Bladder management

Incontinence of urine is common in the first few days and a source of major distress for patients and their carers.72 Usually it can be attributed to several factors including impaired sphincter control, immobility, communication problems, constipation, pre-existing prostatic or gynaecological problems, inadequate nursing, infection, confusion, and impaired consciousness. Obviously the cause or causes should be identified and rectified if possible. Most patients can be managed using absorbent pads, external urinary devices, and regular toileting regimes. If these are impractical and transfers very difficult and the patient's pressure areas are causing concern, we insert an indwelling catheter despite the risk of infection and trauma. Incontinence often resolves spontaneously within the first week or two, so it is wise to try removing the catheter if it seems likely that things will have improved. For patients with persisting incontinence, further investigation with bladder ultrasound or postmicturition catheterisation may be useful to assess bladder contractility and outflow. Urinary retention, particularly in men, is common and easily missed in patients with communication problems.

Constipation Prescription

Constipation Prescription

Did you ever think feeling angry and irritable could be a symptom of constipation? A horrible fullness and pressing sharp pains against the bladders can’t help but affect your mood. Sometimes you just want everyone to leave you alone and sleep to escape the pain. It is virtually impossible to be constipated and keep a sunny disposition. Follow the steps in this guide to alleviate constipation and lead a happier healthy life.

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