S/S

- Distended bladder

- Discomfort in pelvic region

- Voiding Frequent, small amounts

medical management/nursing intervention

- warm shower/sitz bath

- Natural voiding position if possible

- Urinary catheter

- Surgical removal of obstruction

- Analgesics

- Involuntary loss of urine from the bladder

- Usually common in elderly individuals

- Permanent or temporary

s/s

- Involuntary loss of urine

- Leaking with coughing, sneezing, or lifting

- If a person laughs too much, unconsciously there is an urge to urinate

medical management/nursing intervention

● Treat underlying cause

● Surgical repair of bladder

● Temporary or permanent catheter

● Bladder training

● Kegel’s exercise - strengthens pelvic floor

● Loss of voluntary voiding control

● Results in urinary retention or incontinence

● Lesions of the nervous system that interferes with normal nerve conduction to the urinary bladder

2 types

→ Spastic

→ Flaccid

s/s

● Infrequent voiding

● Incontinence

● Diaphoresis, flushing, nausea prior to reflex Incontinence

medical management/nursing intervention

● Antibiotics; urecholine

● Intermittent catheterization

● Bladder Training

● high grade fever

● FLANK PAIN

● DYSURIA

s/s

● Urgency; Frequency; Burning

● Nocturia

● Abdominal discomfort; perineal or back pain

● Cloudy or blood - tinged urine

medical management/nursing intervention

→ Antibiotics; urinary antiseptics/ analgesics

● Encourage fluids

● Perineal Care