Category: Advancing Modules

Drugs that may cause or aggravate Urinary Incontinence
Type of drug	Agent	Mechanism of action	Type of incontinence
Alpha Blocker	Prazosin Doxazocin	Decreased urethral sphincter resistance	Stress
Bladder relaxants	Cholinergic agents Anticholinesterase agents Caffeine Acidifiers	Increased detrusor hypersensitivity	Increased urgency and frequency
Sedatives	Early antihistamines Tricyclic antidepressants Antipsychotics Tranquillisers Hypnotics	Clouding of consciousness. Less aware of bladder sensation Anticholinergic side effects includes constipation	Urgency
Miscellaneous	Alcohol Loop diuretics e.g. furosemide Lithium ACA inhibitors Narcotic analgesics/morphine Alpha antagonists Beta antagonists Calcium channel blockers e.g. nifedipine	Lowers central inhibition Increase rates of bladder filling Polydipsia May induce chronic cough Urethral relaxation Retention Retention Retention	Urgency frequency Urgency frequency Urgency Stress Stress Stress/overflow Stress/overflow  Stress/overflow

 

Q. Please design a rehabilitation management plan to address Edith’s continence problems by choosing four primary components of that plan from the list below.

See ‘View text alternative’ for feedback.

What do you think is Edith’s Diagnosis? Select one of the options below.

Below is the result of Edith’s bladder scan. Take a look at the scan and then complete the summary of the findings of this assessment below.

Bladder scan:

• Output = 200mls
• Postvoid scan = 28mls

Q. Which of the following steps would you take next with Edith. Select Yes or No for each one.

Listen to the dialogue between Edith and the stroke nurse below. If you do not have headphones you can read the full transcript of the conversation below in ‘View text alternative’.

3 minutes 57 seconds

Q. What steps to you think you need to take to begin to address Edith’s issue?