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Daytime and nighttime wetting in children: a review of management
1Albany Medical College, NY, USA. kelleher@hslc.org
Insights
Most childhood voiding issues, like enuresis, are functional and manageable. Pediatric nurses play a crucial role in identifying, assessing, and guiding families through treatment options for these common urination problems.
Area of Science:
- Pediatric healthcare
- Urology
- Nursing practice
Background:
- Voiding dysfunction is common in children beyond normal toileting age.
- Enuresis (bedwetting) and daytime incontinence affect many children.
- Misunderstanding of causes and treatments is prevalent among caregivers and providers.
Purpose of the Study:
- To outline common pediatric voiding dysfunctions.
- To review the literature on enuresis.
- To explore the role of nurses in managing these conditions.
Main Methods:
- Literature review on enuresis.
- Description of voiding dysfunction types in children.
- Exploration of nursing interventions.
Main Results:
- Ninety-five percent of pediatric voiding problems are functional.
- Five percent of cases involve underlying pathologic conditions.
- Widespread lack of knowledge exists regarding causes and management.
Conclusions:
- Pediatric nurses are vital in early identification and assessment of voiding problems.
- Nurses can educate families and facilitate appropriate referrals.
- Effective management requires addressing functional and, when present, pathologic causes.
Purpose:
To describe the types of voiding dysfunction common to children, review pertinent literature on enuresis, discuss treatment options, and explore the nurse's role in identifying and managing children with voiding difficulties.
Population:
Children beyond the age of normal toileting who continue with uncontrolled urination either during the day, at night, or both.
Conclusion:
Inappropriate urination in children is a common occurrence. Ninety-five percent of voiding problems are functional, and 5 percent represent pathologic conditions. There is widespread misunderstanding among parents, teachers, and primary care providers on the causes and management options for these children.
Practice Implications:
Pediatric nurses are in key positions to identify children with voiding problems. Once the problem has been acknowledged, nurses can assess the problem and its impact on the family; educate parents, children, and others regarding causes; discuss management options; and refer children for medical intervention when necessary.