Health and Healing II: Urinary Incontinence Management Report

This report focuses on urinary incontinence (UI), a medical condition characterized by involuntary urine leakage. It begins with an introduction to UI, outlining its causes and prevalence, especially among females, and emphasizing the role of factors like obesity and lifestyle. The main body of the report introduces the CSAMMP tool, a standardized assessment tool used for managing and assessing UI in adults, particularly in care homes. The report explains how CSAMMP aids in gathering patient information, integrating it into documentation, and developing care plans. The application of the tool in patient assessment is described, including patient interviews, history review, and mobility assessments. The report then details various nursing interventions, including lifestyle changes, pelvic floor muscle training, and bladder training as non-medication interventions. It also mentions medication and surgical interventions. The conclusion summarizes the importance of using appropriate assessment tools like CSAMMP for developing effective care plans, highlighting the need to consider patient needs and functional abilities. The report references several books and journals to support its findings.

Health and Healing II
Family Transitions

Table of Contents
INTRODUCTION...........................................................................................................................3
MAIN BODY...................................................................................................................................3
Introduction to the standardized tool .....................................................................................3
Application of the tool in patient assessment.........................................................................4
Nursing interventions to help the client in resolving the problem ........................................5
CONCLUSION................................................................................................................................7
REFERENCE...................................................................................................................................8

INTRODUCTION
Urinary incontinence is the difficult medical condition of patient in which involuntary
leakage of urine start. Individual face the continuous urination even when they do not want to, in
that condition individual control over the urinary sphincter is lost or either become weak. In this
medical condition patient face the uncontrolled urination, such as loss of urine after sneezing,
laughing and coughing (Alves and et. al., 2017). This can be cause due to some internal
problems which some time is can be happen due to the unavailability of bathrooms, intoxication
and so on. internal causes of this issue is weak bladder muscles, weak pelvic floor muscles,
over active bladder muscles, nerve damage and blockage of enlarged prostate in men. This
problem is more common in female than man, there are the huge reasons for UI occurrence that
can be either obesity and smoking. Most commonly we it can be consider as the situation of
person at which they can not control urine from leaking out. As it is clear that there is the
various reasons for its causes and mostly it occur in females it can be happen during and after
pregnancy, due to stress causing factors or due to the effects of bad habits and life style such as
smoking and obesity. This medical condition vary according to age difference and it is most
common for adults due to weak body and functions. This can be reduce or prevent by the pelvic
floor, kegel, bladder control exercises. In this report analysis of UI treatment and management
tool is consider along with the evaluation of its application in that situation along with the
development and selection of some nursing interventions in order to help the patient to get rid of
this problem (Thomas-White and et. al., 2017).
MAIN BODY
Introduction to the standardized tool
For the management and assessment of this medical condition of Urinary incontinence
The CSAMMP tool is good as it involve the brief analysis of the situation along with effective
medication and mobility plan. This tool help to analyse and evaluate the information of resident
(adults in care home) (Zhang, 2019). Then it aid to incorporate those essential information of
resident in the important documentation which is necessary for the MDS (minimum Data set)

and RAP (resident assessment protocol). Overall purpose of this tool is identify the ability and
health care requirements of the adults so it can be facilitated with quality of services in order to
make quality of living over there. CHAMMP (continence, History, assessment, medication,
mobility, plan) this tool is important in order to prepare the effective care plan for resident. So it
involve the identification of particular problem, under this term continence- involve the
identification of course of treatment important and necessary for the patient along with providing
emotional support and help in controlling bladder or bowel functions. history of medical
conditions, assessment of living style such as diet, Daly routine and facility's of care house along
with the analysis other health care issues. Identification of medication requirements by diagnosis.
Mobility assessment is done in order to identify the SPHM technology needs, that which
techniques is can be right for the patient. Then finally the development of care plan according to
the present situation, ability, needs and living style. MDS is the friendly clinical assessment
which is done in the nursing care home to identify the functional ability and health care need in
order to plan effective care plan. RAP work together with the MDS in order to collect all the
essential data which can help to set along term care plan for adults (Vining and et. al., 2018).
Application of the tool in patient assessment
I will use this tool in this assessment for the collection of all the essential information
which can help me to provide the effective care, with development of right care plan (Jardien-
Baboo and et. al., 2019). It start from the patient interview and understanding of present problem
so that I can decide the right continence techniques for helping the patient in management of
bladder or bowel functions. Then history of the resident is consider so that medication effect can
be identify in order to provide the right medication support. Then assessment of the all other
factors which can be a causes of this problem along with the identification of any deficiency in
present care and further needs of the adult. So that we can plan for the effective intervention
along with the facility off all the essential resources. This can also be helpful in identification of
bad habits so that it can be remove from their care house. then Mobility assessment is done for
the evaluation of effective and correct (Safe Patient Handling and Mobility) techniques
according to the functional ability of patient. Then we develop the long term care plan along with
the selection of present situation cure interventions. Some example of the nursing care
intervention are explain in the following section.

