Discussion 3.1 – Case
Study One Options Menu: Forum
At the start of the shift, you are assessing an 86 year old
patient who is awaiting surgery for a hip repair after a fall 12 hours ago at
home. You are collecting a clean-catch
urine specimen, using a bedpan, as part of the preoperative preparation. You observe that when she voids, the urine
odor is foul and the urine is cloudy and full of sediment. She reports some urgency but notes that she
had urgency before her fall.
What assessment information will you document in the chart?
What additional information should you ask the patient and
what else should you consider?
Organize your thoughts into a SBAR communication.
Who should you notify and why?
For details regarding grading criteria and posting requirements,
please see the grading rubric. Contact your instructor if you have issues or
Discussion 3.2 – Case
The patient is a 52-year old perimenopausal woman who
reports a small loss of urine with coughing, laughing, and occasionally bending
over. Recently she has started to leak
urine just as she arrives in the bathroom but before she sits on the
toilet. She stated her mother has had a
continuing problem with incontinence for years and seldom leaves her home. The patient wants to continue to lead an
active lifestyle and wants to discuss options for preventing progression of
this embarrassing condition.
What other information should you obtain from this patient?
What type or types of incontinence is she most likely to
have from the information she has provided thus far?
Is this problem likely to be genetic? Why or why not?
What will you tell her regarding options for care?
She asks if there is anything she can do now to help reduce
her urine leakage. How do you respond?
For details regarding grading criteria and posting
requirements, please see the grading rubric. Contact your instructor if you
have issues or concerns.