The RN is consulted by a parent on ways to manage enuresis. The patient is a nine year old boy who only experiences enuresis at night (nocturnal enuresis). Education on nocturnal enuresis should be provided to the parent and patient first. Enuresis is a common problem among boys and girls from age five and older; although nocturnal enuresis is mostly seen in boys. Studies have shown nocturnal enuresis may be associated with genetics. Parents who experienced nocturnal enuresis often have children that experience nocturnal enuresis. (Pillitteri,2014) Children who are deep sleepers have been associated with nocturnal enuresis. Patients and family medical history, physical assessment, and urinalysis should be conducted to determine therapeutic management. Primary cause of nocturnal enuresis is when one has never gained urinary incontinence. Most children fall
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Lab work should be conducted to determine if possible UTI is the cause; if so antibiotics are prescribed. Children who suffer from sleeping disorders, psychological stress, over active bladder may experience secondary enuresis. Medications are available to help reduce and/or manage enuresis. Desmopressin (DDAVP) is a synthetic drug available to help reduce the urge to urinate frequently; and is the drug of choice for treating enuresis. (Pillitteri, 2014) Tricyclic is an antidepressant; it has been proved to reduce enuresis by one night a week. Tricyclic is recommended to be used no longer than three months in children. (nafc.org, 2014) With reassurance and reinforcement from the parent enuresis can be managed successfully.
Resources:
Pillitteri, A. (2014). Maternal & child health nursing: Care of the childbearing & childrearing family. Philadelphia: Wolters Kluwer Health/Lippincott Williams & Wilkins.
URINARY INCONTINENCE. Retrieved November 02, 2016, from
Lab work should be conducted to determine if possible UTI is the cause; if so antibiotics are prescribed. Children who suffer from sleeping disorders, psychological stress, over active bladder may experience secondary enuresis. Medications are available to help reduce and/or manage enuresis. Desmopressin (DDAVP) is a synthetic drug available to help reduce the urge to urinate frequently; and is the drug of choice for treating enuresis. (Pillitteri, 2014) Tricyclic is an antidepressant; it has been proved to reduce enuresis by one night a week. Tricyclic is recommended to be used no longer than three months in children. (nafc.org, 2014) With reassurance and reinforcement from the parent enuresis can be managed successfully.
Resources:
Pillitteri, A. (2014). Maternal & child health nursing: Care of the childbearing & childrearing family. Philadelphia: Wolters Kluwer Health/Lippincott Williams & Wilkins.
URINARY INCONTINENCE. Retrieved November 02, 2016, from