense reduction in the incontinence rate.FEELINGSAfter the experience I felt so glad and proud to myself as it was a great success towards its end. In the beginning, during the time of planning I thought it may be bit difficult for a patient with parkinsonism and dementia to make come our instructions and continue till the end of this practice.But when we started the programme her response was so nice that she found very co operative and understanding. This made me more than elated and I tried my direct best to make every interaction to bring out something positive. I always tried to keep unspoiled inter personal relationship with the patient by using the assorted techniques of communication.EVALUATIONEven though I felt some difficulties during the beginning, as a hearty I could feel a progressive response in my patient. My mentor was there with me when I felt some problems and helped me a lot to reduce all those.She gave me more resources to manage difficult situations and it was really unspoilt. I effected proper delegation of duties is necessary for a better implementation and also learned intimately the factors to be considered while delegating the duties and responsibilities.ANALYSISActually the experience was beneficial to me in different ways. First and foremost I could upgrade my level of knowledge. I read different journal articles and from each one one was a big store of new knowl edge for me. I learned about the different techniques of management of urinary incontinence.I could also understand the splendor 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 qualify which not only affects the physiology of a patient but also affects his psychological status and needs a continuous assessment and evaluation. It is very suck that practice can make a difficult problem more easy and manageable.ACTION PLAN discover proper fluid balanceAssess and find 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 cause of it. Keep a therapeutic relationship with the patient. Utilise the resources like man, gold and material in the best effective manner Plan with t he patient to ensure his cooperation and win his confidence Support and encourage the co-workers as and when needful Evaluate and record each days progress so as to have best result at the end.