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Related Concept Videos

Urinary Tract Infection IV: Nursing Management01:17

Urinary Tract Infection IV: Nursing Management

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In managing urinary tract infections (UTIs) in nursing, a comprehensive assessment is essential. Begin by gathering subjective data, such as the patient’s complaints of dysuria (painful urination), urinary frequency, urgency, suprapubic pain, and any lower abdominal discomfort. This information can be complemented by questions regarding previous UTIs, sexual activity, and personal hygiene practices, which can provide insight into risk factors. Objective assessment should focus on signs...
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Urinary Tract Calculi V: Nursing Management01:28

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AssessmentSubjective Data: Obtain a detailed health history, including any recent or chronic urinary tract infections, periods of immobilization, previous episodes of renal calculi, and medical conditions such as gout, benign prostatic hyperplasia, or hyperparathyroidism. Review the medication history for drugs that may influence stone formation, including allopurinol, analgesics, loop diuretics, or thiazide diuretics. Document the use of long-term indwelling catheters and any past surgical...
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Irritable Bowel Syndrome III: Medical and Nursing Management01:30

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Managing Irritable Bowel Syndrome (IBS) involves a multifaceted approach, including lifestyle modifications, dietary changes, and medication.
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Peritoneal dialysis, or PD, utilizes the peritoneal membrane as a filter to eliminate excess fluid and waste products. Effective nursing management is essential for ensuring patient safety, preventing complications, and promoting optimal function of the peritoneal dialysis process.Assessment and MonitoringNurses must thoroughly assess the patient before, during, and after each dialysis session. Regular monitoring includes vital signs, daily weight, fluid intake and output, and laboratory values...
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The first step in nursing management of a patient with heart failure involves thoroughly assessing the patient's medical history.Subjective Data: Obtain the patient's medical history of coronary artery disease, hypertension, myocardial infarction, and symptoms like dyspnea, orthopnea, and paroxysmal nocturnal dyspnea.Objective Data: Conduct a physical examination to identify findings such as jugular vein distention, pulmonary crackles, tachycardia, murmurs, peripheral edema, and vital signs,...
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Managing overactive bladder symptoms in a palliative care setting.

Abigail Walton1

  • 1Palliative Care Department, Hammond Care , Sydney, Australia .

Journal of Palliative Medicine
|December 20, 2013
PubMed
Summary

Overactive bladder symptoms significantly impact quality of life in palliative care. Alternative management, like urisheaths, may offer better symptom control than traditional anticholinergic drugs.

Area of Science:

  • Gerontology
  • Palliative Care Medicine
  • Urology

Background:

  • Overactive bladder (OAB) symptoms, including urinary frequency, urgency, nocturia, and incontinence, are prevalent in elderly and palliative care populations.
  • Detrusor muscle overactivity is a common cause of OAB, leading to a significant reduction in patient quality of life.
  • Anticholinergic drugs are the traditional pharmacological treatment for OAB but often cause side effects and are poorly tolerated, especially in palliative care settings.

Observation:

  • This article presents two palliative care cases where overactive bladder symptoms were challenging to manage with standard anticholinergic medications.
  • The cases illustrate the limitations of conventional pharmacological approaches in this specific patient group.

Findings:

  • Anticholinergic medications for overactive bladder symptoms present a high risk of side effects and poor tolerance in palliative care patients.

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  • Alternative management strategies, such as the use of urisheaths, can significantly improve quality of life without increasing symptom burden for end-of-life patients.

    • Implications:

    • Clinicians should consider alternative management strategies for overactive bladder symptoms in palliative care patients when anticholinergic drugs are ineffective or poorly tolerated.
    • Exploring non-pharmacological options like urisheaths may enhance symptom management and improve the quality of life for patients nearing the end of life.
    • This discussion aims to provide clinicians with an overview of treatment strategies for managing difficult overactive bladder symptoms in terminally ill patients.