Advancing Modules Archives - Page 114 of 135

Conclusion

Having worked through this module you will have learned:

The effects that a stroke may have on a person’s bladder and bowel
The interrelationship between bladder and bowel function in people who have experienced stroke
How to assess bladder function and identify different types of post stroke urinary dysfunction.
How to assess bowel function and identify the type and cause of difficulties experienced following stroke.
How to develop and implement evidence based management plans appropriate to the identified bladder and/or bowel problem that promote the recovery of function and return of continence.

The 4 patient scenarios / cases have covered the following 4 continence dysfunctions:

Remember a full assessment gives the full picture – some symptoms in isolation can lead to inappropriate treatment
Careful consideration of bladder and bowel rehabilitation is essential to provide safe and effective practice and avoid any potential for harm
Perseverance is the key – get the patient involved in the bladder and bowel rehabilitation plan
Ensure the patient and their family are aware of information that promotes a healthy bladder

A picture of Annie Johnson outside a house Four glasses of water and a cup of tea

Intermittent catheterisation was performed 2 times daily for 2 days, and then stopped.
The post void residual urine reduced to 50ml, which caused Annie no problems.
Annie replaced most of her coffee intake with water, reducing the amount of coffee consumed to one cup per day
She was discharged without the use of any product as she was continent.