Certain foods, drinks and medications can cause temporary urinary incontinence. A simple change in habits can bring relief.
- Bladder irritation. Carbonated drinks, tea and coffee — with or without caffeine — artificial sweeteners, corn syrup, and foods and beverages that are high in spice, sugar and acid, such as citrus and tomatoes, can aggravate your bladder.
- Caffeine. Caffeine is a diuretic and a bladder stimulant that can cause a sudden need to urinate.
- Alcohol. Alcohol acts as a bladder stimulant and a diuretic, which can cause an urgent need to urinate.
- Overhydration. Drinking a lot of fluids, especially in a short period of time, increases the amount of urine your bladder has to deal with.
- Medications. Heart medications, blood pressure drugs, sedatives, muscle relaxants and other medications may contribute to bladder control problems.
Assessment of urinary incontinence that we asks the patient about when urinary incontinence began to appear and the things associated with symptoms of urinary incontinence:
- How many times incontinence occurs?
- Is there redness, blisters, swelling in the perineal area?
- Is the client obese?
- Is the time between urine dripping urination, if there are how many?
- Is incontinence occurs at times that can be expected as when coughing, sneezing, laughing and lifting heavy objects?
- Is the client aware of or feel the urge to urinate before incontinence occurs?
- How long the client has difficulty in urinating / urinary incontinence?
- Does the client feel bladder feels full?
- Is the client experiencing pain during urination?
- Is the problem getting worse?
- How do clients overcome incontinence?
Assessment by conducting a physical examination physical examination; inspection, palpation and percussion.
Inspection
- Redness, irritation / blisters and swelling in the perineal area.
- A lump or spinal cord tumor.
- The presence of obesity or lack of exercise.
Palpation
- Bladder distention or tenderness.
- Palpable lump spinal cord tumor area.
Percussion
- Voice sounded dim in the bladder area.
Nursing Diagnosis - Nursing Care Plan for Urinary Incontinence
- Anxiety
- Disturbed body image
- Knowledge deficit
- Weakness (lack of activity)
- Low self-esteem
- Impaired skin integrity
Intervention - Nursing Care Plan for Urinary Incontinence
- Maintain cleanliness of the skin, the skin is dry, replace the bed linen or clothing when wet.
- Encourage clients to bladder training exercises
- Encourage fluid intake of 2-2.5 liters / day if there are no contraindications.
- Checks taken drugs (narcotics, sedatives, diuretics, antihistamines and anti-hypertensive), may be associated with incontinence.
- Check the client's psychological.
- Encourage clients to perineal exercises or Kegel's exercise to help strengthen muscular control (if indicated). This exercise can lie down, sit or stand and how Kegel's is to: Contract your perineal muscles to stop the discharge of urine, sustained contraction for 5-10 seconds and then loosen or disconnect, repeat up to 10 times, 3-4 times / day.
