Jenny Hill Case Study Answers

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Register to read the introduction… She recently moved out of her large home when it became too much to care for. Jenny is widowed and has three adult children who help her as needed. Jenny wants to be as independent as possible; she has been all of her life. Her husband died of cancer 4 years ago, and she took care of him so that he could die at home. Jenny worked as a bookkeeper at a local company until she was 70 years old. She loves to garden, walk with friends, and read books.

Jenny has trouble controlling urination. She finds that when she feels the need to urinate, she quickly or she will wet her panties. She has started wearing incontinence pads must get to the bathroom, but she hates them because they are uncomfortable, and she is afraid they show when she wears pants. In addition, they cost a lot of money. Jenny has had some incontinence for years, but it has gotten much worse during the last year.

She finds herself getting up to urinate three to four times each night. Sometimes, she believes she really smells of urine in the morning, and her sheets are wet with urine. She is starting to limit her usual social activities because of the possible embarrassment of smelling like urine. Jenny makes an appointment to talk to her nurse practitioner to see whether anything can be done about this
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Neurological disorders (brain disorders, including cerebrovascular accident, brain tumor, normal pressure hydrocephalus, traumatic brain injury); inflammation of bladder (calculi; tumor, including transitional cell carcinoma and carcinoma in situ; inflammatory lesions of the bladder; urinary tract infection); bladder outlet obstruction (see Urinary retention); stress urinary incontinence (mixed urinary incontinence; these conditions often coexist but relationship between them remains unclear); idiopathic causes (associated factors include depression, sleep apnea [Kemmer et al, 2009; Lowenstein et al, 2008], and obesity [Mishra et al, 2008]).

The complete nursing diagnostic statement is: Urge Incontinence related to frequent sudden urge to void, evident by inability to delay urination after strong sudden desire to void. Report of increasing urinary accidents over the past
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Teach dosage and administration of the medication and the importance of combining pharmacotherapy with scheduled voiding, adequate fluid intake, restriction of bladder irritants, and urge suppression techniques. Antimuscarinic drugs increase bladder capacity, reduce the frequency of incontinence episodes, and diminish voiding frequency. However, they do not cure bladder dysfunction or reduce the time between perception of a strong urge and onset of an overactive detrusor contraction. Approximately two thirds of clients treated with antimuscarinic medication discontinue use within 3 to 4 months; the efficacy of pharmacotherapy for urge incontinence is enhanced when combined with behavioral interventions (Burgio et al,

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