Nursing interventions to help the client in resolving the problem
There are the various type of nursing care interventions which can help the patient to
resolve their Urinary incontinence problem such as the medical care along with the changes in
life style. There are both non medication and medication interventions for resolving this health
care issue (Taylor and Cahill, 2018).
Non medication intervention
This non medication intervention are the most appropriate method of care which can be
easily done by the nurses to achieve the positive out comes.
 Life style changes- This is the primary intervention use by the nurses to help the
resident in resolving granary problem. Here nurses can provide the proper diet plan along
with the health care educational. Which should include guidance about removing the bad
habit from their life in order to prevent problem from those habits.
 Pelvic floor muscle training- Pelvic floor muscle training help the patient to strengthen
their pelvic floor muscles and help to repair the muscle damage too.
 Bladder training- This is usually the course of six weeks course which involve the
learning of time, feeling and passing urine by increasing the length of time. It also
include the kegel exercises.
Medication interventions
There are the some medication which can be use for the treatment of UI symptoms
although this do not provide the proper care but it can help to inhibit uncontrolled urination with
the aid of anticholinergic signal blockers. Such medication are Tolterodine and oxybutynin.
Surgery interventions
There are the various type of surgery use for the treatment of UI according to the ability
of the patient to tolerate that surgery. Such as the Artificial urinary sphincter, Urethral bulking
agent and so on.
Artificial urinary sphincter- In this method of UI treatment artificial urinary sphincter
insertion is done. As it is ring of the muscle which stay close bladder in order to prevent the urine
flow ( Sattar, and et. al., 2020).

CONCLUSION
From the above discussion it has been concluded that for the adult care plan development
professionals have to follow some legislation and use some appropriate health care assessment
tool in order to collect all the essential data of the patient which can help to develop the
appropriate care plan for adult. As it is essential to be clear about the patient functional ability's
before the selection of care process such as techniques and medication along with identification
of other crucial needs of the patient which can help them to cop-up from that problem. For
Urinary incontinence assessment and de development of care plan CSAMMP tool is the best
choice as it aid to assess the patient situation briefly along with the analysis of all the needs,
requirements and functional ability of the patient so that we can select the appropriate,
medications, interventions, techniques of the treatment along with other essential quality services
for care.

REFERENCE
Books and journals
Alves, J.O. and et. al., 2017. Urinary incontinence in physically active young women: prevalence
and related factors. International journal of sports medicine, 38(12), pp.937-941.
Jardien-Baboo, S. and et. al., 2019. Best practice guideline for patient-centred care in South
African public hospitals. Africa Journal of Nursing and Midwifery, 21(2), pp.1-20.
Sattar, S. and et. al., 2020. Falls in older patients with cancer: Nursing and Allied Health Group
of International Society of Geriatric Oncology review paper. Journal of geriatric
oncology, 11(1), pp.1-7.
Taylor, D.W. and Cahill, J.J., 2018, November. From stigma to the spotlight: a need for patient-
centred incontinence care. In Healthcare management forum (Vol. 31, No. 6, pp. 261-
264). Sage CA: Los Angeles, CA: SAGE Publications.
Thomas-White, K.J. and et. al., 2017. Evaluation of the urinary microbiota of women with
uncomplicated stress urinary incontinence. American journal of obstetrics and
gynecology, 216(1), pp.55-e1.
Vining, R.D. and et. al., 2018. Patients receiving chiropractic care in a neurorehabilitation
hospital: a descriptive study. Journal of multidisciplinary healthcare, 11, p.223.
Zhang, N., 2019. Behavioural and pharmacological interventions are more effective than no
treatment for urinary incontinence outcomes in women. Evidence-based nursing,
pp.ebnurs-2019.